Medicaid Services

The American Academy of Family Physicians encourages members to participate in discussions and decisions that promote both high quality care and maintenance of medically necessary health services for all Medicaid recipients.

All Medicaid coverage should include a uniform range of mandatory services and state-approved optional services. Medicaid payment for services should be fair and adequate, and at least at Medicare rates, in compliance with the "equal access" provision of the Medicaid statute.

All Medicaid programs should provide continuous eligibility for at least twelve months and include provisions whereby the homeless and medically uninsurable are covered. To accomplish this states should expand Medicaid to avoid coverage gaps.

The AAFP endorses the principle that peer review systems and utilization review systems will promote uniform quality of care to all Medicaid beneficiaries. (1983) (October 2023 COD)