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.

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Featured publications

State Policies for Behavioral Health Services Covered under the State Plan

June 2016 |

All state Medicaid programs offer certain mandatory behavioral health services such as medically necessary inpatient hospital services, outpatient hospital services, rural health clinic services, nursing facility services, home health services, and physician services. States may also choose to provide coverage for additional optional services under state plan authority, most commonly under the so-called rehab option […]
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Integration of Behavioral and Physical Health Services in Medicaid

March 2016 |

Chapter 4 of the March 2016 Report to Congress on Medicaid and CHIP addresses behavioral and physical health integration efforts within the Medicaid program, a strategy being used increasingly with the intent of  improving outcomes and reducing health care costs for Medicaid beneficiaries with mental health and substance use disorders. Medicaid is the single largest […]
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Coverage of Medicaid Dental Benefits for Adults

June 2015 |

Oral health problems affect a majority of Americans and poor oral health disproportionately affects adults living in poverty. Chapter 2 of the June 2015 Report to Congress on Medicaid and CHIP examines dental benefits for adults enrolled in Medicaid. Most low-income adults, when they have dental coverage, receive it through Medicaid but federal law does […]
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