Benefits
Medicaid covers routine health services as well as benefits that are limited or not typically covered under other health insurance plans such as long-term services and supports, translation assistance, and non-emergency transportation services that are important to low-income seniors, adults with disabilities, and children with special health care needs. There are also specific rules affecting use of cost sharing and premiums. Learn more about Medicaid benefits.
Learn More about These Topics
- Mandatory and optional benefits
- Behavioral health benefits
- EPSDT in Medicaid
- Non-emergency medical transportation
- Cost sharing and premiums
- Alternative benefit plans
Featured Publications
Medicaid Coverage of Assistive Technology for Adults: Data Analysis and Stakeholder Interviews
September 24, 2026
The Commission is continuing its examination of Medicaid coverage of assistive technology (AT) for adults using home- and community-based services (HCBS). MACPAC’s work includes identifying the statutory and regulatory framework that governs how states cover AT and assessing whether there are barriers to coverage of and access to AT that federal Medicaid policy could address. […]
Pharmacy Benefit Managers and Medicaid
May 7, 2026
Pharmacy benefit managers (PBMs) have a central role in the drug distribution chain and serve as intermediaries in administering the prescription drug benefit on behalf of payers. In recent years, some policymakers and stakeholder groups have identified the role of PBMs in the Medicaid drug distribution chain as a potential driver of increased drug spending. This issue brief provides […]
State Medicaid Coverage of Assistive Technology for Adults Using Home- and Community-Based Services
April 21, 2026
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 […]