Addiction Treatment Insurance Coverage by State
Coverage rules for medication-assisted treatment do not work the way most patients assume. Medicaid covers more than commercial plans for MOUD, but every state runs the rules differently. The guides below pull current data from the KFF Medicaid Behavioral Health Services Survey, the CMS 1115 waiver tracker, and state PDAPs sources.
California
Medicaid coverage rules, 1115 SUD waiver status, prior authorization requirements, and out-of-pocket cost expectations.
Read the California guide →Florida
Medicaid coverage rules, 1115 SUD waiver status, prior authorization requirements, and out-of-pocket cost expectations.
Read the Florida guide →Massachusetts
Medicaid coverage rules, 1115 SUD waiver status, prior authorization requirements, and out-of-pocket cost expectations.
Read the Massachusetts guide →New York
Medicaid coverage rules, 1115 SUD waiver status, prior authorization requirements, and out-of-pocket cost expectations.
Read the New York guide →Ohio
Medicaid coverage rules, 1115 SUD waiver status, prior authorization requirements, and out-of-pocket cost expectations.
Read the Ohio guide →Pennsylvania
Medicaid coverage rules, 1115 SUD waiver status, prior authorization requirements, and out-of-pocket cost expectations.
Read the Pennsylvania guide →Tennessee
Medicaid coverage rules, 1115 SUD waiver status, prior authorization requirements, and out-of-pocket cost expectations.
Read the Tennessee guide →Texas
Medicaid coverage rules, 1115 SUD waiver status, prior authorization requirements, and out-of-pocket cost expectations.
Read the Texas guide →