Covered State Medicaid Services

Benefit

Explanation
Inpatient Hospitalization All services in a psychiatric hospital.
Crisis Residential Services A facility that provides a short-term care for customers with mental illness. The service provides an alternative to an inpatient hospital admission for those experiencing severe psychiatric crisis.
Outpatient Partial Hospitalization Services Short term, intensive services that are provided through licensed non-residential treatment program that provides several services to adults diagnosed with a serious mental illness, or minors diagnosed with having serious emotional disturbance, who do not require constant mental health care.
Intensive Crisis Stabilization Services Structured treatment and support activities provided. Services by a mental health crisis team and designed to provide a short-term alternative to inpatient psychiatric services.
Crisis Interventions 24-hour, 7-day per week crisis services that are available to respond to persons who have a crisis or an urgent situation requiring instant attention.
Clubhouse Programs Group services provided in a facility by other persons with mental illness designed to learn, share and improve coping skills, as well as build supports.

 

Assessment and Evaluation
Psychiatric Evaluation A face-to-face evaluation done by a psychiatrist.
Psychological Testing Tests done by a psychologist to help you determine your needs and how to treat them.
Other Assessments
And Testing		 Other professional assessments or tests, other than psychological tests, that are given to determine the level of functioning and treatment needs.
Applied Behavioral
Health Services		 Development, review, and approval of a treatment plan.
Medication Review Looking at what medications have been prescribed for you and seeing how well they are working.
Medication Administration A licensed medical professional giving prescribed medications to someone.
Mental Health Therapy Includes child therapy, family therapy, group therapy, and individual therapy designed to improve functioning and your relationships with other people.
Occupational Therapy Activities prescribed by a physician, and provided by a trained OT, to decide the member’s need for services or to suggest a course of treatment.
Physical Therapy Includes the evaluation and the treatment as provided by a trained physical therapist/assistant and prescribed by a physician.
Speech Hearing and
Language Therapy		 Includes the evaluation and treatment by a speech pathologist or audiologist and referred by a physician.
Health Services Includes health assessment, treatment, and professional treatment monitoring.
Person-Centered Planning A process you will go through to decide what goals you want to achieve. The person developing this plan with you will help you decide what services are available to you that will help you achieve these goals.
Assertive Community
Treatment (ACT)		 Medical or rehabilitative services provided usually on a one-to-one basis in the customer’s home or other community settings by a mental health treatment team designed to prevent the need for more intensive and restrictive services.
Case Management Services that will help members in getting needed medical, social and educational needs.
Home-Based Services Services for the entire family based on the specific needs of each family.
Personal Care in Specialized Residential Settings Services to help people who live in a specialized residential home with daily living skills.
Intermediate Care Facility For Individuals With Mental Retardation (ICF/MR) Health and rehabilitative services provided in specially licensed facilities of 16 beds or less to beneficiaries with mental retardation or related conditions who need active treatment.
Nursing Facility Mental Health Monitoring A service for nursing home residents, that follows up after they have been given treatment for emerging mental health problems or needs.
Transportation Transportation to and from your home in order for you to take part in an approved Medicaid covered service.