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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- Mandatory and optional benefits
- EPSDT in Medicaid
- Behavioral health benefits
- Cost sharing and premiums
- Alternative benefit plans
- Non-emergency medical transportation
Featured publications
Medicaid Coverage of Adult Dental Services
While Medicaid programs are required to cover dental services for children and youth under age 21, they are not required to do so for adults. This issue brief examines dental benefits for adults enrolled in Medicaid. It includes a summary of findings from the Compendium: State Medicaid Fee-for-Service Adult Dental Services Coverage Policies and some of the changes states have made in the last few years.
Compendium: State Medicaid Fee-for-Service Adult Dental Services Coverage Policies
This compendium documents each state’s fee-for-service adult dental service coverage policies, including how individual states set their payment rates and policies.
Access to Substance Use Disorder Treatment in Medicaid
State Medicaid programs are using a variety of approaches to respond to the opioid crisis, but Medicaid beneficiaries—who have been disproportionately affected by the epidemic—continue to face barriers when trying to access substance use disorder (SUD) treatment. Chapter 4 builds on analysis in the June 2017 Report to Congress on Medicaid and CHIP, which found […]
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