Family Healthcare (FAMIS) Manual – Table of Contents

0940.015.05 Restrictions on Healthcare Services (PFS)

PFS participants approved for MC+ will receive a more restricted coverage package than that 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:

  •  Vision care is limited;
  •  Routine dental care is not covered; and
  •  EPSDT services for NCP’s under age 21 are not covered.

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

NOTE: There is no cost sharing for these participants.