Florida Medicaid’s Covered Services and HCBS Waivers
Behavioral Health Overlay Services
Medicaid reimburses for behavioral health overlay services, including: mental health, substance abuse, and supportive services. Behavioral health overlay services are designed to meet the behavioral health treatment needs of recipients in the care of Medicaid enrolled, certified agencies under contract with the Department of Children and Families, Child Welfare and Community-Based Care organizations.
Medicaid reimburses for the following:
- Individual, family, and group therapy
- Behavior management
- Therapeutic support
This service is one of the minimum covered services for all Managed Medical Assistance plans serving Medicaid enrollees.
Eligibility
Florida Medicaid recipients requiring medically necessary behavioral health overlay services who meet the following criteria:
- Are under the age of 21 years
- Has an emotional disturbance or a serious emotional disturbance in accordance with coverage and limitations requirements
- Experienced trauma
Resource Information
Information on Medicaid health plans and services is available on the Statewide Medicaid Managed Care webpage.
The Florida Medicaid coverage policies, fee schedules, and Rule are available on the Agency Website.
