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
Alliant Health Services
Ambetter Peach State Health Plan (Centene Corporation)
Ambetter from Buckeye Health Plan (Centene Corporation)
AmeriHealth Caritas of Louisiana
AmeriHealth Caritas of New Hampshire
Amerigroup
Amerigroup (Anthem)
Amida Care
BlueChoice Healthplan of South Carolina
Boston Medical Center HealthNet Plan / Well Sense
CareSource
Fallon Health
Gateway Health
Geisinger Health Plan
Health Net
Healthy Blue (Louisiana Medicaid)
Husky Health Connecticut (Medicaid)
Louisiana Healthcare Connections (Centene Corporation - Medicaid)
Medi-Cal
Minnesota Health Care Programs
Neighborhood Health Plan of Rhode Island
Prestige
Prestige Health Choice
Priority Health
Select Health of South Carolina
Tufts Health Plan
UPMC Health Plan
UnitedHealthcare
Univera Healthcare
WellCare
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