Medicaid Behavioral Health Services: Medicaid Psychiatric Evaluation With Medical Services
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.
2022
| Location | Service Covered? | Copayment Required? | Limits on Services? |
|---|---|---|---|
| United States | Yes - 40; No - 5; NR - 6 | Yes - 5 | Yes - 6 |
| Alabama | No | ||
| Alaska | Yes | No | NR |
| Arizona | Yes | NR | No |
| Arkansas | NR | NR | NR |
| California | Yes | No | No |
| Colorado | Yes | $2 for "physician office or home visit" | No |
| Connecticut | No | ||
| Delaware | NR | NR | NR |
| District of Columbia | Yes | No | NR |
| Florida | Yes | $2 | Limit of 2 psychiatric evaluations per year |
| Georgia | NR | NR | NR |
| Hawaii | Yes | No | No |
| Idaho | No | ||
| Illinois | Yes | No | NR |
| Indiana | Yes | NR | Only eligible for one unit without prior authorization; prior authorization is required for additional units |
| Iowa | Yes | No | No |
| Kansas | Yes | No | No |
| Kentucky | Yes | No | NR |
| Louisiana | Yes | No | NR |
| Maine | Yes | No | No |
| Maryland | Yes | No | NR |
| Massachusetts | Yes | No | No |
| Michigan | Yes | No | Typically four times per year |
| Minnesota | NR | NR | NR |
| Mississippi | No | ||
| Missouri | Yes | Yes - not specified | No |
| Montana | Yes | No | No |
| Nebraska | Yes | No | No |
| Nevada | Yes | No | No |
| New Hampshire | NR | NR | NR |
| New Jersey | Yes | No | No |
| New Mexico | Yes | No | No |
| New York | Yes | No | No |
| North Carolina | Yes | No | No |
| North Dakota | Yes | No | No |
| Ohio | Yes | No | NR |
| Oklahoma | Yes | $4 | No |
| Oregon | Yes | No | No |
| Pennsylvania | Yes | No | No |
| Rhode Island | Yes | No | No |
| South Carolina | No | ||
| South Dakota | Yes | $3 | Yes - not specified |
| Tennessee | Yes | No | No |
| Texas | Yes | No | Limit of 1 per person, per rolling year for the same provider; limit may be exceeded with prior authorization |
| Utah | NR | NR | NR |
| Vermont | Yes | No | No |
| Virginia | Yes | No | NR |
| Washington | Yes | No | No |
| West Virginia | Yes | No | Based on medical necessity |
| Wisconsin | Yes | No | NR |
| Wyoming | Yes | No | No |