What it Covers

Medical Assistance for Employed Persons with Disabilities (MA-EPD) generally covers the same services as standard Medical Assistance. If you get MA-EPD, 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-EPD, or if it requires prior authorization, ask your doctor or Chat with a Hub expert.

Here is a list of the main services that MA-EPD 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-EPD may cover some long-term care services, including nursing homes. If you have specific disability-related needs, contact your local county or tribal human services office for more information.

More Services through MA-Waiver Programs

People on MA-EPD 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 or tribal human services office.

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