What Are the Requirements for Using Medicaid Out of State?


Quick Answer

States are required to pay for out-of-state emergencies in certain conditions. Using state-specific Medicaid does not carry all benefits out of the home state where it is issued. A responsible party is asked to cover the costs if the coverage is not accepted.

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Full Answer

Some states may cover only emergency room visits to stabilize emergent conditions. If a Medicaid beneficiary need to be admitted to a hospital out of his home state, the state typically does not cover the costs. Since Medicaid is a joint venture between federal and state governments, each state carries its own out-of-state laws. When planning to travel beyond your resident state border, it is wise to verify the conditions and coverage before embarking to avoid extreme expenses.

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