Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Delivery Act or the IMD CARE Act
This bill temporarily allows states to apply to receive federal Medicaid payment for services provided in institutions for mental diseases (IMDs) for enrollees (aged 21 to 64) with opioid use disorders. In general, with respect to an eligible enrollee, services may be covered for a total of up to 30 days in a 12-month period. States must include specified information in their applications, including plans to improve access to outpatient care.
Current law generally prohibits federal payment under Medicaid for services provided in IMDs for individuals under the age of 65 (although states may receive payment through certain mechanisms, such as through a Medicaid demonstration waiver).