Applied Behavior Analysis (ABA) Therapy ................................................................................................................... 38 Autism treatment .................................................................................................................................................................... 39 Bariatric surgery ....................................................................................................................................................................... 39 Behavioral health .................................................................................................................................................................... 39 Breast health screening tests ............................................................................................................................................. 42 Care Gap Closure Program ................................................................................................................................................. 42 Care management .................................................................................................................................................................. 43 Chiropractic physician services ......................................................................................................................................... 43 Dental services.......................................................................................................................................................................... 44 Diabetes care supplies .......................................................................................................................................................... 45 Diabetes Control Program .................................................................................................................................................. 46 Diabetes education ................................................................................................................................................................ 46 Diabetes Prevention Program (DPP) .............................................................................................................................. 46 Diagnostic tests, laboratory, and x-rays ....................................................................................................................... 47 Dialysis ......................................................................................................................................................................................... 47 Durable medical equipment (DME), supplies, and prostheses........................................................................... 48 Emergency room ..................................................................................................................................................................... 50 End-of-life counseling .......................................................................................................................................................... 50 Family planning services ...................................................................................................................................................... 50 Foot care, maintenance ........................................................................................................................................................ 52 Gender affirming care ........................................................................................................................................................... 52 Genetic services ....................................................................................................................................................................... 52 Headaches, chronic migraine or chronic tension type ........................................................................................... 52 Hearing care (diseases and disorders of the ear) ..................................................................................................... 52 Hearing exam and hearing aids (instruments) .......................................................................................................... 53 Home health care .................................................................................................................................................................... 54 Hospice care .............................................................................................................................................................................. 54 Hospital services ...................................................................................................................................................................... 56 Infusion drug site of care program ................................................................................................................................. 57 Joint replacement surgery, knees and hips in the Centers of Excellence (COE) Program ..................... 57 Knee arthroplasty, total ........................................................................................................................................................ 60 Mammogram and Digital Breast Tomosynthesis (DBT) ........................................................................................ 61 Massage therapy ..................................................................................................................................................................... 61 Mastectomy and breast reconstruction ........................................................................................................................ 62 Mental health ............................................................................................................................................................................ 62 Naturopathic physician services ....................................................................................................................................... 62 Nurse line .................................................................................................................................................................................... 62 2024 UMP Classic (PEBB) Certificate of Coverage 9