Table II.1: IMD Optional Services by State

  Under 21a 65 Years and Older   Under 21a 65 Years and Older
State Inpatient Psychiatric Inpatient Hospital Nursing Services State Inpatient Psychiatric Inpatient Hospital Nursing Services
Alabama X X X Missouri X X  
Alaska X X   Montana X X X
Arizona X X X Nebraska X X X
Arkansas X     Nevada X X X
California X X X New Hampshire X X X
Colorado X X X New Jersey X X X
Connecticut X X X New Mexico     X
Delaware   X X New York X X  
District of Columbia X X X North Carolina X X X
        North Dakota X X  
Florida   X   Ohio X X X
Georgia       Oklahoma X X  
Hawaii       Oregon X X  
Idaho X   X Pennsylvania X X X
Illinois X X X Rhode Island X X X
Indiana X X   South Carolina     X
Iowa X X X South Dakota     X
Kansas X X X Tennessee X X X
Kentucky X X X Texas      
Louisiana X X   Utah X X X
Maine X X   Vermont X X X
Maryland X X X Virginia   X X
Massachusetts X X X Washington X X X
Michigan X X X West Virginia      
Minnesota X X X Wisconsin X X X
Mississippi X     Wyoming   X  

Source: Medicaid State Plan Summaries (Commerce Clearing House, Inc. 2001).

Notes: The number of States and the District of Columbia choosing IMD optional coverage for the under-21 population = 40; the number of States and the District of Columbia choosing optional coverage for inpatient hospital services for IMD residents 65 years and older = 41; and the number of States and the District of Columbia choosing optional coverage for nursing facility services for IMD residents 65 years and older = 34.

aThe definition of the "under-21" group varies slightly by State; some States cover those through age 21, others cover those strictly under the age of 21, and still others cover those aged 22 if they are hospitalized on their 21st birthday (Center for Health Services Research and Policy 2001).

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