Medicaid Behavioral Health Services: Intensive Outpatient Treatment

Location	Service Covered?	Copayment Required?	Limits on Services?
United States	Yes - 34; No - 11; NR - 6	Yes - 3	Yes - 6
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	NR
Florida	No
Georgia	NR	NR	NR
Hawaii	Yes	No	No
Idaho	Yes	No	No
Illinois	Yes	No	No
Indiana	Yes	No	Prior authorization is required
Iowa	Yes	No	No
Kansas	No
Kentucky	Yes	No	NR
Louisiana	No
Maine	No
Maryland	Yes	No	NR
Massachusetts	Yes	No	No
Michigan	Yes	No	No
Minnesota	NR	NR	NR
Mississippi	Yes	$3 for outpatient hospital services	Prior authorization is required for outpatient hospital only
Missouri	Yes	No	No
Montana	No
Nebraska	Yes	No	No
Nevada	Yes	No	Prior authorization is required. For level of care 4 & 5, maximum of 3 days a week, 3-6 hours per day
New Hampshire	NR	NR	NR
New Jersey	Yes	No	Limit of 1 unit of individual, group, and family for a total of 3 units per day, 5 units per week
New Mexico	Yes	No	No
New York	Yes	No	No
North Carolina	No
North Dakota	No
Ohio	Yes	No	No
Oklahoma	Yes	$3	No
Oregon	Yes	No	No
Pennsylvania	No
Rhode Island	Yes	No	No
South Carolina	No
South Dakota	Yes	No	Must have SMI diagnosis
Tennessee	Yes	No	No
Texas	No
Utah	NR	NR	NR
Vermont	Yes	No	No
Virginia	Yes	No	Service authorization is required
Washington	No
West Virginia	Yes	No	NR
Wisconsin	Yes	No	NR
Wyoming	Yes	No	No

Location	Service Covered?	Copayment Required?	Limits on Services?
United States	Yes - 34 No - 12 NR - 5	Yes - 3	Yes - 9
Alabama	No
Alaska	Yes	No	NR
Arizona	Yes	No	No
Arkansas	Yes	NR	NR
California	Yes	No	No
Colorado	Yes	No	No
Connecticut	Yes	No	Must be at least 3 hours of structured programming for 2-5 days a week.
Delaware	Yes	No	Medically necessary and part of a treatment plan
District of Columbia	Yes	No	No
Florida	No
Georgia	Yes	No	No
Hawaii	Yes	No	No
Idaho	Yes	No	Covered only by outpatient behavioral health plan, no particular limitations known.
Illinois	NR	NR	NR
Indiana	Yes	No	Prior authorization required
Iowa	NR	NR	NR
Kansas	No
Kentucky	Yes	Co Pay $3	No
Louisiana	No
Maine	No
Maryland	Yes	No	Services are pre-authorized
Massachusetts	Yes	No	No
Michigan	Yes	No	No
Minnesota	Yes	No	NR
Mississippi	No
Missouri	Yes	No	No
Montana	Yes	No	No
Nebraska	Yes	No	No
Nevada	Yes	No	Yes - Not Specified
New Hampshire	NR	NR	NR
New Jersey	No
New Mexico	Yes	No	No
New York	NR	NR	NR
North Carolina	Yes	No	NR
North Dakota	No
Ohio	No
Oklahoma	Yes	$4 per visit	NR
Oregon	Yes	No	No
Pennsylvania	Yes	No	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	Yes	No	No
Virginia	No
Washington	Yes	No	Some require prior authorization
West Virginia	Yes	No	PA Required
Wisconsin	Yes	$0.50-$3.00 per service	No
Wyoming	Yes	No	Prior authorization is required after the first 20 visits to confirm ongoing medical necessity

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