Medicaid Pays For

Medicaid pays for various medical services.

As a general reference, Medicaid will pay for:

  1. Medical care provided by qualified physicians, nurses, optometrists, and other practitioners within the scope of their practice as defined by State Law;
  2. Preventive, prophylactic and other routine dental care services, and supplies provided by dentists and other professional dental personnel;
  3. Inpatient care in hospitals, skilled nursing facilities, infirmaries, other eligible medical institutions (except that inpatient care is not covered for individuals from age 21 to 65 in institutions primarily or exclusively for the treatment of mental illness or tuberculosis), and health related care in intermediate care facilities;
  4. Outpatient hospital and clinic services;
  5. Home health care by approved home health agencies;
  6. Physical therapy, speech pathology, and occupational therapy;
  7. Laboratory and x-ray services;
  8. Family planning services;
  9. Prescription drugs per the Commissioner’s List, supplies and equipment, eyeglasses and prosthetic or orthotic devices;
  10. Early and periodic screening, diagnosis and treatment for individuals under Child Health Plus
  11. Transportation when essential to obtain medical care;
  12. Care and services furnished by qualified health care organizations or plans using the prepayment capitation principle (Managed Care. Click here .)