Spravato Medicaid Coverage: State-by-State Guide

Medicaid Coverage for Spravato by State

Medicaid coverage for Spravato varies by state. Here's what you need to know.

States That Cover Spravato

Georgia Medicaid: ✅ Covered

• Georgia Families
• Peach State Health Plan
• CareSource Georgia
• Amerigroup Georgia

Other states with coverage:

• ✅ Florida
• ✅ Texas
• ✅ California (Medi-Cal)
• ✅ New York
• ✅ Pennsylvania
• ✅ Ohio
• ✅ Illinois

Georgia Medicaid Requirements

To get Spravato covered by Georgia Medicaid:

• Treatment-resistant depression diagnosis
• Failed 2+ antidepressants
• Prior authorization approval
• Treatment at REMS-certified facility

What Medicaid Members Pay

Typical cost: $0-$3 per session

Medicaid usually has the lowest out-of-pocket costs for Spravato.

Getting Medicaid Approval

At Next Step Psychiatry:

• We accept Georgia Medicaid
• We handle all prior authorizations
• 90%+ approval rate for Medicaid

Verify Your Medicaid Coverage

Contact us at (678) 437-1659 for free Medicaid verification.