What is Covered under Medicaid

WHAT DOES MEDICAID COVER?

The CNMI Medicaid program covers the following mandatory services:

  • In-Patient Services
  • Out-Patient Services
  • Other Lab and X-Ray
  • Nursing Facility Services (only when referred off island)
  • Physician's Services
  • Early and Periodic Screening and Diagnosis, and Treatment (EPSDT) for children under 18
  • Home Health Care
  • Family Planning Services
  • Rural Health Clinic (only when referred off island)

The CNMI Medicaid program also covers the following optional services:

Clinic Services
Optometry Services
Other Practitioner Services
Dental Services
Phsyical Therapy
Occupational Therapy
Speech, Hearing and Language Disorders
Prescribed Drugs, Dentures, Prosthetic Devices and Eyeglasses
Wheelchairs
Medical Supplies
Rehabilitative Services
Transportation (to off-island facility only)
Ground Transportation

  

 


 

2025 Income Table

 Household Income Low  Income High Resource 
1 967 1,450 2,000
2 1,450  2,175  3,000
3 1,530  2,295 3,150
4 1,610  2,415  3,300
5 1,690 2,535 3,450
6 1,770 2,655 3,600
7 1,850 2,775 3,750
8 1,930 2,895 3,900
9 2,010 3,015 4,050
10 2,090 3,135 4,200
11 2,170 3,255 4,350
12 2,250 3,375 4,500
13 2,330 3,495 4,650
14 2,410 3,615 4,800
15 2,490 3,735 4,950
16 2,570 3,855 5,100
17 2,650 3,975 5,250
18 2,730 4,095 5,400
19 2,810 4,215 5,550
20 2,890 4,335 5,700