What health services does Medicaid cover?

Medicaid covers a broad range of services to meet the complex needs of the populations it serves, particularly the elderly and people with disabilities. Because Medicaid beneficiaries have limited financial resources, cost-sharing is limited and not permitted for children and pregnant women.
State Medicaid programs must cover the following:

  • Inpatient and outpatient hospital services
  • Physician, midwife & certified nurse practitioner services
  • Laboratory and x-ray fees
  • Nursing home and home health care
  • Early and periodic screening, diagnosis, and treatment (EPSDT) for children under 21
  • Family planning
  • Rural health clinics/federally qualified health centers

States have the authority to cover additional, optional services and receive federal matching funds.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.