Medicaid Behavioral Health Services: Psychiatric Residential Treatment

Location	Service Covered?	Copayment Required?	Limits on Services?
United States	Yes - 22; No - 23; NR - 6	Yes - 3	Yes - 4
Alabama	Yes	Yes - not specified	No
Alaska	No
Arizona	Yes	NR	No
Arkansas	NR	NR	NR
California	Yes	No	No
Colorado	Yes	Room and board cost	No
Connecticut	No
Delaware	NR	NR	NR
District of Columbia	Yes	Yes - not specified	Authorization is required
Florida	No
Georgia	NR	NR	NR
Hawaii	No
Idaho	Yes	No	No
Illinois	No
Indiana	No
Iowa	Yes	No	No
Kansas	No
Kentucky	Yes	No	NR
Louisiana	No
Maine	Yes	No	No
Maryland	Yes	No	NR
Massachusetts	No
Michigan	Yes	No	NR
Minnesota	NR	NR	NR
Mississippi	No
Missouri	No
Montana	Yes	No	Requires prior authorization and continued stay reviews
Nebraska	Yes	No	No
Nevada	No
New Hampshire	NR	NR	NR
New Jersey	Yes	No	No
New Mexico	Yes	No	Prior authorization is required 5 days from admission
New York	No
North Carolina	No
North Dakota	Yes	No	No
Ohio	No
Oklahoma	No
Oregon	Yes	No	No
Pennsylvania	No
Rhode Island	Yes	No	No
South Carolina	No
South Dakota	No
Tennessee	Yes	No	No
Texas	No
Utah	NR	NR	NR
Vermont	Yes	No	No
Virginia	No
Washington	Yes	No	No
West Virginia	Yes	No	Based on medical necessity
Wisconsin	No
Wyoming	No

Location	Service Covered?	Copayment Required?	Limits on Services?
United States	Yes - 23 No - 23 NR - 5	Yes - 0	Yes - 6
Alabama	No
Alaska	No
Arizona	Yes	No	No
Arkansas	No
California	Yes	No	No
Colorado	Yes	No	No
Connecticut	No
Delaware	Yes	No	Medically necessary and part of a treatment plan
District of Columbia	No
Florida	No
Georgia	No
Hawaii	No
Idaho	No
Illinois	NR	NR	NR
Indiana	Yes	No	Prior authorization required
Iowa	NR	NR	NR
Kansas	No
Kentucky	No
Louisiana	No
Maine	Yes	No	No
Maryland	Yes	No	Services are pre-authorized
Massachusetts	No
Michigan	Yes	No	No
Minnesota	Yes	No	NR
Mississippi	No
Missouri	No
Montana	No
Nebraska	Yes	No	No
Nevada	Yes	No	NR
New Hampshire	NR	NR	NR
New Jersey	Yes	No	No
New Mexico	Yes	No	No
New York	NR	NR	NR
North Carolina	No
North Dakota	Yes	No	Coverage is limited to individuals younger than 21 years of age who meet certificate of need criteria.
Ohio	Yes	No	Ohio places children is psychiatric residential setting and pays for rehabilitative services. Room and board are not payable by the Ohio Medicaid program.
Oklahoma	No
Oregon	Yes	No	No
Pennsylvania	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	Yes	No	No
Washington	Yes	No	Some require prior authorization
West Virginia	Yes	NR	NR
Wisconsin	No
Wyoming	No

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