The mandatory benefits every State must cover include inpatient and outpatient hospital services, Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT), nursing facility services, home health services, physical services, rural health clinic services, federally qualified health center services, lab and X-ray services, family planning services, midwife services, pediatric and family NP services, freestanding birth center services (if licensed), transportation to medical care, and tobacco cessation support for pregnant women.

Michigan State University

Medicaid is a program that is funded by the Federal government and State governments. It is intended to provide health insurance coverage for qualifying individuals that include low income adults and children, pregnant women, elderly adults, and people with disabilities. There are certain mandatory benefits Medicaid must cover but States are allowed to add and regulate their own Medicaid programs after the minimum requirements are applied. 

Medicaid

Mandatory & Optional Medicaid Benefits. (n.d.). Retrieved from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits/index.html


Mandatory Benefits Under Medicaid

Not all States in the United States provide these services, but it is an option for states to cover speech, hearing, and language disorder services and other diagnostic, screening, preventative, and rehabilitative services.

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