State Option: Medicaid Coverage for Uninsured Individuals with Serious Mental Illness or Addiction.
This bill allows states to choose to expand Medicaid coverage to low-income, uninsured individuals suffering from serious mental illness or substance use disorders, including opioid and stimulant addiction. If adopted by a state, eligible citizens gain access to comprehensive medical assistance for an initial one-year period, significantly improving their access to treatment and recovery. Enrollment requires a structured care plan within 60 days to ensure timely intervention.
Key points
States gain the option to provide Medicaid coverage to uninsured adults whose income is at or below 100% of the federal poverty line.
Coverage targets individuals diagnosed with serious mental illness, serious emotional disturbance, opioid use disorder, or stimulant use disorder.
Enrolled individuals must receive a care plan developed by a qualified provider within 60 days to ensure timely treatment and quality of care.
The initial coverage period is one continuous year, with the possibility of state-approved extensions after re-determining eligibility.
Introduced
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