All state Medicaid programs are required to cover certain mental health services for adults, including medically necessary inpatient hospital services, outpatient hospital services, rural health clinic services, nursing facility services, home health services, and physician services. However, many other services important for the treatment of mental health conditions are optional.
This compendium details coverage of selected mental health services available to beneficiaries in each state and the District of Columbia. To identify services offered in states through state plan authority and waivers, MACPAC reviewed Medicaid state plans; provider manuals; enrollee handbooks; fee schedules; Section 1115, 1915(b), and 1915(c) waivers; and other public documents that were available between April and August 2020. MACPAC used this documentation to align state service descriptions with 14 clinical and supportive mental health services that are commonly provided by states.
