Who has to pay copayments, and who does not?
Copayments only apply to adults (age 19 and over) who receive OHP Plus (BMH) or OHP with Limited Drug (BMM/BMD) benefits. Some adults are exempt from copayments. Copayments are not charged to adults who are: • On the OHP Standard benefit package • Youths in foster care through age 20 • Pregnant • Receive services under a home- and community-based waiver: These services include most in-home services or services in an adult foster home or other home or facility paid by Seniors and People with Disabilities • Inpatients in a hospital, nursing facility, or Intermediate Care Facility for the Mentally Retarded (ICF/MR) • American Indian/Alaska Native clients who are members of a federally recognized Indian tribe or receive services through a tribal clinic.
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