Medicaid plays a key role in covering and financing care for people with behavioral health needs. To better understand the variation in access to behavioral health services for adults in Medicaid, KFF contracted with Health Management Associates (HMA) to survey Medicaid directors in all 50 states and the District of Columbia to identify those behavioral health services covered for adult beneficiaries in their fee-for-service (FFS) programs.
The survey captured information about services covered, cost-sharing requirements, and notable limits on those services as of July 1, 2022. While we have posted data for both 2018 and 2022 where applicable, the data should not be compared across years as a trend due to changes in question phrasing over time. For more information on the 2022 survey, including notes/methods and a summary table with counts of states covering each behavioral health service, see this brief. (For 2018, this information is available here.) Additionally, the 2022 survey asked about other Medicaid behavioral health policy trends. Results from this survey are published in a series of briefs available on this page.
Indicators in this Collection
Institutional Care and Intensive Services
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Medicaid Behavioral Health Services: Inpatient Psychiatric Hospital
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Medicaid Behavioral Health Services: 23-hour Observation
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Medicaid Behavioral Health Services: Psychiatric Residential Treatment
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Medicaid Behavioral Health Services: Adult Group Homes
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Outpatient Facility Services and/or Provider Services
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Medicaid Behavioral Health Services: Case Management
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Medicaid Behavioral Health Services: Day Treatment
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Medicaid Behavioral Health Services: Partial Hospitalization
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Medicaid Behavioral Health Services: Psychosocial Rehabilitation (e.g. “Clubhouse model”)
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Medicaid Behavioral Health Services: Intensive Outpatient Treatment
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Medicaid Behavioral Health Services: Mental Health Rehabilitation
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Medicaid Behavioral Health Services: ADL/Skills Training
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Medicaid Behavioral Health Services: Assertive Community Treatment
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View details about This indicator is not available in Custom State Reports.
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Medicaid Behavioral Health Services: Psychiatric Services – Evaluation
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Medicaid Behavioral Health Services: Psychiatric Services – Testing
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Medicaid Behavioral Health Services: Psychological Testing
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Medicaid Behavioral Health Services: Individual Therapy
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Medicaid Behavioral Health Services: Group Therapy
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Medicaid Behavioral Health Services: Family Therapy
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Substance Use Disorder (SUD) Services
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Medicaid Behavioral Health Services: ASAM Level 0.5 – Early Intervention
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Medicaid Behavioral Health Services: ASAM Level 1 – Outpatient Treatment
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Medicaid Behavioral Health Services: ASAM Level 2.1 – Intensive Outpatient Treatment (IOT)
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Medicaid Behavioral Health Services: ASAM Level 2.5 – Partial Hospitalization Services
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Medicaid Behavioral Health Services: ASAM Level 3.1 Clinically Managed Low-Intensity Residential Services
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Medicaid Behavioral Health Services: ASAM Level 3.3 – Clinicially Managed Population-Specific High Intensity Residential Services
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Medicaid Behavioral Health Services: ASAM Level 3.5 – Clinically Managed Medium-/High-Intensity Residential Services
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Medicaid Behavioral Health Services: ASAM Level 3.7: Medically Monitored Intensive Inpatient Services
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Medicaid Behavioral Health Services: ASAM Level 4 – Medically Managed Intensive Inpatient Treatment
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View details about This indicator is not available in Custom State Reports.
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Medicaid Behavioral Health Services: Outpatient Detoxification
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Medicaid Behavioral Health Services: Oral Naltrexone for Medication Assisted Treatment (MAT)
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Medicaid Behavioral Health Services: Injectable Naltrexone for Medication Assisted Treatment (MAT)
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Medicaid Behavioral Health Services: Methadone for Medication Assisted Treatment (MAT)
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Medicaid Behavioral Health Services: Oral Buprenorphine for Medication Assisted Treatment (MAT)
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Medicaid Behavioral Health Services: Injectable Buprenorphine for Medication Assisted Treatment (MAT)
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Medicaid Behavioral Health Services: Suboxone Treatment
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Medicaid Behavioral Health Services: Smoking and Tobacco Use Cessation Counseling (Excluding Mandatory Coverage for Pregnant Women)
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Naloxone (Without Prior Authorization)
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Medicaid Behavioral Health Services: Naloxone Available in at Least One Formulation Without Prior Authorization
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Medicaid Behavioral Health Services: Naloxone Nasal Spray Covered Without Prior Authorization
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Medicaid Behavioral Health Services: Naloxone Nasal Spray Atomizer Covered Without Prior Authorization
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Medicaid Behavioral Health Services: Naloxone Coverage Provided for Family Members or Friends Obtaining a Naloxone Prescription on Enrollee’s Behalf
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Crisis Services
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Medicaid Behavioral Health Services: Crisis Hotline
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Medicaid Behavioral Health Services: Crisis Residential
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Medicaid Behavioral Health Services: Crisis Respite
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Medicaid Behavioral Health Services: Crisis Stabilization Unit
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Medicaid Behavioral Health Services: Mobile Crisis
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Integrated Care
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Medicaid Behavioral Health Services: Collaborative Care Model Services
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Medicaid Behavioral Health Services: Health Behavior Assessment and Intervention (HBAI) Services
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Medicaid Behavioral Health Services: Health Home Services
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Medicaid Behavioral Health Services: Medicaid Individual Counseling or Family Counseling Services
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Medicaid Behavioral Health Services: Medicaid Psychiatric Evaluation With Medical Services
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Medicaid Behavioral Health Services: Medicaid Psychiatric Evaluation Without Medical Services (Non-Face to Face)
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Medicaid Behavioral Health Services: Mental Health Screening in Primary Care
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Medicaid Behavioral Health Services: Screening, Brief Intervention, and Referral to Treatment (SBIRT)
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Other Behavioral Health Services
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Medicaid Behavioral Health Services: Mental Health Clinic Services
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Medicaid Behavioral Health Services: Targeted Case Management for Chronic Mental Illness
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Medicaid Behavioral Health Services: Peer Support Services
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