| Document Date: 2014-01-17 17:23:00
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Company Diabetes / Other Adult Group / Covered Covered Limited / Covered Covered Covered Covered Limited / Covered Limited / / Currency USD / / Facility Indian facility / / IndustryTerm care provider services / certain dental services / dental services / intravenous services / medical management / Vision services / contraceptive devices / transportation / medication management / disease management / routine vision services / skilled nursing services / rehabilitative and habilitative services / care for eye injury or disease / x-ray services / Vision hardware / respite services / care services / Treatment of diabetes / recovery services / air ambulance services / hospital services / imaging / treatment of a current illness / health supportive services / family planning services / behavioral health professional services / preventive services / substance abuse services / inpatient maternity services / / MedicalCondition Infertility / Chronic Disease Management Allergy / congenital defects / documented disease / accidental injury / cataracts / serious mental illness / Chronic disease management Diabetes / management Periodic glaucoma / diabetes / chronic substance use disorder / Pulmonary / terminal illness / obesity / Osteoporosis / Service Outpatient Services Acupuncture Cancer / eye injury / alcoholism / disorders / / MedicalTreatment occupational therapy / teeth Dialysis / Immunizations / surgeries / Reconstructive surgery / Chiropractic / chemotherapy / counseling / speech therapy / surgery / Electroconvulsive Therapy / Radiation / Bariatric surgery / / Organization Indian Health Service / New Mexico Alternative / Covered Includes US Preventive Services Task Force / / / Position metabolism Specialist / / Product Archos 2 Vision Portable Audio Device / / Technology Radiation / Telemedicine / Diagnostic imaging / x-ray / chemotherapy / Dialysis / /
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Alternative Benefit Plan (ABP) ABP Cost-Sharing & Comparison to Standard Medicaid Services Most adults who qualify for the Medicaid category known as the “Other Adult Group” receive services under the New Mexico Alte