Legislative Intent

Medically Indigent Program. Definitions. Establishment of the Bureau of Health Care Financing Administration. Program Participation and Eligibility Standards. General Eligibility Standards. Program Residency Requirements. Emergency Medical, Tuberculosis. Income Eligibility Standards. Resource Eligibility Standards. Supplemental Coverage; Limitation. Applicability to All Applicants. Uncovered Medical Procedure. Discontinuance of Insurance. Potential Medicaid Clients. Last Resort for Medical Services. Treatment of Eighteen-Year-Old Applicants. Emancipated Adult. Eligibility Certification Periods. Special Provisions for Children in Child Protective Services. Administrative Provisions. Scope of Services. In-Patient Services. Out-Patient Services. Physician Services. Skilled Nursing and Intermediate Care Services. Report on MIP Clients. Dental Services. Services Requiring Prior Authorization. Prior Authorizing for Admission for Elective Surgery. Physical Therapy and Occupational Therapy. CT Scan or MRI Diagnostic Services. Off Guam Medical Care and Services. Mental Health Services. MIP Program Benefit Limitations. Optometrist Services. Audiological Exam. Hearing Aids. Orthopedic Conditions and Prosthetic Appliances. Voluntary Sterilization Services. Home Health Services. Prescription Drug Coverage. Physical Therapy. Occupational Therapy. Services Provided by Public Health. Exclusions. Member Use of Primary Care Physicians. Change in Primary Care Physician. Hospital to Inform Member of Coverage of Emergency Room Services. CH. 2 DIVISION OF PUBLIC WELFARE