Medicaid Benefits: Online Database

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Benefits by Service: Religious Non-Medical Health Care Institution and Practitioner Services (October 2008) Definition/Notes

Note: Totals include 50 states and D.C.

"Benefits Covered" Totals

"Benefits Not Covered" Totals

Is the benefit covered?

Is there a co-payment requirement?

Yes: 0

No: 9

Is the Benefit Covered?	Copayment Requirement	Prior Approval Requirement	Coverage Limitations	Reimbursement Methodology	Populations Covered

Alabama
No
Alaska
No
Arizona
Yes		Yes		Prospective cost based per diem up to Medicare limits for facility, fee for service for practitioners	CN & MN
Arkansas
No
California
Yes		Yes	Cost of care must be less than in inpatient hospital	Prospective cost based per diem for facility, negotiated rate for practitioners	CN & MN
Colorado
No
Connecticut
No
Delaware
No
District of Columbia
No
Florida
Yes			Practitioner services not covered	Prospective cost based per diem	CN & MN
Georgia
No
Hawaii
No
Idaho
No
Illinois
No
Indiana
Yes			Practitioner services not covered	Prospective cost based per diem	CN
Iowa
No
Kansas
No
Kentucky
No
Louisiana
No
Maine
No
Maryland
No
Massachusetts
No
Michigan
No
Minnesota
No
Mississippi
Yes				Prospective cost based per diem up to Medicare limits for facility, practitioner services not covered	CN
Missouri
No
Montana
No
Nebraska
No
Nevada
No
New Hampshire
No
New Jersey
Yes		Admissions for specified procedures and LOS	Specified procedures require second opinion, practitioner services not covered	Cost based payment	CN
New Mexico
No
New York
No
North Carolina
No
North Dakota
No
Ohio
Yes			Must be a licensed nursing facility	Prospective per diem using peer groups and acuity adjustment	CN
Oklahoma
No
Oregon
No
Pennsylvania
No
Rhode Island
No
South Carolina
No
South Dakota
No
Tennessee
Yes					A & B - See state-specific FN
Texas
No
Utah
No
Vermont
No
Virginia
No
Washington
No
West Virginia
No
Wisconsin
Yes			Care must be equivalent to inpatient hospital or nursing facility care	Prospective cost based per diem	CN & MN
Wyoming
No
American Samoa
No
Guam
No
Northern Mariana Islands
No
Puerto Rico
No
Virgin Islands
No

Definition/Notes: Link to Religious Non-Medical Health Care Institution and Practitioner Services Footnote


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