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Therapy, Equipment, Supplies and More

Community-Based Physical Therapy, Occupational Therapy and Speech Therapy

Facility-based services mostly provided in an outpatient setting when a member needs:
  • More extensive services that cannot be offered in the home, or
  • Services can be offered more effectively in an outpatient setting

Consumer Directed Personal Assistance Services (CDPAS)

A relative, excluding a spouse or parent, that acts under the direction of the member or member’s representative. The CDPA will help members with:

  • Personal care
  • Home health aide
  • Skilled nursing tasks

Durable Medical Equipment (DME), Prosthetics and Orthotics

The following medically necessary durable medical equipment are covered:

  • Prosthetics
  • Orthotics

Care managers work with members and their providers to set up delivery, pick up, maintenance and repair of DME equipment.

Environmental Supports

Medically necessary home modifications/equipment. This service is to help members stay safely in their home. For example:

  • An air conditioner for a member with respiratory problems
  • A ramp to accommodate a wheelchair
  • Housekeeping services

Medical/Surgical Supplies

Medically necessary items which are used for a specific medical conditions.

Medical Social Services

Provides evaluation of a member’s:

  • Mental health status
  • Social and family support
  • Eligibility for entitlements and advance directives

 Includes routine supportive counseling of a member’s needs. 

Respiratory Therapy Services

In-home services provided by a licensed respiratory therapist. Services include teaching member how to use equipment (like nebulizers or oxygen).

Non-Emergency Transportation

Depending on the member's need, the plan will provide: 

  • Ambulette
  • Taxi
  • Car service

If members are able to use public transportation, they should. The plan will repay them.

Personal Emergency Response System (PERS)

A PERS is an electronic device connected to the phone. As a member you can activate it if you are alone and there is an emergency.

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Last Updated On: 12/18/2015