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Benefits Overview (KidCare)

Your Child’s Plan Benefits

The table below lists the medical services that are covered by CMS Health Plan. Remember, you may need a referral from your child’s PCP or approval from us before your child goes to an appointment or uses a service. Services must be medically necessary in order for us to pay for them.

There may be some services that we do not cover. If you need a ride to any of these services, we can help you. Please call MTM at 1-844-399-9469 to schedule a ride at no cost to you.

If there are changes in covered services or other changes that will affect you, we will notify you in writing at least 30 days before the effective date of the change.

If you have questions about any of the covered medical services, please call your child’s care manager or Member Services at 1-866-799-5321 (TTY 1-800-955-8770).

American Indian members are not asked to pay co-payments.

Your Plan Benefits: Expanded Benefits

Expanded benefits are extra goods or services we provide to you, free of charge. Call Member Services to ask about getting expanded benefits.