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Mandatory benefits include services including inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others. Optional benefits include services including prescription drugs, case management, physical therapy, and occupational therapy.| www.medicaid.gov
This page outlines mandatory and optional Medicaid state plan benefits and the relevant section of the Social Security Act and applicable coverage regulation(s) under which each benefit is authorized. States are required to provide all mandatory benefits under federal law. States may provide optional benefits if they choose to add them through the state plan process.| www.medicaid.gov
The Hospice benefit is an optional state plan service that includes an array of services furnished to terminally ill individuals. These services include: nursing, medical social services, physician services, counseling services to the terminally ill individual and the family members or others caring for the individual at home, short-term inpatient care, medical appliances and supplies, home health aide and homemaker services, physical therapy, occupational therapy and speech-language patholog...| www.medicaid.gov
Official Medicaid policy and compliance guidance for state agencies and healthcare providers. If you're looking for help with your Medicaid eligibility or application, visit our Get Help with Medicaid and CHIP page https://www.medicaid.gov/medicaid/eligibility-policy.| www.medicaid.gov
Medicaid provides health coverage to 7.2 million low-income seniors who are also enrolled in Medicare. Medicaid also provides coverage to 4.8 million people with disabilities who are enrolled in Medicare. In total, 12 million people are "dually eligible" and enrolled in both Medicaid and Medicare, composing more than 15% of all Medicaid enrollees. Individuals who are enrolled in both Medicaid and Medicare, by federal statute, can be covered for both optional and mandatory categories.What Medi...| www.medicaid.gov
Dental health is an important part of people's overall health. States are required to provide dental benefits to children covered by Medicaid and the Children's Health Insurance Program (CHIP), but states choose whether to provide dental benefits for adults.| www.medicaid.gov
The automated Medicaid Budget and Expenditure System/State Children's Health Insurance Program Budget and Expenditure System (MBES/CBES) allows states to electronically submit their Form CMS-64 directly to the CMS Data Center and the Medicaid database. Summary state-by-state total expenditures by program for the Medicaid Program, Medicaid Administration and CHIP are available as well as summary state-specific data from the CMS-64 and the CMS-21.The latest data are available on Data.Medicaid.gov:| www.medicaid.gov