It's notorious that Medicaid is fifty separate programs, with their own websites, quirks, and rules. In this blog, we point to papers on (1) biomarker coverage and (2) preventive services coverage.
It's notorious that Medicaid is fifty separate programs, with their own websites, quirks, and rules. Or even more than that, when a state has multiple competing Medicaid Managed Care organizations. (And Managed Medicaid, as opposed to a state-operated fee for service program, is well more than half of Medicaid).
I ran across two useful references that both demonstrate, and attempt to summarize, the diversity of Medicaid programs.
Medicaid and Lung Cancer Coverage
For example, only 39% of states cover full-panel biomarker testing (code 81455):
The report includes epidemiological data as well, such as lung cancer rates and survival rates.
Medicaid and Preventive Services
The second is a peer-reviewed paper on Medicaid coverage for preventive services. A wide range of preventive services are now baked into Medicare, and commercial plans are required to cover USPSTF endorsed preventive services. [*] However, Medicaid coverage is at state discretion.
See Bloodworth et al, 2018, Variation of preventive service utilization by state Medicaid coverage, cost-sharing, and Medicaid expansion status. Pubmed here, journal Preventive Medicine here. (Pay per view, $36).
For more on the ACA and preventive services, see e.g. Chait & Glied (2018) Ann Rev Public Health, Prevention under the Affordable Care Act, here (open access).