Recommendations for States on Changes in Coverage for Intensive Outpatient Services

The Center for Health Care Strategies released a brief on "Expanded Medicare Coverage of Intensive Outpatient Services: Considerations for States". Medicare now covers intensive outpatient program (IOP) services, which was effective January 1, 2024. The brief reviews how the new coverage may impact Medicaid and have implications for state budgets, managed care rates, provider incentives, beneficiary access, and care coordination for individuals dually eligible for both Medicare and Medicaid. Included in this brief are recommendations for states in enhancing member and provider awareness about IOP coverage changes, assessing payment rates, monitoring provider networks, and improving data sharing to advance person-centered care. Read the brief to learn more.