Most outpatient procedures in a physician's office and inpatient services are also covered when medically necessary. Most inpatient hospital services are covered for a limited number of days. Certain hospital outpatient and emergency room services are payable. Benefits include renal dialysis, certain supplies, and home equipment. Medicaid covers medically necessary services related to outpatient surgical procedures.
Some drugs require prior authorization.
Drugs are covered through the Outpatient Drug program for Medicaid recipients, including recipients in nursing homes and personal care homes. Dentures and partials are not covered. Dental repair, limited to recipients under age 21. Medicaid will pay for covered services provided at licensed primary care centers. Many centers provide a full range of outpatient services that are covered by Medicaid and are available at one location.