Learn how CHIP provides affordable health coverage for children, including addiction treatment and mental health services across the U.S.
Children’s Health Insurance Program (CHIP)
Learn how CHIP provides affordable health coverage for children, including addiction treatment and mental health services across the U.S.
The Children’s Health Insurance Program (CHIP) is a joint state and federal government program that provides low cost healthcare coverage for children in families who can’t afford private insurance but earn too much to qualify for Medicaid.
All U.S. states provide CHIP coverage but the rules and services covered under the plan may differ from state to state. Coverage in all states includes:
Routine check ups
Immunizations
Doctor visits
Prescriptions
Dental and vision care
Hospital care (inpatient and outpatient)
Lab and x ray services
Emergency services
In some states, CHIP also provides coverage for pregnant women.
Premiums and copayments for CHIP coverage tend to be low, but those costs vary by state. Some participants’ coverage may even be free.
Does CHIP Cover Addiction Treatment?
Yes CHIP covers some addiction treatment and mental health services, but the level of coverage varies by state. Under the 2010 Affordable Care Act (ACA) most insurance plans — including CHIP — must cover certain essential health benefits. Mental health and substance use treatment are considered essential health benefits required by the ACA.
Furthermore the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act) requires Medicaid to cover substance use treatment and medication-assisted treatment. As a Medicaid program, CHIP also covers these services.
Because the specific benefits available vary by state you should consult a state case manager to determine the resources available for youth addiction treatment coverage under your child’s CHIP coverage.
As you sort through treatment centers or verify insurance acceptance, you can learn more about rehab options to see which programs fit your benefits and clinical requirements.
Symetria is unbelievably amazing!!! The Hurst staff is phenomenal!!! I can't imagine that another location has a better staff. A special shout out to Deborah, Benjamin, and Samantha of course. You all are doing amazing, amazing, selfless work. You all are very special to so many!!!
Vernon Godsey III
2 months ago
Huge shout out to the team at symetria who make me feel like family I appreciate everything they do and huge shout out to Osagie for helping me! He is AWESOME!!! I love you symetria❤️❤️❤️
Chloe Roseman
2 months ago
BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
This place is so well managed and organized! The staff is seriously amazing!! Front desk is amazing!!!! Everyone is so kind and actually cares about you and your recovery!! I LOVE THIS PLACE. Legit the best if you need help!
Juliet Newton
3 weeks ago
These people have helped me recover from the worst point in my life to become a much better happier person today. I owe my life and my family to this place. Especially Leia, Cynthia, and Mary. But I want to thank everyone else for being a part of this process.
Daymond Johnson
2 months ago
They Ubered me to the clinic when my car broke down and even they stayed open late because of the bad weather. These people always go the extra meter to take care of me no matter what. Five stars!!!
I had a great experience at their inpatient and outpatient programs. They have an In house chef and the food is outstanding. The rooms are comfortable. The counselors are caring and have deep knowledge about the recovery process and provide great classes daily. I had an all-around great experience, would highly recommend if you are struggling with addiction. Just go you got this!
Shaun Hargrove
1 week ago
CRC saved my life once again. I was here in August for 33 days. I gained so much knowledge of many coping skills, relapse prevention, what to do upon graduating. ...I unfortunately relapsed, consumed more alcohol than I ever have in my life for 7 days. It's like I went from 0 to 60. ...The problem was: I NEVER UTILIZED THOSE COPING SKILLS. I NEVER GOT A SPONSOR. I NEVER WENT TO OUTSIDE MEETINGS. I DID NOT PROGRAM. Granted, I attended their incredible aftercare program of 30 hours a week, once I left the 6 hour a day class - I DIDN'T PROGRAM! Upon graduating today, by the grace of God and CRC, I already have a sponsor, I've actually opened & read some of the Big Book, they are personally transferring me door to door to their aftercare. They are so many wonderful and grateful words that I could go on and on and about CRC. Without the dedication & guidance & sincere concern and knowledge from management, counselors and medical staff, I honestly don't believe I'd be here to write this. I will not give up. I'm happy today. And most importantly, I'm SOBER!
Cindy Elmer
2 weeks ago
Very informative about my addiction my recovery and my positive sobriety life.
The Maverick House is one of the best treatment facilities and the perfect place to get sober. The staff is amazing and goes the extra mile to help each client. Scott and Mike are great leaders who set the tone. Cynthia, Gayle, Joe, and Susie are my favorites, but all the counselors, BHT’s and counselors are great. They connect with the clients and find out what they need the most. I will cherish my time there
Danny White
1 month ago
That's good program I was there at the Maverick House for 30 days there
Kye Lookingglass
7 months ago
Im happy that I made the choice I’ve been through everything else so trying rehab was a good choice I’m still sober
This place is amazing. The staff are so amazing and caring. I truly couldn’t have made it through this journey without them. Maria is the best case manager, she is truly inspirational and spreads positivity everywhere. The medical staff is professional, knowledgeable, and kind. The house monitors help you every step of the way and make sure you’re taken care of 24/7. All of the groups are targeted towards your recovery and are so helpful. I am so sad to see this place is closing. Shout out to Albert, George, Miles, Kirk, Olivia, Julie, Diane, Marcela, and Tammy. Thank you guys.
Alyssa Tropila
7 months ago
This was my third time through rehab and found it the best, well run and most effective treatment I’ve been through. Maria and staff have a well structured program, with engaging assignments that are on-point. I am best prepared to avoid relapse. I would recommend Cornerstone to any addict serious about getting sober!
mawesnerjr
8 months ago
This place was a literal gift from god. I am beyond thankful for the program as a whole but also the staff like hip-hop Darrel and Andy also nurse mike made a huge impact on my sobriety. I could not have asked for a better program and a special thank you to miss maria for having my back and making sure I had enough packets lol I would 10/10 recommend this place to anyone who wants to be sober forever. Also gotta shout out David p for getting me there and making me feel safe. Best. Program. Ever.
My first time in this hospital and I don't regret it nurse jenna& Nicole were awesome! Jenna was fantastic she made my first time experience great. She was super sweet and lovely! Thank you Jenna 😊 thank you for all of you in this clinic all were very professional and outstanding and awesome!
Cecilia Perez
2 months ago
This was our first time experience in this hospital. We were treated very nice by all the staff. They were very helpful. The rooms and hospital is very clean... ER doctors saved my husband's life... very, very thankful for all of them. Doctors that preformed surgery were checking in evwry day.. we were always updated on what's the next step.ICU staff so so thankful for making us feel safe..Mitchell 1 and Mitchell 2, Beata and Nora thank you for everything you have done for us!
aneta gawron
6 months ago
I was helped by Courtney! She was awesome and the Doctor as well ! I will be setting uo my primary care here
The treatment center is good for keeping all the alcohol away.
ROSE MARTINEZ
4 weeks ago
There is a person in administration at the Tarzans Treatment Center, named Elaine, who I owe my life to. She demanded they keep me in treatment for 10 years of opioid addiction, despite my insurance refusing to pay. 7 days later I was released and now 2 years later, I am completely recovered. God bless you Elaine.
So many wonderful and sincere staff members work here. So many resources and are willing to help those out who have the desire to help themselves and want to change for the better.
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Frequently Asked Questions
How to Qualify for the Children's Health Insurance Program (CHIP)
You can apply for CHIP through your state Medicaid agency or Health Insurance Marketplace. The income requirements for the program differ depending on the state you are in but usually range between 170% to 400% of the federal poverty level.
To qualify for the program your child must be uninsured and ineligible for Medicaid coverage as well as under age 19 and a resident of the state where you are applying. They must also be a U.S. citizen or a legal immigrant.
There is no specific enrollment period for CHIP. You can apply for coverage at any time throughout the year.
What Inpatient Addiction Treatment Does CHIP Cover?
As part of the requirements of the ACA there will be at least some inpatient addiction coverage with CHIP. However it will need to be deemed medically necessary. Your child’s doctor can do an ASAM Criteria assessment to evaluate your child’s needs and determine the level of care that is necessary.
Having a treatment plan from your child’s doctor can help ensure that their addiction treatment is covered and can help with preauthorization if it’s required.
Inpatient addiction treatment often includes medical detox followed by inpatient residential care. These crucial steps in addiction treatment can help your child wean themselves off drugs or alcohol in a safe environment with round the clock supervision. Depending on the CHIP program in your state there may be limitations on the number of inpatient days covered.
What Outpatient Rehab Does CHIP Cover?
The number of outpatient visits covered for your child through CHIP also may vary based on the state in which you live. Outpatient rehab programs include partial hospitalization programs (PHPs) and intensive outpatient programs (IOPs) as well as general outpatient programs.
PHPs are a more intensive type of outpatient rehab where your child spends 4 to 8 hours a day receiving treatment at a facility. IOPs are a step down from PHPs and the child receives 9-20 hours of treatment spread over three to five days a week.
General outpatient programs can include individual, family, or group counseling sessions once or twice weekly. The ultimate goal of outpatient rehab is to help your child develop and maintain new habits so they can establish long term recovery and avoid relapse.
Does CHIP Cover Methadone & Suboxone (MAT)?
Yes CHIP is required to cover medication assisted treatment (MAT) for substance use disorders. This is part of the SUPPORT Act that requires Medicaid to offer this coverage. The healthcare laws also require Medicaid to offer the same coverage for mental health and substance use disorders as they do for medical and surgical conditions.
MAT is often used in detox because it helps alleviate withdrawal symptoms and reduce cravings as a young person gets rid of drugs and alcohol in their system. It may also be used longer term to manage cravings so your child can stay stable in treatment and avoid relapse and potential overdose concerns.
Does the Children's Health Insurance Program (CHIP) Cover Other Mental Healthcare?
Yes CHIP also covers mental health care. However that coverage may differ from state to state so it is essential to consult a case manager in your state for more information. Generally your child will be able to get counseling and crisis support for diagnoses like depression or anxiety or other disorders.
Substance use disorders often coincide with underlying mental health concerns as well. When this happens it’s known as co occurring disorders or a dual diagnosis. In this case your child’s mental health and addiction will need to be treated together to ensure your child’s recovery.
How Long Will CHIP Cover Rehab?
The medical necessity of your child’s rehab treatment plays a big part in how long CHIP will provide coverage. Typically inpatient residential treatment programs are covered from 30 to 90 days. It is usually recommended that IOPs run for about 90 days and general outpatient programs can last up to 12 weeks or more.
The more willing your child is to embrace the treatment process the better their chances are for long term recovery success.
Can I Travel Out of State For Treatment With CHIP?
No you can’t travel out of state for treatment with CHIP. Because the program is tied to your state’s Medicaid program you must receive treatment in the state you live in. CHIP coverage levels varies by state.
There may be exceptions if your child requires emergency medical care while traveling out of state or if they need specialized treatment that isn’t available in your state. However these exceptions are very rare and require prior authorization from your state’s CHIP program.
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By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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