Medicaid Benefits: Case Management
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.
2018
| Location | Benefit Covered | Copayment Required? | Limits on Services |
|---|---|---|---|
| United States | Yes - 19 No - 25 NR - 7 | Yes - 2 | Yes - 8 |
| Alabama | No | ||
| Alaska | Yes | No | No |
| Arizona | No | ||
| Arkansas | Yes | NR | NR |
| California | Yes | No | No |
| Colorado | No | ||
| Connecticut | No | ||
| Delaware | No | ||
| District of Columbia | Yes | No | Some services above utilization benchmarks require a PA; UR required |
| Florida | No | ||
| Georgia | Yes | $3 copay | Must have been discharged from inpatient 2 or more times in the past 12 months, or is receiving Department of Human Services assistance, or is severely mentally disabled and homeless. |
| Hawaii | No | ||
| Idaho | Yes | No | No |
| Illinois | NR | NR | NR |
| Indiana | No | ||
| Iowa | NR | NR | NR |
| Kansas | Yes | No | No |
| Kentucky | Yes | No | Limits vary by service provided |
| Louisiana | Yes | No | NR |
| Maine | No | ||
| Maryland | No | ||
| Massachusetts | No | ||
| Michigan | No | ||
| Minnesota | Yes | No | No |
| Mississippi | No | ||
| Missouri | No | ||
| Montana | Yes | No | Limited to adults meeting specified criteria |
| Nebraska | No | ||
| Nevada | NR | NR | NR |
| New Hampshire | NR | NR | NR |
| New Jersey | Yes | No | limited by population (DDD) and high risk diagnoses |
| New Mexico | No | ||
| New York | NR | NR | NR |
| North Carolina | No | ||
| North Dakota | No | ||
| Ohio | Yes | No | NR |
| Oklahoma | Yes | $4 per visit | Individuals 18 and older who are chronically/severely mentally ill who are at imminent risk of out-of-home placement due to psychiatric or substance abuse reasons. Standard case management limited to 16 units per member per year. Additional units may be authorized for members who meet established medical necessity criteria. |
| Oregon | Yes | No | No |
| Pennsylvania | No | ||
| Rhode Island | Yes | No | No |
| South Carolina | NR | NR | NR |
| South Dakota | No | ||
| Tennessee | No | ||
| Texas | Yes | No | Medically necessary |
| Utah | Yes | No | No |
| Vermont | Yes | No | Medically necessary |
| Virginia | NR | NR | NR |
| Washington | No | ||
| West Virginia | No | ||
| Wisconsin | No | ||
| Wyoming | No |