Medicaid Behavioral Health Services: Medication Evaluation, Prescription, and Management

2018

Location	Service Covered?	Copayment Required?	Limits on Services?
United States	Yes - 45 No - 1 NR - 5	Yes - 9	Yes - 18
Alabama	Yes	No	2 (15 minute units) per day, 52 per year
Alaska	No
Arizona	Yes	No	No
Arkansas	Yes	NR	NR
California	Yes	No	No
Colorado	Yes	No	No
Connecticut	Yes	No	Medication management covered when performed by a physician and/or APRN
Delaware	Yes	No	5 evaluations per year
District of Columbia	Yes	No	Maximum billable amount of units per level of care
Florida	Yes	$2.00 copayment per visit	N/A
Georgia	Yes	No	No
Hawaii	Yes	No	No
Idaho	Yes	No	Not covered in fee for service but may be covered by contracted outpatient behavioral health plan
Illinois	NR	NR	NR
Indiana	Yes	No	NR
Iowa	NR	NR	NR
Kansas	Yes	No	No
Kentucky	Yes	Co Pay $3	No
Louisiana	Yes	No	NR
Maine	Yes	$.50 to $2/day depending on payment amount, up to $20/month	1 hour for assessment, then 30 minutes/day
Maryland	Yes	No	Services are pre-authorized
Massachusetts	Yes	No	No
Michigan	Yes	No	No
Minnesota	Yes	No	NR
Mississippi	Yes	No	Limited to 1 Daily, Maximum of 12 Yearly.
Missouri	Yes	$1 - $2	No
Montana	Yes	No	No
Nebraska	Yes	$2 copay	No
Nevada	Yes	No	Yes - Not Specified
New Hampshire	NR	NR	NR
New Jersey	Yes	No	No
New Mexico	Yes	No	No
New York	NR	NR	NR
North Carolina	Yes	No	Prior authorization required after 8 visits
North Dakota	Yes	$2 per visit	NR
Ohio	Yes	No	Covered under evaluation and management services
Oklahoma	Yes	$4 per visit	4 visits per month
Oregon	Yes	No	No
Pennsylvania	Yes	No	Some medications require prior authorization
Rhode Island	Yes	No	No
South Carolina	NR	NR	NR
South Dakota	Yes	$3/visit	NR
Tennessee	Yes	No	No
Texas	Yes	No	Yes - Not Specified
Utah	Yes	No	No
Vermont	Yes	No	No
Virginia	Yes	No	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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Medicaid Behavioral Health Services: Medication Evaluation, Prescription, and Management

2018

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