In many states, Medicaid plans are administered through Medicaid managed care plans, which each have their own clinical criteria. However, managed care plans must still comply with federal and state laws, meaning that if some procedures are listed as not covered, such exclusions can be challenged.
Aetna
Ambetter from Buckeye Health Plan (Centene Corporation)
Amida Care
Boston Medical Center HealthNet Plan / Well Sense
CareSource
Fallon Health
Gateway Health
Healthy Blue (Louisiana Medicaid)
Husky Health Connecticut (Medicaid)
Louisiana Healthcare Connections (Centene Corporation - Medicaid)
Minnesota Health Care Programs
Neighborhood Health Plan of Rhode Island
Palmetto
Paramount
Providence Health Plans and Providence Health Assurance
Tufts Health Plan
UnitedHealthcare
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