Benefits
Medicaid covers routine health services as well as benefits that are limited or not typically covered under other health insurance plans such as long-term services and supports, translation assistance, and non-emergency transportation services that are important to low-income seniors, adults with disabilities, and children with special health care needs. There are also specific rules affecting use of cost sharing and premiums. Learn more about Medicaid benefits.
Learn More about These Topics
- Mandatory and optional benefits
- Behavioral health benefits
- EPSDT in Medicaid
- Non-emergency medical transportation
- Cost sharing and premiums
- Alternative benefit plans
Featured Publications
Medicaid Coverage of Physician-administered Drugs
January 25, 2024
Many of the high-cost specialty drugs in the pipeline, such as cell and gene therapies, require physician administration. As such, physician-administered drugs (PAD) are expected to be a key driver of Medicaid drug spending in the future. Existing research on the Medicaid prescription drug benefit has primarily focused on drugs obtained through a pharmacy, and […]
School-Based Behavioral Health Services: Findings from Stakeholder Interviews
November 2, 2023
Schools are an important setting for providing health services to children and adolescents covered by Medicaid, particularly as communities seek to address an increase in behavioral health challenges among young people. As part of the Commission’s efforts to understand how children and adolescents access behavioral health care, MACPAC conducted stakeholder interviews to examine how states […]
School-Based Behavioral Health Services for Students Enrolled in Medicaid
September 21, 2023
Schools are an important setting for providing health services to children and adolescents covered by Medicaid, particularly as communities seek to address an increase in behavioral health challenges among young people. As part of the Commission’s efforts to understand how children and adolescents access behavioral health care, MACPAC has been examining how states and schools […]