New Program: HealthWave. New program to cover children up to age 19 with family income levels of 200% of the fpl.

Mental Health Benefits

Healthwave:
Inpatient: Limited to "biologically-based" mental illnesses, other limitations not specified.
Outpatient: Limited to "biologically based" mental illnesses, other limitations not specified.

Inpatient Substance Abuse: Coverage limited to 60 days per plan year.
Outpatient Substance Abuse: Up to 25 visits per plan year. Group therapy sessions count as half of an individual session.
Prescription Drugs: "Open" formulary (prior authorization may include, but not limited to, some psychotropic medications), 34-day supply or less.