Value-Added Services

Blue Cross Community Centennial covers more than just standard Medicaid benefits. We also offer extra services to help keep you and your family healthy. You may get some of these extra value-added services when you are a Blue Cross Community Centennial member.

Value-Added Service

Applies To

Members on Standard Medicaid Plan

Members on Alternative Benefit Plan (ABP)

Members on ABP-Exempt Plan

Prior Authorization Required for Value-Added Service?

Adult Chemical Dependency Residential Treatment Center (RTC) Services

RTC services for members age 21 and older with severe medical disorders and patients with alcohol/substance abuse problems

Yes

Adult Routine Physicals and Related Testing

Members age 21 and older

Not a value-added service; standard ABP benefits apply

Not a value-added service; standard ABP benefits apply

No

One Box of Baby Diapers

Newborn members

Yes

Dental Varnish in a PCP's Office

Birth to age three

Not eligible

Not eligible

No

Electroconvulsive Therapy (ECT) (Treatment for Psychiatric Conditions)

Members who meet standard ECT medical necessity criteria

Not a value-added service; standard ABP benefits apply

Not a value-added service; standard ABP benefits apply

Yes

Extended Adult Vision Benefits (One Vision Exam, Set of Frames, and Lenses Every 12 Months)

Members age 21 and older

Not eligible

Extended 12-month benefits do not apply (Coverage every 36 months for members age 21 and older)

Yes

Extended Lodging for Homeless Members (Post-Hospitalization Lodging)

Homeless members

Yes

Full Medicaid Benefits for Pregnant Women Categories of Eligibility (COE) 301 and 035 (Full Benefits including Dental, Vision, Prescription Drugs, and Behavioral Health)

Certain pregnant members

Not a value-added service; standard ABP benefits apply

Not a value-added service; standard ABP benefits apply

Only if a particular service should require one

Infant Car Seat

Pregnant members

Yes

Infant Mental Health Program

Birth to age three

Not eligible

Not eligible

Yes

Inpatient Detox at Non-Hospital-Based Facilities

Chemically dependent members

Yes

Portable Infant Crib

Pregnant members

Yes

Traditional Healing Benefit (Reimbursement for Traditional Healing Practices Used to Treat Medical Conditions)

Native American members

Yes

Transitional Living for Chemically Dependent/Psychiatrically Impaired Adults and Children

Members enrolled in outpatient substance abuse center or in active treatment for psychiatric issues

Not eligible

Not eligible

Yes

 

Contact us at 1-866-689-1523 to find out if you are eligible to receive some or all of these services. If you are speech- or hearing-impaired, call 711 for TTY service.

To learn more about covered benefits, see the Member Handbook pdf.