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.
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!
Mason
1 month ago
Entire staff was friendly, helpful and supportive throughout the whole process from reception to nurses to counselors
William Maddux
1 month ago
The nurses at the hurst location and also Samantha the receptionist are all so kind and compassionate!! They all go above and beyond the call of duty. They should all be praised for their hard work and their kindness to their patients!!
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
1 month 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!!!
Gwen R
3 months ago
Everytime I come here the staff are beyond amazing very personable no judgement passed on and extremely helpful always quick and easy Cynthia is still my favorite though ;)
Very very helpful. Helps you understand what your loved one is going through and how to help them once they get out of the program. I’ve shared everything I’ve learned from Johnny with friends that are going through the same situation.
Shannon Edson
3 months ago
CRC has helped me and my family understand what our loved one has been going through and explains why they are dealing with this
Deegan Edson
3 months ago
CRC saved my life; there is no denying that. I reached out on a Friday morning and the intake team connected to me within 30 minutes. From that moment forward I have been in their care from detox through IOP and soon into alumni! Every step of the way the CRC staff - counselors, case managers, chef (yes there is a chef and he is AMAZING!!!!), billing, therapists, and leadership - were and are still around to support my recovery. I came in thinking that I only had a substance issue, but through the careful, methodical, and diligent work I came to understand the hopelessness which I was in as well as the sweet possibilities of my future in long term recovery. They connected me external resources and even helped me find a place to live after residential. When I say I love this organization and everything they do I mean it. I was blessed with the care and love of people who wanted no more for me then to help. Supported by people who lived to the tell tale and pass on their knowledge as all great humans do.
My goal in entering recovery for my first time was to marry my recovery and sobriety. I was nervous and scared because I thought I wouldn’t have fun nor be fun anymore - I was wrong. The man I am today forward took his first steps out of this facility with the strength, knowledge, belief, and love that he never knew existed because of CRC. Thank you from my roots grounded in Roseville to the sun that brings light and warmth to the Earth. I will pay it forward to every other person I encounter.
That's good program I was there at the Maverick House for 30 days there
Kye Lookingglass
5 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
ANOINT GARCIA
11 months ago
I had a great experience with the program at Maverick House. The staff was courteous, friendly, helpful and truly cares about each of the client's recovery. I would highly recommend this program and would go back if I was to need treatment again.
They Saved my life after 15 straight years of drugs and alcohol and I’m now almost 5 years sober. Diane Baker and Marlene Nadel are 2nd to God to me!
Matty Ramsey
7 months ago
The way they staff the place is phenomenal. I love the team here, you can tell this place is in it for all the right reasons
Jordan Richardson
7 months ago
This placed help me at the beginning of my recovery and I will always be grateful to the staff there. I have been clean for 22 years now.
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
6 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
6 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.
I cherish my time at Akua and the staff that helped me. Richard, Karen, Gabby, Emily, Candace, and Quincy gave me solid care and guidance every step of the way through PHP and IOP. If you’re serious about your recovery, this is the place to go.
Ronen
1 month ago
My time at Akua was good for my mental health. I was not in the best headspace upon entering the program. Sharing my story, learning about myself, and having the support of my peers and the Akua staff helped me become more comfortable in my own skin and the world around me. I want to give a special thanks to My case manager, Candace. I’ve never been comfortable around people, but Candace made me feel safe and free to speak openly without judgment. Thank you Akua.
Lisa Gill
1 month ago
Akua Is a great place to go for aftercare, Whenever I first arrived they made sure I was comfortable at the sober living facility I was going to stay at. The management truly cares about your sobriety. Candace was my Case Worker, she is very knowledgable on addiction. I learned so much in the few months I was there from her. Overall the place was a huge success! My life has completely changed. I am 10 months clean and finally loving life!!!!
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
1 month 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
5 months ago
I was helped by Courtney! She was awesome and the Doctor as well ! I will be setting uo my primary care here
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.
I highly recommend tarzana treatment centers to anyone struggling with substance caseworker Assumption Camacho w went over and beyond with helping me 5 star service
William Hufeld
1 month ago
I was there, and honestly, many of the negative reviews seem to stem from patients who are fabricating tales to escape their treatment. From my own experience, I can tell you that this facility is genuinely a good place. I never witnessed the staff mocking anyone; instead, they treated everyone with kindness and respect. I saw many patients who were overwhelmed, crying and reluctant to undergo their treatment. But if you enter with the intention of healing and embracing the process, this place can truly make a difference.
nelson melendez
5 months ago
My Granddaughter Kayla was there and is now going to residential treatment in Long Beach from what I have heard from her she was treated nicely and is sounding good I know I have called there and have always been treated good I Pray with the help she has received there and continues with next step she will be ok Thank you very much for help and support you have given her and us
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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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