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Does Pennsylvania Medicaid Cover Therapy?

Pennsylvania Medicaid covers therapy — but the specifics depend on which managed care plan you're in, and with Medicaid expansion, most adults up to 138% FPL qualify.

Pennsylvania snapshot
Pennsylvania mental health insurance landscape

Pennsylvania Medical Assistance. Community HealthChoices has strong behavioral health carve-in.

Full parity enforcement Medicaid expanded

What's covered

Pennsylvania Medicaid covers individual therapy, psychiatric medication management, group therapy, and (in most cases) intensive outpatient programs. Coverage is typically robust, with no copay or very low copay.

Finding a provider

Not all therapists accept Medicaid, but Federally Qualified Health Centers (FQHCs) and Community Mental Health Centers do. Search your state's Medicaid MCO provider directory.

Pennsylvania-specific

Pennsylvania Medical Assistance. Community HealthChoices has strong behavioral health carve-in.

If you're in the coverage gap

Coverage gap closed in {N} due to expansion. Check your eligibility at healthcare.gov.

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Not sure what modality you need?

The Therapist Finder Quiz asks 5 questions and narrows you to the modalities most likely to fit — plus exact search terms.

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