Benefits

benefits infographic

Medicaid benefits: Outpatient Hospital, Tobacco Cessation, Physician Services, Family Planning Services, Rural Health Clinic Services, Nursing Facility Services, Federally Qualified Health Center Services, EPSDT: Early and Periodic Screening, Diagnostic, and Treatment Services, Freestanding Birth Center Services, Laboratory and X-ray Services, Certified Pediatric and Family Nurse Practitioner, Home Health Services, Transportation, Inpatient Hospital

Overview

States establish and administer their own Medicaid programs and determine the type, amount, duration, and scope of services within broad federal guidelines. Federal law requires states to provide certain “mandatory” benefits and allows states the choice of covering other “optional” benefits. Mandatory benefits include services like inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others. Optional benefits include services like prescription drugs, case management, physical therapy, and occupational therapy. See a list of mandatory and optional benefits for Medicaid programs.

Policy and Program Topics

State Medicaid & CHIP Profiles