What Medicaid Covers

The following services are covered by Medicaid. If you have coverage through another program as well as Medicaid, Medicaid will pay after the other coverage has processed the claim.

Most people who qualify for Medicaid are enrolled in a Managed Care Organization (MCO). If you are not enrolled in an MCO, your Medicaid benefits are fee for service, so the doctor you see has to agree to submit their fee to Medicaid for payment.

Ambulance and wheelchair van services and emergency medical transportation
Ambulatory surgical center services
Biomarker testing (cancer)
Certified peer recovery support services for substance use disorders
Clinic services
Collaborative care model services
Community violence prevention services
Dental services (all ages) and dentures (children only)
Diabetes care services (covered under HealthChoice)
Doula services
Early and periodic Screening, Diagnosis and Treatment (EpSDT) services (for beneficiaries under 21)
Eye glasses (for beneficiaries under 21)
Family planning services and supplies
Gender-affirming treatment
Hearing aids (for beneficiaries under 21)
Home and community-based services waiver services for targeted populations of developmentally disabled individuals, older adults, physically disabled adults, medically fragile children, children with autism spectrum disorder, and adults with traumatic brain injury
Home health agency services
Hospice care
Hospital inpatient and outpatient services (acute, chronic, psychiatric, rehabilitation, specialty)
Kidney dialysis services
Laboratory and X-ray services
Medical day care services
Medical equipment and supplies
Medicare premiums, copayments and deductibles
Mental health treatment, case management, and rehabilitation services
Mobile integrated health
Nurse anesthetist, nurse midwife, and nurse practitioner services, nursing facility services (nursing homes)
Oxygen services and related respiratory equipment services
Personal care services
Pharmacy services (for beneficiaries not eligible for Medicare part D)
Physical therapy
Physician services (some dental surgery may be included)
Podiatry services
Postpartum coverage
Prenatal care
Private duty nursing (for beneficiaries under 21)
School-based health-related services (for beneficiaries under 21)
Statewide Evaluation and Planning Services (STEPS) through local health departments)
Substance use disorder treatment services
Targeted case management for HIV-infected individuals and other targeted populations
Transportation services to Medicaid covered services (through local health departments)
Vision care services (eye examination every two years)

What does my managed care organization (MCO) cover?

Your MCO through Medicaid covers doctor visits, pregnancy care, prescription drugs, hospital and emergency services, and more, at no cost.

Visits to the doctor, including regular checkups and specialists
Pregnancy care
Family planning and birth control
Prescription drugs
Hospital and emergency services
Primary mental health services through your doctor

Maryland Children’s Health Program (MCHP)

Maryland Children’s Health Program (MCHP) covers full health benefits for children up to age 19. Benefits for children include these and more:

Doctor visits including regular checkups and visits when sick
Hospitalizations
Lab work and tests
Vaccines
Prescription medicines
Dental care through the Maryland Healthy Smiles Dental Program
Vision care
Transportation to medical appointments
Mental health services
Substance abuse treatment

Is dental care covered?

Yes, dental care is free for those enrolled in Medicaid and MCHP. It includes: regular checkups, teeth cleanings, fluoride treatments, X-rays, fillings, root canals, crowns, extractions, anesthesia and denture adjustments.

Family Planning Program

The Family Planning Program covers family planning services for women and men whose income is too high to qualify for full-benefit Medicaid, but is below certain limits. If you do not qualify for full-benefit Medicaid, you may still be eligible for Medicaid coverage of family planning services, even if you are enrolled in a private health plan. Learn more about the Family Planning Program.

What Medicaid Covers

What Medicaid Covers

What Medicaid Covers

What Medicaid Covers

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