FOR SUBSTANCE USE DISORDER GROUPS
Click a state to explore four Medicaid exposure indicators:
How often the state re-verifies a patient is still eligible for Medicaid. Most groups are checked annually; expansion adults now get checked every 6 months.
When the state starts requiring expansion adults to log 80 hours a month of work, school, or caregiving to keep coverage. Coverage can lapse mid-month if a patient falls out of compliance, not just at redetermination.
Whether the state has federal approval to let Medicaid pay for care at larger inpatient behavioral health or SUD facilities (16+ beds). Without it, Medicaid generally won't cover those stays for adults 21-64.
How actively the state's insurance regulator enforces the law requiring equal coverage for mental health and physical health, from proactive audits and fines to complaint-only response.
