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Medicaid Coverage of Non-Emergency Medical …

Medicaid Coverage of Non-Emergency Medical

www.macpac.gov

States may limit the benefit based on medical necessity or utilization control (42 CFR 440.230(d)). For example, some states require prior authorization from the state for trips or place limits on the number of trips Medicaid will cover. For example, Indiana limits the benefit to 20 trips per 12 months (FSSA 2019). Others charge co-payments.

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