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Statewide Inpatient Psychiatric Program Services

Florida Medicaid’s Covered Services and HCBS Waivers

Statewide Inpatient Psychiatric Program Services

Medicaid reimburses for Statewide Inpatient Psychiatric Program (SIPP) services to provide extended psychiatric residential treatment with the goal of facilitating successful return to treatment in a community-based setting. SIPP services include:

  • Individual plan of care
  • Assessment
  • Routine medical and dental care
  • Certified educational programming
  • Recreational, vocational, and behavior analysis service
  • Therapeutic home assignment

This service is one of the minimum covered services for all Managed Medical Assistance plans serving Medicaid enrollees.

Eligibility

Florida Medicaid recipients requiring medically necessary Statewide Inpatient Psychiatric Program services who meet the following criteria:

  • Under the age of 21 years
  • Require treatment in a psychiatric residential setting due to a primary diagnosis of emotional disturbance or serious emotional disturbance as defined in Chapter 394, Florida Statutes.

Resource Information

Information on Medicaid health plans and services is available on the Statewide Medicaid Managed Care webpage.

SIPP services are authorized by Attachment 3-1-A of the Florida Medicaid State Plan [ pdf 7.2 MB ] under the Inpatient Psychiatric Services for Individuals under 21 benefit.

The Florida Medicaid coverage policies, fee schedules, and Rule are available on the Agency Website.

If you are a SIPP provider (PT 16-916) enrolled in Florida Medicaid, the Agency would like your input. Please use the link below to complete a brief survey on the redesign of the SIPP reimbursement methodology. Survey responses are due by the end of the day June 21, 2024.

SIPP Provider Reimbursement Survey [ excel 283.5 kB ]