Family Healthcare (FAMIS) Manual – Table of Contents

0935.020.05 Restrictions on Healthcare Services (NCP)

NCPs approved for MC+ receive a more restricted coverage package than received by MC+ children and parents eligible for MAF. The package includes most of the services covered for MAF parents. The major differences between this package and that received by adult MAF recipients are:

  • Non-emergency medical transportation is not covered;
  • Vision care is limited;
  • Routine dental care is not covered;
  • EPSDT services for custodial parents under age 21 are not provided.

For specific coverage questions, recipients need to contact their health plan, provider, or DMS Recipient Services at 1-800-392- 2161

Cost sharing will be $10 at the time of each provider visit and $5.50 to $7 for each prescription. The co-payment amount is based on the actual cost of the product being dispensed.