List of Medicaid Benefits

The list below outlines mandatory Medicaid benefits, which states are required to provide under federal law, and optional benefits that states may cover if they choose.
Mandatory Benefits Optional Benefits
Inpatient hospital services Prescription Drugs
Outpatient hospital services Clinic services
EPSDT: Early and Periodic Screening, Diagnostic, and Treatment Services Physical therapy
Nursing Facility Services Occupational therapy
Home health services Speech, hearing and language disorder services
Physician services Respiratory care services
Rural health clinic services Other diagnostic, screening, preventive and rehabilitative services
Federally qualified health center services Podiatry services
Laboratory and X-ray services Optometry services
Family planning services Dental Services
Nurse Midwife services Dentures
Certified Pediatric and Family Nurse Practitioner services Prosthetics
Freestanding Birth Center services (when licensed or otherwise recognized by the state) Eyeglasses
Transportation to medical care Chiropractic services
Tobacco cessation counseling for pregnant women Other practitioner services
  Private duty nursing services
  Personal Care
  Case management
  Services for Individuals Age 65 or Older in an Institution for Mental Disease (IMD)
  Services in an intermediate care facility for Individuals with Intellectual Disability
  State Plan Home and Community Based Services- 1915(i)
  Self-Directed Personal Assistance Services- 1915(j)
  Community First Choice Option- 1915(k)
  TB Related Services
  Inpatient psychiatric services for individuals under age 21
  Other services approved by the Secretary*
  Health Homes for Enrollees with Chronic Conditions – Section 1945

*This includes services furnished in a religious nonmedical health care institution, emergency hospital services by a non-Medicare certified hospital, and critical access hospital (CAH).