Medical and Dental Benefits

The information on this page only pertains to the CMSP benefit program. If you’re looking for more information on the Path to Health or Connect to Care programs, click the buttons below:

Advanced Medical Management is responsible for CMSP medical and dental benefits administration. Further information on benefit administration is available at the Advanced Medical Management website at

To download the Member Guide for CMSP Members (Aid Code 50 & 89) who are eligible for CMSP Benefits with a Share of Cost, click here

To download the Member Guide for CMSP Members (Aid Code 88 & 8F) who are eligible for CMSP Benefits without a Share of Cost,  click here

Find a medical or dental provider.

A wide array of inpatient and outpatient benefits are provided through the CMSP Benefit. Covered services are subject to prior authorization requirements, medical necessity and clinical guidelines, provider network requirements, and/or benefit limits may apply. Please see sections below about emergency services, Share of Cost (SOC) requirements, coverage for undocumented members, and primary care benefit services.

  • Acute inpatient hospital care
  • Adult day health care services
  • Audiology services
  • Blood and blood derivatives
  • Chronic hemodialysis services
  • Limited dental services
  • Durable medical equipment (DME)
  • Emergency air and ground ambulance services
  • Hearing aids
  • Home health agency services
  • Hospital outpatient services and outpatient clinic services
  • Infusion therapy
  • Laboratory and radiology services
  • Medical supplies dispensed by physicians, licensed pharmacies or DME dealers
  • Non-emergency medical transportation when medically necessary
  • Occupational therapy services
  • Inpatient and outpatient heroin detoxification services (excluding methadone maintenance)
  • Pharmaceutical services provided by network pharmacies
  • Physical therapy services
  • Physician services
  • Podiatry services
  • Prosthetic and orthotic appliances
  • Psychiatry services (inpatient and outpatient provided by a licensed, in-network psychiatrist)
  • Speech therapy services