Does Medicaid Cover Mental Health [Get The Facts]

You’ve come to the perfect place if you’re worried about your mental health or therapies for your loved ones and want to know if Medicaid will pay any of the costs.

We’ve researched the subject and have all of the information you’ll need to get the finest mental health care available. Continue reading to learn about the surprising facts that even the most seasoned Medicaid recipients are unaware of.

So, without further ado, let’s check what the government says about mental health and if it is covered by Medicaid.

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What is Medicaid and who is eligible?

The United States government established Medicaid in 1965 as a financial support program for needy families and individuals, covering part or all medical expenditures. Each state has the authority to change its rules and regulations, although most fundamental medical therapies are covered in general.

Among people who are considered eligible usually, these groups are especially well-treated:

  • Pregnant women
  • Low-income children
  • Low-income adults aged 65 or older
  • Low-income parents of Medicaid-eligible children
  • Disabled adults receiving Social Security Disability (SSI)

But does this mean that everyone’s mental health is covered? Keep reading until the end to find out all the specifics.

Does Medicaid Cover Mental Health?

Yes, all states provide coverage for mental health services. However, depending on your state of residency, this can imply more or less coverage for the services you require.

This can be fairly perplexing for new people who are just getting started with Medicaid because each state has its unique restrictions regarding budget and what is covered. This is why it is essential to visit our website on a regular basis, as we will offer you the most up-to-date information.

Keep in mind that you can always call your Medicaid reps and inquire whether your state covers the issue you are now experiencing. You might be shocked to learn that Medicaid is the United States’ single largest payer for mental health care.

Over 21% of individuals who receive Medicaid have some form of mental illness, which is frequently the result of living in poverty and abusing drugs. 

On the other side, the government recognizes the importance of mental health, and a new law is known as the Mental Health Parity and Addiction Equity Act (MHPAEA) requires more states to extend Medicaid coverage for drug misuse and behavioral issues.

Does Medicaid cover mental health for children?

Yes, children and young people under the age of 21 are always treated with greater care. This includes the mandated mental health coverage required in all states.

It has long been established that the greatest therapy for any condition is prevention, and mental health and care are no exception. Children are especially vulnerable and require access to all treatments as well as Medicaid coverage with no co-payment.

So, if your child is suffering from a mental ailment, you can now rely on Medicaid for financial support.

What services are covered by Medicaid for mental health?

Each state has the authority to permit or prohibit Medicaid-covered services, however, for the most part, the following are some of the services that are covered:

  • Counseling services
  • Substance use disorder treatment
  • Therapy
  • Social work services
  • Medication management
  • Peer supports

As you can see, there is a lot of medical aid available if you have a mental problem. This is fantastic news for those who are suffering and require further counseling and assistance.

Is depression treatment covered by Medicaid?

Yes, depression has been recognized as one of the significant yet silent assassins of modern society, and it is one of the things for which you can seek counseling and be covered with Medicaid. 

Each state has its own set of laws and restrictions, so make sure to consult your local Medicaid agents or health insurance reps for further information.

Is online therapy covered by Medicaid?

Yes, online treatment is now funded by Medicaid in the majority of states. 

This is hardly unexpected given how difficult recent years have been for individuals in general, but especially for those who are impoverished, have substance misuse issues, or suffer from mental diseases.

This is why it is fantastic to see the US government embracing and allowing Medicaid to pay for online counseling. Although most people are still unfamiliar with this type of long-distance treatment, recent research has shown that it can be highly beneficial.

What is not covered by Medicaid for mental health?

Although many therapies are covered, there is one significant exception: long-term inpatient care. This has never been paid by Medicaid, but the government is working on a new option that can assist these individuals and their expenditures.

Medicaid has already expanded its coverage to include short-term hospital stays, and states can now request exemptions to cover hospital stays of up to 30 days for the treatment of mental health and drug use issues.

How to find a therapist for your mental health?

Finding a therapist who accepts Medicaid can be easier than you think. In fact, finding a qualified therapist may be easier than finding a specialist doctor for any other medical ailment.

Depending on the state you reside in, you can search online for the top therapists in your community who will accept Medicare, or you can call your state’s Medicaid office for a list of available providers.

Remember that your health insurance card includes a phone number on it that you can call to acquire further information from their staff.

Final Thoughts

If you or a family member is experiencing mental health issues, behavioral issues, or drug addiction issues, the good news is that there is treatment available, and you should always take advantage of any opportunity to enhance your mental health.

Most states enable Medicaid to pay some or all of the expenses of mental health care, including online therapies. Make sure to contact your Medicaid reps for further information as soon as possible, and get your mental wellbeing under control.

David Duford
Author: David Duford