What does Medicaid cover?

The benefits covered for adults through Medicaid are different in each state, but certain benefits are covered in every Medicaid program.

Doctor’s services that are covered by Medicaid include:

  • Laboratory and X-ray services
  • Inpatient hospital services
  • Outpatient hospital services
  • Health screenings for children and treatment if medical problems are identified
  • Comprehensive dental and vision services for children
  • Family planning services and supplies
  • Long-term care services and supports
  • Medical and surgical dental services for adults
  • Pediatric and family nurse practitioner services
  • Services provided in health clinics
  • Nurse-midwife services
  • Nursing facility services for adults
  • Home health care services for certain people
  • Prescription drugs

Other benefits your state must cover for children and may cover for adults:

  • Physical, occupational, or speech therapy
  • Eye doctor visits, eyeglasses
  • Audiology, hearing aids
  • Prosthetic devices
  • Mental health services
  • Respite and other in-home long-term care
  • Case management
  • Personal care services
  • Hospice services

The Affordable Care Act will expand options for community-based care. There will be more opportunities for people of all ages who have a disability to get help with daily activities while remaining in their homes. The Medicaid program continues to move toward providing more community-based care options as an alternative to nursing homes.


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