Medicaid Behavioral Health Services: ASAM Level 1 - Outpatient Treatment

2022

Location	Service Covered?	Copayment Required?	Limits on Services?
United States	Yes - 44; No - 1; NR - 6	Yes - 6	Yes - 8
Alabama	Yes	Yes - not specified	No
Alaska	Yes	No	NR
Arizona	Yes	NR	No
Arkansas	NR	NR	NR
California	Yes	No	No
Colorado	Yes	No	No
Connecticut	Yes	No	No
Delaware	NR	NR	NR
District of Columbia	Yes	No	No
Florida	Yes	$2	Yes - varies by service
Georgia	NR	NR	NR
Hawaii	Yes	No	No
Idaho	Yes	No	No
Illinois	Yes	No	No
Indiana	Yes	No	NR
Iowa	Yes	No	No
Kansas	Yes	No	No
Kentucky	Yes	No	NR
Louisiana	Yes	No	NR
Maine	Yes	$.50 to $2 per day, depending on payment amount, up to $20 per month	Limit of 72 quarter-hour units per year, which can be extended when prior authorized based on medical necessity
Maryland	Yes	No	No
Massachusetts	Yes	No	No
Michigan	Yes	No	No
Minnesota	NR	NR	NR
Mississippi	Yes	$3 for non-community mental health center outpatient	Yes - not specified
Missouri	Yes	No	No
Montana	Yes	No	Yes - not specified
Nebraska	Yes	No	No
Nevada	Yes	No	Prior authorization is required after service limits are exceeded
New Hampshire	NR	NR	NR
New Jersey	Yes	No	No
New Mexico	Yes	No	No
New York	Yes	No	No
North Carolina	Yes	No	Limit of 8 unmanaged visits per state fiscal year
North Dakota	Yes	No	No
Ohio	Yes	No	NR
Oklahoma	Yes	$3	No
Oregon	Yes	No	No
Pennsylvania	Yes	Yes - rates vary based on the fee for the service procedure code	No
Rhode Island	Yes	No	NR
South Carolina	No
South Dakota	Yes	No	No
Tennessee	Yes	No	No
Texas	Yes	No	For group SUD counseling, limit of 135 units per calendar year; for individual SUD counseling, limit of 26 units per calendar year; limits may be exceeded with prior authorization
Utah	NR	NR	NR
Vermont	Yes	No	NR
Virginia	Yes	No	No
Washington	Yes	No	No
West Virginia	Yes	No	Based on medical necessity
Wisconsin	Yes	No	No
Wyoming	Yes	No	No

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Medicaid Behavioral Health Services: ASAM Level 1 – Outpatient Treatment

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Medicaid Behavioral Health Services: ASAM Level 1 – Outpatient Treatment

2022

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