Chapter 1400, Reserved

Chapter 100, Manual Overview
Chapter 300, Medical Policy for Covered Services
- 310, Covered Services
  - ♦ AMPM Policy 310-R – Nursing Facility Services
- 320, Services with Special Circumstances
  - ♦ AMPM Policy 320-N – Hepatitis C Virus (HCV) Prior Authorization Requirements for Direct Acting Antiviral (DAA) Medication Treatment
  - ♦ AMPM Policy 320-O – Behavioral Health Assessments and Treatment Service Planning
    - ♦AMPM Policy 320-O – Attachment A – Service Plan Rights Acknowledgement Template
Chapter 400, Medical Policy for Maternal and Child Health
Chapter 500, Care Coordination Requirements
- ♦ AMPM 570 – Provider Case Management
  - ♦ AMPM 570 – Attachment A-Case Management Caseload Ratios and Review Cycle
  - ♦ AMPM 570 – Attachment B-Case Management Plan Checklist
Chapter 600, Provider Qualifications and Provider Requirements
Chapter 700, School Based Claiming Program/Direct Services Claiming
Chapter 800, Fee-For-Service Quality and Utilization Management
Chapter 900, Quality Management and Performance Improvement Program
Chapter 1000, Medical Management
Chapter 1100, Federal Emergency Services Program
Chapter 1200, ALTCS Services and Settings for Members who are Elderly and/or Have Physical Disabilities and/or Have Development Disabilities
Chapter 1300, Member Directed Options
Chapter 1400, Reserved
Chapter 1600, ALTCS Case Management

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