Medicaid Behavioral Health Services: 23-hour Observation

Location	Service Covered?	Copayment Required?	Limits on Services?
United States	Yes - 38; No - 7; 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	No
Colorado	Yes	No	No
Connecticut	Yes	No	No
Delaware	NR	NR	NR
District of Columbia	Yes	No	No
Florida	Yes	No	No
Georgia	NR	NR	NR
Hawaii	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	No
Maine	Yes	No	Observation must not exceed 48 hours
Maryland	Yes	No	NR
Massachusetts	Yes	No	No
Michigan	Yes	No	No
Minnesota	NR	NR	NR
Mississippi	Yes	No	No
Missouri	Yes	Yes - not specified	No
Montana	Yes	No	No
Nebraska	Yes	No	No
Nevada	Yes	No	Yes - not specified
New Hampshire	NR	NR	NR
New Jersey	Yes	No	No
New Mexico	Yes	No	No
New York	Yes	No	NR
North Carolina	Yes	No	30 hours of observation and then must admit or discharge
North Dakota	Yes	No	No
Ohio	Yes	No	Covered as a hospital service
Oklahoma	Yes	No	No
Oregon	Yes	No	Limit of 23 hours
Pennsylvania	No
Rhode Island	Yes	No	No
South Carolina	No
South Dakota	Yes	5% of allowable reimbursement up to $50	NR
Tennessee	Yes	No	No
Texas	Yes	No	Limited to acute care hospital emergency departments only
Utah	NR	NR	NR
Vermont	Yes	No	NR
Virginia	Yes	No	No
Washington	Yes	No	No
West Virginia	No
Wisconsin	Yes	No	NR
Wyoming	No

Location	Service Covered?	Copayment Required?	Limits on Services?
United States	Yes - 33 No - 13 NR - 5	Yes - 3	Yes - 10
Alabama	No
Alaska	No
Arizona	Yes	No	No
Arkansas	No
California	No
Colorado	Yes	No	No
Connecticut	Yes	No	Will reimburse up to 48 hours of observation
Delaware	Yes	No	No
District of Columbia	Yes	No	No
Florida	Yes	No	Florida Medicaid reimburses for observation delivered in inpatient settings.
Georgia	Yes	No	No
Hawaii	No
Idaho	No
Illinois	NR	NR	NR
Indiana	No
Iowa	NR	NR	NR
Kansas	Yes	No	Cover up to 72 hours
Kentucky	No
Louisiana	Yes	No	No
Maine	Yes	No	Observation must not exceed forty-eight (48) hours
Maryland	Yes	No	Services are pre-authorized
Massachusetts	Yes	No	No
Michigan	Yes	No	No
Minnesota	Yes	No	NR
Mississippi	Yes	No	No
Missouri	Yes	$10	No
Montana	No
Nebraska	Yes	No	23:59 time limit
Nevada	Yes	No	NR
New Hampshire	NR	NR	NR
New Jersey	Yes	No	48 hours
New Mexico	Yes	No	No
New York	NR	NR	NR
North Carolina	Yes	No	30 hour limit on observation and then must admit or discharge
North Dakota	Yes	No	Limited to 72 hours per admission.
Ohio	Yes	No	No
Oklahoma	Yes	$4 per visit	NR
Oregon	Yes	No	No
Pennsylvania	No
Rhode Island	Yes	No	No
South Carolina	NR	NR	NR
South Dakota	No
Tennessee	Yes	No	No
Texas	Yes	No	In acute care hospital emergency departments only
Utah	Yes	No	No
Vermont	No
Virginia	Yes	No	No
Washington	Yes	No	No
West Virginia	No
Wisconsin	Yes	Outpatient hospital service $3.00 per encounter	No
Wyoming	Yes	No	No

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