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Navigating Medicaid Over-the-Counter Benefits and OTC Catalog Access for 2026

"Medicaid over-the-counter (OTC) benefits refer to supplemental allowances provided by specific Managed Care Organizations (MCOs) under state-contracted Medicaid programs, distinct from traditional fee-for-service Medicaid. This article focuses on how to leverage these supplemental benefits for health maintenance and does not address hospital-specific billing or traditional Medicare Part B coverage. The landscape of Medicaid managed care has shifted significantly in 2026. As states move toward more integrated value-based care models, the inclusion of OTC benefits—traditionally reserved for Medicare Advantage Dual Eligible Special Needs Plans (..."

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