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Get Utilization Threshold Program 2015-2024

services a Medicaid member may receive in a benefit year. A benefit year is a 12-month period which begins the month the member became Medicaid eligible. Medicaid members are assigned specific limits for the following services: • Physician/Clinic Visits • Laboratory Procedures • Pharmacy • Mental Health Clinic Visits • Dental Clinic Visits These service limits are established based on each member’s clinical information. This information includes diagnoses, procedures, pres.

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