KFF designs, conducts and analyzes original public opinion and survey research on Americans’ attitudes, knowledge, and experiences with the health care system to help amplify the public’s voice in major national debates.
Medicaid Behavioral Health Services: Adult Group Homes
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
2022
Location
Service Covered?
Copayment Required?
Limits on Services?
United States
Yes - 14; No - 30; NR - 7
Yes - 1
Yes - 3
Alabama
Yes
Yes - not specified
No
Alaska
No
Arizona
Yes
NR
No
Arkansas
NR
NR
NR
California
No
Colorado
No
Connecticut
Yes
No
No
Delaware
NR
NR
NR
District of Columbia
No
Florida
No
Georgia
NR
NR
NR
Hawaii
No
Idaho
No
Illinois
No
Indiana
Yes
NR
Covers intermediate care facilities for individuals with intellectual disabilities
Iowa
Yes
No
No
Kansas
No
Kentucky
No
Louisiana
No
Maine
No
Maryland
No
Massachusetts
No
Michigan
Yes
No
No
Minnesota
NR
NR
NR
Mississippi
No
Missouri
No
Montana
Yes
No
Requires prior authorization and continued stay reviews
Nebraska
No
Nevada
No
New Hampshire
NR
NR
NR
New Jersey
Yes
No
No
New Mexico
No
New York
Yes
No
NR
North Carolina
No
North Dakota
No
Ohio
No
Oklahoma
No
Oregon
Yes
No
No
Pennsylvania
No
Rhode Island
Yes
No
No
South Carolina
No
South Dakota
No
Tennessee
Yes
No
No
Texas
No
Utah
NR
NR
NR
Vermont
Yes
No
No
Virginia
No
Washington
No
West Virginia
Yes
No
Based on medical necessity
Wisconsin
NR
NR
NR
Wyoming
No
2018
Location
Service Covered?
Copayment Required?
Limits on Services?
United States
Yes - 12 No - 33 NR - 6
Yes - 1
Yes - 3
Alabama
No
Alaska
Yes
No
No
Arizona
Yes
No
No
Arkansas
Yes
NR
NR
California
No
Colorado
No
Connecticut
No
Delaware
No
District of Columbia
No
Florida
No
Georgia
No
Hawaii
No
Idaho
No
Illinois
NR
NR
NR
Indiana
No
Iowa
NR
NR
NR
Kansas
No
Kentucky
No
Louisiana
No
Maine
No
Maryland
No
Massachusetts
No
Michigan
Yes
No
No
Minnesota
No
Mississippi
No
Missouri
No
Montana
Yes
No
Prior Authorization/Continued Stay Review
Nebraska
No
Nevada
No
New Hampshire
NR
NR
NR
New Jersey
Yes
No
No
New Mexico
No
New York
NR
NR
NR
North Carolina
No
North Dakota
No
Ohio
NR
NR
NR
Oklahoma
No
Oregon
Yes
No
No
Pennsylvania
No
Rhode Island
Yes
No
No
South Carolina
NR
NR
NR
South Dakota
No
Tennessee
Yes
No
No
Texas
No
Utah
Yes
No
No
Vermont
No
Virginia
No
Washington
Yes
No
Some require prior authorization
West Virginia
Yes
Based upon members financial eligibility
Monthly evaluation of medical necessity and financial eligibility