What is covered by Medicaid?

A Answers (2)

  • Medicaid is a state-administered program. Each state sets its own guidelines subject to federal rules. Certain services must be covered by the states in order to receive federal funds, such as in- and outpatient hospital services, doctor visits, and long term care services such as nursing home care or community-based care, among others. Additional services are optional and are elected by states. For example, coverage of prescription drugs is an optional state benefit, however, every state and the District of Columbia provides prescription drug coverage to Medicaid enrollees.
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  • In general, Medicaid covers services such as:

    • Outpatient and inpatient hospital services, pregnancy-related services, vaccinations for children, doctor visits, nursing facility services, and family planning services and supplies;
    • Rural health clinic services, home health care, laboratory and x-ray services, and pediatric and family nurse practitioner services;
    • Federally qualified health center (FQHC) services, early and periodic screening, diagnostic and treatment services for children under 21 and emergency transportation.

    Check with your state's Medicaid program about specific coverage details in your state.


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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.
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