Traditional and Non-Traditional Medicaid

Traditional Medicaid

For eligible individuals, Medicaid will pay for many medical services. Services available to a member will vary based on the program for which the member qualifies. Each plan has a different scope of services that it covers.

Members eligible for Traditional Medicaid includes:

1. Children
2. Pregnant Women
3. Aged, Blind or Disabled Adults
4. Women eligible under the Cancer Program
5. Parents on Adult Expansion Medicaid or members receiving Parent/Caretaker Relative (PCR) Medicaid
6. 12-month Transitional Medicaid
7. 4-month Transitional Medicaid
8. Family Medically Needy Program (Spenddown)

Services are based on the program type a person is eligible to receive. Some services are available only to children and to pregnant women. On January 1, 2024, the Non-Traditional Medicaid benefit ended. All members now have the same benefits as the Traditional benefit plan. See the Benefit Comparison Chart for the changes.