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.

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.

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Addiction Centers That Accept Medicaid

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    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
    3
    Top 10 Rehab In New Jersey
    5.0
    (272 reviews)
    Rolling Hills Recovery Center is a state licensed outpatient drug and alcohol rehab facility 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 community around that person,
    View Website (973) 606-9170
    This recovery center is well structured and has helped me find my way in life. I came in without knowing what I wanted to do for work and having zero work experience besides some part-time jobs. The program is well-organized, focusing on skills to help the patient in a calm and considerate environment. The staff are very respectful and responsible with there jobs, especially the clinical director Laura who helped me through everything. Therapists make treatment plans for you that are specifically tailored to YOU and your situation. I have been in and out of many rehabs and recovery centers over the past three years, but this place helped me the most. Ultimately, I would recommend this place to anyone seeking recovery and help, however do NOT live in their sober living houses!
    Ethan Kuperman
    2 days ago
    I traveled from New York to Rolling Hills Recovery Center in Chester, NJ, and the experience here exceeded expectations. The team provided excellent addiction treatment and compassion. The facility feels calm and supportive you can tell the staff genuinely care about recovery.
    Laura Nano-Vargas
    3 days ago
    I’d recommend this program to anyone looking for NJ rehab centers. The staff at Rolling Hills Recovery Center truly care and go above and beyond to support recovery. If you’re searching for trusted rehab near Morristown, Rolling Hills is a solid, reliable option.
    Tyler S
    3 days ago
    The facilities at Rolling Hills Recovery Center in Chester, NJ 2
    11
    11
    4.8
    (50 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
    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
    3 weeks ago
    Legacy recover has been an amazing experience. I came into the program broken, depressed and lost. The progress i made in the short time is incredible. The staff are amazing and the property is a calming atmosphere. I recommend this recovery program. Everything on its schedule is put together to help every health need.
    Hannah
    1 month ago
    Dave and the team at Legacy Recovery were supportive and dedicated to helping our son with not just sobriety, but more important, his mental health. Our son had attempted suicide and I was so worried about finding him the right help. Legacy’s mental health first and substance abuse second approach is spot on, saving our son through the darkest of days. A big shout out to Melanie for the weekly family therapy sessions. A life saver for me! The counseling provided to family members is outstanding and so helpful with setting boundaries. Legacy’s commitment to help and counsel all the way to and then through sober living, clearly is above and beyond. We are extremely grateful to every single staff member for your caring, professional, supportive, loving and understanding care. Without you, we are not sure that our son would be on this road to recovery. Thank you.
    Terri Mickelson
    2 months ago
    The facilities at Legacy Recovery Center in Chandler, AZ 2
    5
    5
    The facilities at Legacy Recovery Center in Chandler, AZ 1 The facilities at Legacy Recovery Center in Chandler, AZ 3 The facilities at Legacy Recovery Center in Chandler, AZ 4 The facilities at Legacy Recovery Center in Chandler, AZ 5
    Pennsylvania, Pennsylvania
    3.4
    (35 reviews)
    The Behavioral Wellness Center at Girard is located on West Girard Avenue in Philadelphia, Pennsylvania. They offer behavioral health services to address and treat co-occurring mental health issues and substance use disorder through inpatient and outpatient drug and alcohol treatment services. They are located in the Girard Medical Center with ampl
    Great place to get clean & seek help from people who actually want to see you Grow!
    Janis Rodriguez
    9 months ago
    great place! Goldman workers try their best to meet ends with us who are seeking help they are good people! they also helped me get medical to help pay my expenses off down at the admission & get the medication I needed which was a plus!! Thank you bewell i am now sober going on 9 years and counting!!!!!!!!
    Richard Claudio
    9 months ago
    I was a client back in 1999 and have been clean ever since. My experience @ the BeWell center was a positive one. The BeWell center was a place where I felt heard and my feelings were validated. However, I had take that first step and completely surrender. At the BeWell center I lost the ability to continue to lie to myself. After working in this field for the last 22 years at another program, I was fortunate and blessed to come back "home" and work @ the BeWell Center at Girard.
    William Rodriguez
    1 year ago
    Memphis, Tennessee
    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
    Lakeside Behavioral Health System – Dual Diagnosis has no reviews yet. Leave a review.
    Lawrenceburg, Indiana
    1.7
    (9 reviews)
    They offer residential care providing long term support for addiction recovery, as well as flexible outpatient or online addiction therapy allowing patients to live at home while receiving regular treatment. Additional levels of care offered include relapse prevention and 12-step therapy. Specialty rehab programs at Community Mental Health Cente
    My experience with CMHC varies. Thankfully, most of it was positive. I been going here since 2020 or earlier. My therapist, at the time, was very helpful but eventually quit. This led to me meeting my new therapist. Very kind, sweet, and goes up and beyond for my mental health. However, that cannot be said about my previous psychiatrist. She kept on booking up her appointments to the point she could barely see me or anyone, leaving voicemails doesn't do anything, and I even went to the hospital after I told her I needed different medicine and she "couldn't be seen" despite it being an emergency. Don't get me wrong, my psychiatrist was intelligent, but incredibly and sadly unavailable. I believe she has quit working there or has very limited patients now. When trying to find ANOTHER psychiatrist from CMHC, they were all booked up constantly. So I just found an online psychiatrist and went from there. TLDR: I'm glad I got the help I needed and still do, but I understand everyone's bad experiences here too. It does not surprise me. However, I would give this place a chance if it meant my mental health was on the line.
    echodood
    1 month ago
    They take the time to listen to you on what you have to say and they do what they thinks best for you
    kristen greive
    9 years ago
    Pennsylvania, Pennsylvania
    5.0
    (7 reviews)
    Casa de Conserjeria y Salud Integral is located on West Allegheny Avenue in Philadelphia, Pennsylvania. They provide behavioral health services to address and treat co-occurring mental health issues and substance use disorder. They are located in an urban neighborhood of Philadelphia, providing a residential-type setting with on-street parking. Loc
    Casa de Conse Jeria Drug and Alcohol has no reviews yet. Leave a review.
    Casa de Conse Jeria Drug and Alcohol PA 19133
    Vanceburg, Kentucky
    They offer flexible outpatient addiction therapy allowing patients to live at home while receiving regular treatment. Specialty rehab programs at Comprehend Inc Lewis County CMHC include tailored care focusing on women's specific needs and experiences and gender-specific addiction treatment addressing unique challenges faced by men.
    Comprehend Inc Lewis County CMHC has no reviews yet. Leave a review.
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    Frequently Asked Questions

    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.

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