Medicaid home- and community-based services (HCBS) programs are the primary vehicles for Medicaid coverage of assistive technology (AT) for adults. All states and the District of Columbia cover some AT in their HCBS programs serving adults, and the services covered vary. MACPAC conducted a scan of HCBS programs serving adults as of September 2025. Of the 263 HCBS programs reviewed, 228 cover at least one category of AT. This Policy in Brief defines assistive technology, looks at the coverage and scope in HCBS programs, and the coverage of AT in state Medicaid plans. A related compendium provides state-by-state information on AT.
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Medicaid and CHIP Payment and Access Commission