What it Covers

If you get Medical Assistance, it will pay for a broad range of medical services, including all services that the government considers Essential Health Benefits (EHBs). If you’re not sure if a particular service is covered by MA, or if it requires prior authorization, ask your doctor or Talk to an ExpertPopup Link.

Here is a list of the main services that MA provides:

  • Alcohol and drug treatment
  • Chiropractic care
  • Dental care (limited for adults who are not pregnant)
  • Doctor/clinic visits
  • Emergency room care (ER)
  • Eye exams
  • Eyeglasses
  • Family planning services
  • Hearing aids
  • Home care
  • Hospice care
  • Hospital services (inpatient and outpatient)
  • Immunizations and vaccines
  • Interpreter services
  • Lab and X-ray
  • Licensed birth center services
  • Medical equipment and supplies
  • Medical transportation (access, ambulance and special)
  • Mental health care
  • Nursing homes and ICF-DD facilities
  • Outpatient surgery
  • Personal Care Assistant (PCA) services
  • Podiatry
  • Pregnancy-related services
  • Prescriptions and Medication Therapy Management
  • Private-duty nursing
  • Prosthetics
  • Rehabilitative therapy
  • Urgent care
  • Visits to a clinic or physician for preventive care, including routine physicals

Depending on your circumstances, MA may cover some long-term care services, including nursing homes. If you have specific disability-related needs, contact your local county human services agency for more information.

More Services through MA-Waiver Programs

People who qualify for MA due to their disabilities may also be eligible for MA-Waiver programs. These programs pay for additional services that help people live in their own homes instead of an institution, like a hospital or nursing facility. To apply for an MA-Waiver program, talk to your local county human services agency.

To learn more, read DB101’s article about MA-Waivers.