I. Purpose The purpose of this Directive is to inform social services districts of the implementation of a Utilization Threshold Program for Medical Assistance (MA) recipients between the ages of 21 through 64 who are in the Home Relief (HR), HR-related, or HR-Federally non participating Parent (FNP) categories. Utilization thresholds have been established on the number of Physician/Clinic, Pharmacy, and Laboratory services that these recipients can receive under the MA Program. Recipients may apply to the Department of Social Services (Department) for increases in or exemptions from Utilization Thresholds.
|