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If you are enrolled in Medicaid then it is important for you to know what services you have a right to receive no matter what state you reside in and what services your states Medicaid board may or may not administer because they are considered "optional" benefits.
Mandatory benefits are services every single Medicaid provider must provide regardless of location. These services include inpatient and outpatient hospital services, nursing facilities services, pediatric services, and many more.
Below is a full list of every service that every single Medicaid recipient is eligible for:
- Inpatient hospital services
- Outpatient hospital services
- EPSDT: Early and Periodic Screening, Diagnostic, and Treatment Services
- Nursing Facility Services
- Home health services
- Physician services
- Rural health clinic services
- Federally qualified health center services
- Laboratory and X-ray services
- Family planning services
- Nurse Midwife services
- Certified Pediatric and Family Nurse Practitioner services
- Freestanding Birth Center services (when licensed or otherwise recognized by the state)
- Transportation to medical care
- Tobacco cessation counseling for pregnant women
There are many more optional services that, depending on the state you reside in, may or may not be available to Medicaid recipients. These services range from dental, vision, and other practitioner coverage to physical and occupational coverage. You will need to contact your state provider to see what services are provided in your state.
I personally feel that far more services should be mandatory for all states and not optional. It's not fair, at least in my opinion, to tell someone who lives in a certain state that an invisible border is the reason why they can't get dental or vision services. Do you agree or do you think the current structure of mandating certain services and allowing the states to decide what other services they want to administer?