Blending Perspectives and Building Common Ground. Mandatory Medicaid Services


States may fund substance abuse treatment in many forms through the mandatory benefits required by the Health Care Financing Administration.  Those benefits that are most relevant for substance abuse treatment include:

Inpatient hospital services - services available at general hospitals, including psychiatric units of general hospitals.

Outpatient hospital services - services available through outpatient departments of general hospitals or of psychiatric hospitals qualified to participate in Medicaid.

Rural health clinic (RHC) services - services at special clinics in rural areas in States permitting RHC's;

Early and periodic screening, diagnosis and treatment (EPSDT) services - regularly scheduled screening examinations to determine the presence of developmental disorders or chronic conditions for beneficiaries under age 21;

Nursing Facility services - services in licensed nursing homes for people over age 21;

Home Health services - care provided in the home, including part-time nursing services of a home health aide, and medical supplies and equipment used in the home; and at least one of the following optional home services:  physical therapy, occupational therapy, speech pathology, and audiology services for individuals over age 21;

Physician services - services of physicians, including psychiatrists.