cover image: Coverage for COVID-19 Testing, Vaccinations, and Treatment  What does Medicaid cover?

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Coverage for COVID-19 Testing, Vaccinations, and Treatment What does Medicaid cover?

22 May 2023

What does Medicaid cover? During the Public Health Emergency (PHE) and for more than a year after it ends,1 Medicaid is required to cover COVID-19 testing, vaccinations,2 and treatment for most enrollees, and it may not charge cost sharing for these services. [...] As part of this benefit, effective December 2, 2021, Administration guidance also requires states to cover COVID-19 vaccine counseling visits for children and youth enrolled in Medicaid as part of the Early and Periodic Screening, Diagnostic, and Treatment benefit.3 During the PHE, states also have the option (by filing a Disaster Relief State Plan Amendment with the Centers for Medicare & Medicai. [...] The HRSA program stopped accepting claims for COVID-19 testing and treatment on March 22, 2022 and for vaccines on April 5, 2022.5 For the Medicaid optional group, individuals must attest that they live in the state and generally must provide a Social Security number. [...] 2 Medicaid coverage of testing and treatment may not be available for enrollees in limited Medicaid benefit coverage, such as for breast and cervical cancer and family planning, but the American Rescue Plan Act made Medicaid coverage of vaccinations mandatory for people in these groups. [...] *Medicaid provisions remain in place until the end of the first quarter that begins one year after the PHE ends, with the exception of the Medicaid COVID-19 option, which ends at the end of the PHE.

Authors

Jennifer Sullivan

Pages
5
Published in
United States of America

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