Summit Community Care Coverage for Addiction Treatment Services
Discover how Summit Community Care supports Arkansas Medicaid patients with addiction treatment and personalized care coordination.
Summit Community Care Coverage for Addiction Treatment Services
Discover how Summit Community Care supports Arkansas Medicaid patients with addiction treatment and personalized care coordination.
Summit Community Care is an Arkansas Medicaid provider serving people with behavioral health needs and/or developmental or intellectual disabilities in Arkansas.
They’re one of four companies that have the specialty program called Provider Led Arkansas Shared Savings Entity (PASSE). PASSE involvement and the Medicaid services that are accessed through PASSE are managed for patients by a care coordinator.
The personal care coordinator for a patient oversees their needs and accesses services to help them maintain their independence.
Each patient of a care coordinator receives a person centered service plan that outlines what kinds of services they will receive and when and how often each service will be utilized.
Does Summit Community Care Cover Addiction Treatment?
Does Summit Community Care cover addiction treatment and drug rehab services? Yes. In compliance with the 2008 Mental Health Parity Act, Medicaid insurance offers mental health and substance abuse treatment in addition to medical care.
Their PASSE program provides substance abuse treatment for patients when it is requested by their care coordinator. The specific amount of time treatment is covered will depend on the plan and the medical needs of the individual.
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Very helpful for mental health. I will say you get as much out of here as you put in. My therapist and the staff have been wonderful and I’ve learned a lot of useful tools for my life moving forward. I’m not fixed, but I have more balance.
I was so scared and nervous upon just asking for help. Thank you God I came here the staff are so caring and understanding no judgment was passed at. Morning noon or night they are here for you. The facility its self is 10/10 the staff is 109% on your side ready to listen and help. Most places you have to tell half truths here NOPE the all understood where you are coming from and are so. Amazing and down to earth and couldn’t be better. This has been the best experience of my life and after detox they make all the arrangements for you and are more than happy to do. Thank you so much to all the staff for the loving care
Tammie Reeves
2 days ago
My stay at the Haven was excellent! I came in broken and sick and everyday I am feeling better. Ashley, Roni Anthony and Jose have been super helpful. I am looking forward to my future !
Lisa Williams
6 days ago
I have nothing but gratitude for the Haven. The staff was supportive and accommodating in meeting my needs. I walked in feeling low and ashamed, I was never judged only encouraged. I left with my head high and with the knowledge and tools I need to live a better life.
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This place saved my life!! I can’t say enough about the staff there!! I don’t even know where to start!! From the Dr’s (Larry & Ardrienne), to the nursing staff (Ms Dee, Sharlene, Kristy, Mia, Victoria, Jess, Jeff, etc) down to the techs. I definitely need to say a huge thank you to Shannel for looking out for me when I needed it most! Carla for always being a huge bright spot in the morning and always being chipper, aka The BeBop twins!! David for playing cormhole with us and always treating us like peers!! Everyone is amazing thought!! I will never be able to say enough about this place!! If you need help for ANYTHING pleases reach out and they will come get you!! If nobody has told you they love you today, I do!! It’s never to early or to late!!
Kevin Fry
1 week ago
Great experience, has been very helpful to my recovery. The techs are awesome, especially Chanel and Carla the super Mario sisters lol! There all great thought. Gonna miss you girls hope they give you a raise after this review haha. Sincerely bowser!! Bigjohn! Gonna miss all the staff. Almost forgot my boy David you the man give him a raise too!
john Francis
1 week ago
I want to start by saying this place saved and changed my life due to the excellent text the housekeepers are great the food's even better and the therapist have got what it takes and I can't say anything but thank you Jesus for this place don't think twice about coming come on
Great place. Great people. Recommend for anyone struggling with an addiction.
Kenneth Rohrman
6 days ago
Absolutely amazing
Kaitlynn Wanke
1 week ago
A great experience overall. I’m so grateful for the services and a staff (nurses, techs, case management) that really cares about clients.
I’m also grateful for the cleanliness of the facilities—the custodial staff is excellent.
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Excellent coordination of care team. Communication was timely, professional, and client focused. The staff were easy to work with and helped ensure smooth transitions and continuity of care. Highly recommend Haven Detox!
Jordan Garcia
1 week ago
The haven is the best place I have been to it’s easy to tell they truly care about your recovery wether it’s mental health or addiction the program is amazing and all the staff truly give it their all in wanting you to succeed not only in the program but in aftercare to it personally changed my life around all for the better and I can’t recommend this place enough and I hope anyone looking for help comes here you will feel a sense of community and care that you didn’t think was possible and know that this place will help you get over your struggles and the staff is amazing the best I’ve ever come across it’ll be worth it for you please give this place a chance and you won’t regret it!!!
Leland Marshall
1 week ago
I am a family member of a client here. Marcus was my contact and provided updates with compassion and efficiency by phone.
Doesn’t get any better in terms of quality from a rehab center. Caring and compassionate staff that goes above and beyond!
Hector Muniz
3 days ago
Such a fantastic outpatient location of the best recovery network in the state. Pam and Carmella are absolutely wonderful! Sometimes outpatient programs seem boring or pointless but Carmela and Pam work hard to keep interesting and meaningful topics for discussion! Nurse Practitioner Yfat (Eve) is the most intelligent and compassionate outpatient provider I have EVER had ! My time spent in virtual IOP at the Carmel location of ICFR really complimented my post inpatient treatment. If you are considering bettering your life, a choice of attending ICFR Carmel either virtually or in person will be a choice you do not regret!
Matthew Salmons
2 weeks ago
I’ve had a great experience doing IOP with ICFR. Pamela, Carmela and Dana have been lots of help and great listeners. Thank you everyone!
I attended the virtual IOP with Trish and really had a wonderful experience. The content was revenant and thorough and just some worksheets to kill time and take your money. Trish was knowledgeable, kind, and patient without being a pushover. I had been to lots of other places in lots of areas but this IOP experience, I feel, really started me on the road to recovery which I couldn’t even fathom when I started. Thank you so much to the virtual IOP people, especially Trish!
michelle
4 months ago
My time at ICFR Lafayette has been such a positive experience for me. My therapist Patricia Wilkerson is like no other. She has given me the tools and confidence to go on after leaving treatment. You can tell she is passionate about helping others and she meets you exactly where you are.
Stephanie Bernethy
6 months ago
Tricia is an absolutely amazing therapist!!! She makes everyone feel important,seen, and heard! She makes me you feel like you matter and you are her top priority! Her groups are also well planned and very helpful to ser you up for success! Would highly recommend.
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Frequently Asked Questions
What Types of Inpatient Addiction Treatment Are Covered by Summit Community Care?
When a person is treated in a hospital or home like environment for a period of time, that’s known as inpatient or residential care. You can get multiple types of treatment in an inpatient rehab.
The detoxification process to remove drugs from the patient’s body is often medically monitored to ensure safety and comfort. PASSE patients are eligible for drug detox services if requested by their care coordinator.
Inpatient treatment in a clinic or hospital for crisis stabilization and/or drug or alcohol rehab is covered by Summit Community Care’s PASSE Medicaid program. Your care coordinator will request services and work with other staff to develop your treatment plan.
What Types of Outpatient Rehab Are Covered by Summit Community Care?
When you live at home or a sober living facility and attend treatment a few hours a week, that’s known as outpatient care. There are several types of outpatient rehab.
PHP drug programs, known as day programs typically have sessions several times a week that last about six hours a day.
Clients return home each evening. PHPs are covered by Summit Community Care, but patients would have to be recommended by their care coordinator to participate in a PHP program. Higher functioning PASSE patients might be offered PHP treatment services.
General outpatient drug rehab treatment programs that provide individual and group counseling a few hours a week can be accessed through Summit Community Care. Outpatient treatment is available at Federally Qualified Health Centers and other community-based rehab facilities.
The PASSE patient’s care coordinator would locate an appropriate facility for the patient, and would make arrangements for treatment, including transportation to and from the facility.
What Special Programs Does Summit Community Care Offer?
The company works hard to ensure members have the specialized care they need. That’s why there are a variety of unique programs available to those with a Summit Community Care plan.
For eligible members, the Summit Community Care Healthy Rewards program offers monetary rewards of $10 to $50 to patients who meet certain health service goals, such as attending sessions with their behavioral health provider.
The company has recovery Support Partners/Coaches that work one on one with patients to help them meet their recovery goals and maintain sobriety. For those interested in a supported drug free living environment, Summit Community Care offers Therapeutic Community Residency. These shared homes help you build community and work on your recovery skills in daily life.
They offer Supportive Life Skills Development to help patients learn and practice skills for daily living. Behavioral Assistance is also available as needed to help patients appropriately manage their emotional and behavioral interactions.
Does Summit Community Care Cover Methadone & Suboxone (MAT)?
Medication assisted treatment is a comprehensive approach to addressing challenges with substance use disorders and addiction. MAT is particularly helpful with opioid and alcohol addiction. The treatment combines FDA approved medications with counseling and behavioral therapies. Medications can include methadone, buprenorphine, Suboxone, and Naltrexone.
Using medications helps to reduce withdrawal symptoms and prevent dangerous side effects that can occur during the withdrawal of certain medications. MAT also helps reduce cravings and provides a foundation for your recovery journey. MAT also helps to increase treatment retention and decrease the risk of overdoses and relapse.
This is one step in a holistic and evidence-based treatment plan aimed at your long-term recovery. Most state Medicaid programs reimburse for some forms of MAT. However, they may also impose certain constraints, such as limiting the medications used or the length of time medications can be prescribed. State programs often have requirements such as prior authorization to reduce costs and ensure that the drug is part of a customized treatment program.
Most State programs also limit quantities or doses to avoid potential misuse. As part of the Arkansas Medicaid program Summit Community Care offers coverage for Methadone and Suboxone medication assisted treatment. However your plan may require a referral from your care coordinator and documentation for prior authorization.
How to Verify Coverage With Summit Community Care
Your coverage with Summit Community Care may vary based on several factors. These include whether the treatment center is in network and if you have prior authorization for care. Your plan may also place limits on aspects of your treatment. Verification of coverage helps ensure that you do not receive an unexpected bill.
To verify your coverage you can contact the Summit Community Care customer service line to ask questions about your plan. You also have an online membership platform where you can get information about your benefits and coverage.
Most treatment centers can help verify your insurance coverage and can tell you if they are in network with your Summit Community Care plan. You can also speak with your care coordinator to get more details about coverage and to discuss a necessary referral before you begin treatment.
Can I Travel Out of State For Treatment With Summit Community Care?
Generally, Medicaid plans do not cover out of state care unless it is a life threatening emergency. Medicaid plans use state and federal funds but are administered by your state. This means that the plans can vary from state to state and your coverage does not extend into other states even those that border Arkansas.
In certain circumstances such as to see a specialist that is not available in your state you may have coverage for treatment. However it’s important to ensure you have prior authorization and approval from your care coordinator before you receive treatment or you may have to pay for everything out of pocket.
Does Addiction Treatment Need to Be In Network
Summit Community Care insurance plans are structured to provide medical care and substance use disorder treatment within their network. Summit has developed a wide range of high quality providers within the area to help address your needs and, including addiction treatment and treatment for co occurring mental health conditions.
You must work with your care coordinator to find an in network rehab treatment center that is capable of addressing your unique needs. Your care coordinator has access to a list of resources within the state that meet the criteria for coverage under Summit Community Care. Working together with your coordinator you can receive the care you need in a timely and efficient fashion.
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Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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