Medicaid Health Insurance Coverage for Addiction Treatment

Discover how Medicaid covers drug rehab and addiction treatment, including inpatient and outpatient options. Find out how to enroll today.

Medicaid Health Insurance Coverage for Addiction Treatment

Discover how Medicaid covers drug rehab and addiction treatment, including inpatient and outpatient options. Find out how to enroll today.

You may know Medicaid as the government health insurance program for people and families with low income. Medicaid was created by the federal government in 1965.

While federal law sets guidelines about what Medicaid programs need to look like they’re ultimately run by state governments. If you’re looking to get Medicaid you would need to sign up through your own state. Many states have specific insurance companies that provide their Medicaid plans and that insurer can answer questions about the details of your plan.

If you’re comparing different programs or figuring out which centers are in network, you can learn more about rehab options to view facilities aligned with your coverage.

By Michelle Tavares

Medically Reviewed by Cara Towle

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Name / Address / Rating	Description	Treatments / Payments / Programs	Review / Contact	Images
Legacy Recovery Center 1 Top 10 in Medicaid Rehab Score Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now. 7.82 / 10 4.8 (52 reviews)	A rehab facility run by professionals in the field of mental health and substance abuse, we provide the highest-quality treatment based on evidence-based therapies and best practices. Legacy Recovery Center is owned and operated by two psychiatrists with over four decades of combined experience, as well as two other individuals with two decades of	Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionMental Health and Substance AbuseSubstance AbuseMental Health Teen ProgramAdult ProgramProgram For MenProgram For WomenYoung Adult ProgramChild ProgramSeniors Program Private InsuranceSelf-Pay OptionsFinancial Aid	I'm so happy to have Legacy be my first treatment center. I can say the experience was far much better than I expected. My mental health was the main priority and Legacy made sure that I was getting the help I need. The staff was great and was very helpful when needed. Everyone made me feel like home but also making sure I'm getting the treatment I deserve. Man this was truly a blessing being here. Thank you to everyone that made me feel comfortable and make me a better person these past 30 days. I'm so grateful for Legacy Recovery for everything. Koaluh 3 months ago Paul is THE best tech and human being in the entire world. He made a significant impact in my over all mental health healing with his shared wisdom and life experiences. The facilitation as a whole was fantastic. Their management needs a lot of work though. Lorena Valdez 4 months ago this is the third treatment center i have ever attended and i can say by far that this is the BEST one i have ever been to. they strictly focus on mental health and uncovering traumas i was always so scared to talk about. on top of that, the staff has always been so generous and genuine and that’s rare to find in treatment centers. it was a life changing experience for me that i’ll never forget- thank you! jacey 5 months ago	5 5
Star Behavioral Health and Recovery Center Baltimore, MD 4.5 (16 reviews)	Star Behavioral Health and Recovery Center (SBHRC) offers comprehensive behavioral health services designed to support individuals on their journey to recovery. We provide personalized care through a combination of individual and group counseling, substance use treatment, and supportive housing. Our mission is to empower clients to achieve long-ter	Treatments Programs Opioid AddictionDrug AddictionDual DiagnosisSubstance AbuseMental Health Adult program	Mighty Behavioral Health Services truly lives up to its name. From the very first interaction, the staff demonstrated genuine compassion, professionalism, and dedication to helping individuals on their recovery journey. The team is highly skilled, patient, and always takes the time to listen and understand each person’s unique needs. Brendan Lee 5 months ago Great practice, very professional....attentive from both admin and clinical staff. Kidist Tiruneh 5 months ago Best staff ,very accommodating. Kudos to Sam,Jasmine,Ms.Autumn, Bobby and Nwanneka,CRNP mrperfect john5 7 months ago
Pyramid Healthcare Inc. – Detox Dallas, PA 2.7 (81 reviews)	Pyramid Healthcare Dallas Detox and Residential Treatment Center in Dallas, Pennsylvania. It’s a detox and residential treatment facility that can provide your crucial first step in recovery. Medical detox uses FDA approved prescription drugs to reduce the effects of withdrawal from alcohol and drugs. It's also used in ongoing treatment to reduce	Treatments Programs Payment Options AlcoholismDrug AddictionMental Health And Substance AbuseOpioid Addiction Adult ProgramMilitary Program Private InsuranceSelf-Pay OptionsFinancial AidMedicaidMilitary Insurance	When I went to Dallas I was connected to some wonderful people that helped my journey. Counselor Kimberly wills, helped me in sooo many ways always available to talk and very very caring to my individual treatment needs. Next is CRS Todd kinner, Todd made sure to meet weekly to establish a plan for after discharge. Todd has continue to work with me after release The plan that we made in the facility he is helping me to meet those goals out here. Last is case manager Amber. Amber has a natural way of connecting with people She goes beyond her job title too make sure all after care is completed and also makes sure the plan gives you the best chance too succeed. Amber would on a daily basis come outside and interact with us . Very caring & understanding. darrell 7 months ago Very good, helped my family member get better. Ben Roberson 11 months ago Great staff, this place helped my family member get better. Thank you! Madelon Varleta 11 months ago
Rolling Hills Recovery Center New Jersey Drug & Alcohol Rehab Ad This is an ad and Rolling Hills Recovery Center New Jersey Drug & Alcohol Rehab is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Chester, NJ 5.0 (280 reviews)	Rolling Hills Recovery Center is state licensed, and one of the best outpatient drug and alcohol rehab facilities in Chester, New Jersey. Providing a continuum of treatment from partial hospitalization care to intensive outpatient programs, their interdisciplinary team looks at addiction from all angles. This includes the whole person, the communit	Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance Abuse Adult ProgramYoung Adult Program Private InsuranceSelf-Pay Options	View Website (973) 606-9170	This was hands down one of the best treatment centers I have ever delt with before. Giamo Zepp 2 weeks ago Rolling Hills Recovery Center in New Jersey truly stands out for drug and alcohol treatment. The admissions process was smooth, and their team helped verify insurance quickly. RH staff is professional, ethical, and genuinely caring. If you’re looking for quality inpatient treatment in Morris County, I highly recommend them. Chloe Demko 2 weeks ago ⭐⭐⭐⭐⭐ Amazing Recovery Center Rolling Hills Recovery Center truly changed my life. The staff is compassionate, supportive, and genuinely cares about every person who walks through their doors. I was treated with respect, kindness, and understanding from day one. They helped me heal, grow, and believe in myself again. This place doesn’t just treat addiction — they treat people. I’m forever grateful for everything they’ve done for me. Highly recommend to anyone seeking real recovery and real support. 💙 Ashley 2 weeks ago	11 11
Lakeside Behavioral Health System – Dual Diagnosis Memphis, TN 5.0 (1 reviews)	For over 55 years, Lakeside Behavioral Health System has been an addiction treatment center for adults. You'll find 'em located out in Memphis, Tennessee. Services include residential (IP), partial hospitalization (PHP), and intensive outpatient programs (IOP). They also offer medically supervised detox. The Patriot Support Program helps members of	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction Adult ProgramYoung Adult Program MedicaidPrivate insuranceSelf-Pay OptionsMedicareMilitary Insurance	Lakeside Behavioral Health System – Dual Diagnosis has no reviews yet. Leave a review.
Via Dolorosa Recovery Morehead, KY	The purpose of Via Dolorosa is to serve as a beacon of hope and healing for those affected by substance use disorders. Rooted in spiritual principles, we strive to create a nurturing community that supports personal growth.	Treatments Programs AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health Adult programProgram for men	Via Dolorosa Recovery has no reviews yet. Leave a review.	11 11
Recovery Beach Drug and Alcohol Rehab San Diego, CA	You may have been to other rehabs before, but Recovery Beach will feel different. Every person on staff truly cares about your progress. The environment is safe, calm, and supportive, and the combination of therapy and holistic services can make a huge impact. You can leave feeling stronger, clearer, and ready for long-term recovery.	Treatments Payment Options AlcoholismDrug Addiction Self-pay options	Recovery Beach Drug and Alcohol Rehab has no reviews yet. Leave a review.
Harmony Ridge Recovery Center Barboursville, WV	Searching for a rehab center where you’ll be treated with dignity, compassion, and respect? Harmony Ridge Recovery Center is known throughout West Virginia for its patient-centered approach to addiction recovery. Our licensed clinicians and therapists create personalized plans addressing your unique challenges, ensuring you receive the most effec	Treatments AlcoholismDrug Addiction	Harmony Ridge Recovery Center has no reviews yet. Leave a review.

Frequently Asked Questions

Does Medicaid Cover Drug Rehab & Addiction Treatment?

Yes. The Affordable Care Act and Mental Health Parity and Addiction Equity Act oblige all Medicaid plans to cover mental health and substance use and to cover it at the same level as they cover medical treatment. It applies to Medicaid. Therefore if you have Medicaid you have access to addiction treatment.

Each state can decide within federal guidelines what addiction treatment coverage will look like and who will administer it. You will need to make sure that the treatment center you’re considering takes Medicaid as many don’t. If they do take it keep in mind you may also need prior authorization from Medicaid or the company managing it before you can go.

There are also substance use rehab programs specifically for those with Medicaid. They may be run by nonprofits, the county, or the state. Often these programs will include additional support through community services and resources that benefit lower income individuals and families.

Does Medicaid Cover Methadone and Suboxone Treatment?

Federal Medicaid rules do specifically mention coverage of methadone treatment and other medications for treating opioid addiction. All Medicaid programs will cover medications for opioid use disorder including methadone, buprenorphine and naltrexone. They will also cover the other aspects of medication assisted treatment (MAT) such as counseling and therapy groups.

As with other drug rehab options it’s important to ensure the MAT program accepts Medicaid coverage before you commit to treatment.

Who Does Medicaid Cover?

Medicaid eligibility rules vary by state, but there are some commonalities. In general, Medicaid covers children, adults, and people of native origin. All Medicaid programs have income limits based on household size and some may have asset limits as well.

Every state has a Medicaid program for children. Your children may be able to qualify for Medicaid even if you can’t, which can help them get essential healthcare as they grow and attend school.

In many states you can qualify for Medicaid as a low-income adult without children. The Affordable Care Act offered funding to states that chose to expand their Medicaid eligibility. Many states chose to accept the funding. In those states you can qualify for Medicaid if your annual income is 138% or less of the federal poverty level. In some states, you can also qualify for Medicaid if you’re elderly or disabled and have a lower income.

Some states have a program that will allow you to get Medicaid if you’re the parent or caretaker of someone who gets Medicaid. To qualify, your income would need to be below a certain annual amount that the state determines.

If you’re an American Indian or Alaska Native, the same criteria for Medicaid eligibility applies to you as to people who aren’t tribal members. One important thing to note is that you don’t lose your IHS health services if you get Medicaid. You can still go to see the care team you know if they accept Medicaid coverage. With Medicaid, you’ll be able to get other health services as well, like drug rehab outside your IHS clinic.

How Can I Sign Up for Medicaid?

If you want to sign up for Medicaid, you need to follow the instructions specific to your state. Some states run their Medicaid programs themselves. Others rely on private companies to manage their benefits.

When a private company manages Medicaid benefits, it’s referred to as “managed Medicaid”. If you’re in a state that uses managed Medicaid, you might have to qualify for Medicaid through the state and then sign up for benefits with a company. You can find a state by state guide for how to sign up on the federal Medicaid website.

What Types of Inpatient Rehab Does Medicaid Cover?

When you focus fully on your rehab in a hospital or home like setting that’s known as inpatient or residential treatment. Medicaid generally covers this treatment when your doctor says it’s necessary. There might be limits to the length of stay or specific benefits depending on your plan.

Inpatient and residential treatment facilities often offer medical detox with medication assisted treatment (MAT), using FDA approved medications including methadone buprenorphine and naltrexone. MAT detox is usually done in an inpatient setting or residential setting when the patient is at risk for severe withdrawal symptoms or has other medical or mental health issues that might complicate treatment which makes the availability of 24 hour supervision and monitoring important.

Counseling and psychotherapy are usually part of inpatient or residential treatment. Medicaid covers evidence based therapies such as cognitive behavioral therapy, motivational interviewing, and dialectical behavioral therapy.

What Types of Outpatient Addiction Treatment Does Medicaid Cover?

Outpatient treatment that takes place in a facility that does not provide overnight stays is covered by Medicaid. This can include regular outpatient, day treatment, and intensive outpatient treatment. But services differ according to the HMO provider. MAT treatment delivered as outpatient detox or as ongoing withdrawal medication management during outpatient care are covered. Individual, group, and family counseling are covered if these are delivered using evidence based therapies. Keep in mind that Medicaid does not cover alternative or unproven therapy.

Your Medicaid plan will take care of health screenings to diagnose you and drug and alcohol testing while you’re in rehab. If you have a mental health diagnosis along with substance use Medicaid will cover integrated care that addresses both problems at once.

Depending on your plan and the state you might also be able to get case management services such as assistance finding housing and skills training to prepare for a job. Aftercare peer support that is offered through peer coaching services may also be covered, depending on your insurance plan.

Can I Travel Out of State For Treatment With Medicaid

Medicaid benefits are generally not transferable out of state except that hospitals are required by law to accept patients and provide medical services during an emergency situation where the patient’s life is at risk and travel to their home state for treatment would not be possible.

For non emergency out of state Medicaid coverage you would likely have to get a referral from your physician and an authorization from your insurance provider. This is rare so it’s best to find treatment providers within the network.

What Can I Do if Medicaid Won’t Cover the Cost of Rehab?

Medicaid generally covers the cost of rehab fully in programs that accept Medicaid coverage. If you find that your service is being denied you can appeal. States and individual Medicaid HMOs have different appeal procedures so it is a good idea to check with a lawyer or an advocacy organization if you need assistance.

If you want to attend a treatment program that doesn’t accept Medicaid you’ll need to find another way to pay. Fortunately there are a lot of options. Some treatment plans have a sliding scale where they charge you less if you need assistance. There could be SAMHSA grants or scholarships available from the rehab center.

Also, your family might be able to help you out. The focus is to get the care you really need because once you’re in recovery you’ll be far better able to manage your finances.