| The federal government requires State Medical
programs to cover certain medical services in order to obtain federal matching funds.
Hospital care, physician services and nursing facility care are examples of mandatory
services. The federal government allows Medicaid programs to cover certain medical
services and makes federal matching funds available. Prescribed drugs, dental care, and
services provided by chiropractors and podiatrists are examples of optional services.
Medicaid Mandatory Services
(Code of Federal Regulations Part 440)
- Nursing
facility services for individuals age 21 or
older
- Inpatient
hospital services (other than Institutions for Mental
Diseases)
- Physicians'
services
- Outpatient
hospital services and rural health clinic
services
- Home
health
services
- Laboratory
and X-ray
services
- Early
and periodic screening and diagnosis and treatment
(EPSDT)
- Medical
supplies
- Family
planning services and
supplies
- Nurse
practitioner
services
- Medical
and surgical services of a dentist
- Nurse-midwife services
Medicaid Optional Services
(Code of Federal Regulations Part 440)
- Prescribed
drugs
- Home
and community-based services for persons with mental retardation/developmental
disabilities (MR/DD)
- Intermediate
care facilities for the mentally retarded (ICF-MR)
- Home
and community-based services for aged persons and persons with
disabilities
- Dental
services
- Rehabilitation
services
- Case
management for persons with mental retardation/developmental disabilities
(MR/DD)
- Personal
care services
- Durable
medical equipment
- Medical
transportation
- Vision
related services
- Speech
therapy
- Physical
therapy
- Chiropractic
services
- Occupational
therapy
- Optometric
services
- Podiatric
services
- Hospice services
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