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Medicaid Health Plan Carve-out
This webpage provides links to information on Medicaid program covered services not covered by the Medicaid Health Plans (MHPs).
- Medicaid Health Plan Injectable Drugs and Biologicals Carve-out
A list of specific physician-administered Medicaid program covered drugs carved out from MHP coverage. They will be reimbursed as a Fee-for-Service (FFS) benefit for all FFS and MHP enrollees.
- Medicaid Health Plan Pharmacy Program Carve-out
A link to the Medicaid Pharmacy Benefits Program webpage. Magellan Medicaid Administration, Inc. maintains a list of Medicaid program covered pharmacy products that are carved out of the MHPs.
- PIHP/CMHSP Physician Injectable Drugs Carve-out
A list of specific physician-administered injectable drugs available through the PIHP/CMHSP clinic to eligible beneficiaries enrolled in Medicaid. They will be reimbursed as an FFS benefit for all FFS and MHP enrollees.
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