On December 6, 2023, the Centers for Medicare & Medicaid Services (CMS) approved Missouri’s Medicaid waiver demonstration to reimburse for services provided by residential substance use disorder (SUD) facilities and freestanding psychiatric hospitals with more than 16 beds, which are considered institutions of mental disease (IMD), and normally not covered for adult beneficiaries through fee-for-service Medicaid. Missouri Medicaid does cover psychiatric hospital stays in managed care for adults through an in lieu of service/setting provision.  Under the psychiatric waiver, an IMD stay of up to 60 days will be covered for Medicaid beneficiaries ages 12 through . . .

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