Medical and Dental Benefits

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 http://cmsp.amm.cc.

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