Medicaid Behavioral Health Services: ADL/Skills Training

2022

Location	Service Covered?	Copayment Required?	Limits on Services?
United States	Yes - 31; No - 14; NR - 6	Yes - 3	Yes - 7
Alabama	Yes	Yes - not specified	No
Alaska	Yes	NR	NR
Arizona	Yes	NR	No
Arkansas	NR	NR	NR
California	No
Colorado	Yes	No	No
Connecticut	No
Delaware	NR	NR	NR
District of Columbia	Yes	No	NR
Florida	Yes	$2	Yes - not specified
Georgia	NR	NR	NR
Hawaii	Yes	No	No
Idaho	Yes	No	NR
Illinois	Yes	No	No
Indiana	Yes	No	Varies by level of need; Medicaid Rehabilitation Option package of services is required
Iowa	Yes	No	No
Kansas	Yes	No	No
Kentucky	No
Louisiana	No
Maine	Yes	No	No
Maryland	No
Massachusetts	No
Michigan	Yes	No	No
Minnesota	NR	NR	NR
Mississippi	No
Missouri	Yes	No	No
Montana	Yes	No	No
Nebraska	No
Nevada	Yes	No	Prior authorization is required. Level of care 1-5, maximum 2 hours per day for the first 90 days and 1 hour per day for the next consecutive 90 days
New Hampshire	NR	NR	NR
New Jersey	Yes	No	No
New Mexico	No
New York	Yes	No	No
North Carolina	No
North Dakota	Yes	No	No
Ohio	Yes	No	No
Oklahoma	Yes	$3	No
Oregon	Yes	No	No
Pennsylvania	No
Rhode Island	Yes	No	No
South Carolina	Yes	No	Limit of 32 units per day; 1 unit is 15 minutes; only used by SC Department of Alcohol and Other Drug Abuse Services
South Dakota	Yes	No	Must have SMI diagnosis
Tennessee	No
Texas	Yes	No	Only covered as part of Mental Health Rehabilitation services array; must have a diagnosis of serious mental illness and poor functioning in one or more life domains to qualify
Utah	NR	NR	NR
Vermont	Yes	No	No
Virginia	No
Washington	No
West Virginia	Yes	No	NR
Wisconsin	Yes	No	Functional eligibility requirements
Wyoming	Yes	No	No

2018

Location	Service Covered?	Copayment Required?	Limits on Services?
United States	Yes - 28 No - 18 NR - 5	Yes - 1	Yes - 10
Alabama	Yes	No	2080 (15 minute units) units per year
Alaska	Yes	No	No
Arizona	Yes	No	No
Arkansas	Yes	NR	NR
California	No
Colorado	Yes	No	No
Connecticut	No
Delaware	Yes	No	Non vocational
District of Columbia	No
Florida	Yes	$2.00 copayment per visit	Up to 3,840 15 minute units per recipient, per fiscal year.
Georgia	Yes	No	No
Hawaii	Yes	No	No
Idaho	No
Illinois	NR	NR	NR
Indiana	Yes	No	Medicaid Rehab Option package of services required
Iowa	NR	NR	NR
Kansas	No
Kentucky	No
Louisiana	No
Maine	Yes	No	No
Maryland	No
Massachusetts	No
Michigan	Yes	No	No
Minnesota	Yes	No	NR
Mississippi	Yes	NR	NR
Missouri	Yes	No	No
Montana	Yes	No	No
Nebraska	No
Nevada	Yes	No	PA required. LOC 1-5, max 2 hrs per day, first 90 days. LOC 1-5, max 1 hr per day, next consecutive 90 days.
New Hampshire	NR	NR	NR
New Jersey	Yes	No	No
New Mexico	Yes	No	No
New York	NR	NR	NR
North Carolina	No
North Dakota	Yes	No	Limited to individuals in families that are in crisis with risk of major disruption, to individuals who are at risk of entering or reentering a mental health or hospital facility, services provided by Human Service Center staff that are not otherwise Other Licensed Practitioners, in settings outside the Center, and services provided to individuals who have discharged from inpatient psychiatric treatment.
Ohio	No
Oklahoma	No
Oregon	Yes	No	No
Pennsylvania	No
Rhode Island	Yes	No	No
South Carolina	NR	NR	NR
South Dakota	No
Tennessee	No
Texas	Yes	No	Only covered as part of the mental health rehabilitation service array. Adults must have an SMI diagnosis and have poor functioning in one or more life domains to qualify.
Utah	Yes	No	No
Vermont	Yes	No	No
Virginia	No
Washington	No
West Virginia	Yes	No	PA Required
Wisconsin	Yes	No	Covered under psychosocial rehabilitation model.
Wyoming	Yes	No	Services are only provided by state certified Community Mental Health Clinics or Substance Abuse Treatment Clinics. Prior authorization is required after the first 20 visits to confirm ongoing medical necessity

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Medicaid Behavioral Health Services: ADL/Skills Training

2022

2018

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