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Medicaid MCO & SUD Coverage Lookup
Pick a state to see curated MCO rosters where available, or a state-level managed-care structure note when a roster has not been curated yet. Navigation aid only — the plan's real-time eligibility response at point of service is authoritative.
Navigation aid only. Coverage rules and phone numbers change. Verify with the plan before relying on coverage or submitting an authorization request. No PHI required; do not enter a member's name, DOB, or ID.
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What this is and isn't.This tool consolidates publicly available information about state Medicaid managed-care organizations to help case managers, intake teams, and front-office staff orient quickly. It is not a verification of benefits. Coverage of a specific service for a specific member must be confirmed by calling the plan's provider services line and obtaining a reference number, and ultimately by the plan's real-time eligibility and benefits response at point of service. Phone numbers and MCO rosters change — particularly when state contracts turn over — and records here show a “last verified” date; treat anything older than six months as needing fresh verification. This tool is provider-neutral and does not recommend or route to any specific treatment provider. Sources: state Medicaid agency websites, MCO public-facing provider pages, KFF Medicaid Managed Care Tracker, CMS Medicaid.gov state profiles, MACPAC.