Combined-Territories

SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
Laboratory and x-
ray, Early Periodic
Screening,
Diagnostic and
Treatment
(EPSDT)
American
Samoa (AS)
Commonwealth
of the
Northern
Mariana
Islands (CNMI)
Guam
Puerto
Rico
Virgin Islands
Yes Yes Yes Yes Yes
Nursing facility
services, private
duty nursing,
podiatry,
optometry and
occupational and
speech therapies
These services
are provided, but
they are off the
island.
Off-island
services must be
pre-approved by
the admitting
physician as a
medical necessity
and then preapproved
by
physicianmembers
of the
Off-Island
Medical Referral
Committee
Some. Other
services are
provided off the
island.
Guam Memorial Hospital
Authority Skilled Nursing
Unit (40 Medicaid beds) is
an off hospital site that
provides long term
rehabilitative care.
Guam Memorial Hospital
Authority also provides
rehabilitation services.
Medicaid Services for
Speech, Hearing and
Language Disorders are
reimbursed as fee for
service using Medicare fee
schedule.
Allowable Medicaid services include
physical therapy, occupational
therapy, and speech therapy and are
included in the capitated rate paid to
managed care plans.
Services from a
certified nurse
practitioner are
covered if delivered in
a Medicaid-certified
facility or program.
There is one 80-bed
nursing facility (20
Medicaid certified).
The USVI MAP does
not cover services
from nurse midwives
or rural health clinics.
Optional Medicaid
services covered by
MAP include
outpatient prescription
medications and
optometry services
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