Drug Rehab Covered By Medicaid


What Addiction Treatment Services Are Covered By Medicaid In Colorado

Medicaid rule threatens drug rehab funding

Because its a government-funded financial assistance program, Colorado Medicaid does not cover all addiction treatment programs.

The following mental health services and addiction treatment programs are included under Colorado Medicaid:

  • community services
  • Rocky Mountain Health Plans
  • Denver Health Medicaid Choice

Make sure you select a plan that covers the services you need. There are many programs covered by Colorado Medicaid, but each plan differs slightly.

You may begin treatment once youve been accepted into the Medicaid program of your choosing.

How To Find The Right Drug Treatment Facility

If you or a loved one is in need of drug rehab, but dont have the financial stability to pay for it on your own, the first thing you should do is find out if you qualify for Medicaid, and then also determine what services are covered in your state. Talk to a case worker at your local Medicaid office or look at the Medicaid website to find out details about your coverage options. The next thing you should do is find a treatment facility in your area that accepts Medicaid for drug rehab. Keep in mind that even though your services might be paid for by Medicaid, you dont have to settle for poor treatment or an institutionalized feel. The most important thing to look for in a good treatment facility is a program that makes use of proven techniques and that is carried out by caring, compassionate staff. Lighthouse Network can help you or your loved one find the treatment facility in your area that accepts Medicaid for services, and that will effectively meet your needs.

Let Lighthouse Network help you find the right treatment program for you. Dont wait any longer. Whether you need treatment in Georgia or in a different area of the country, contact us at 844-LifeChange today to learn how we can help.

How Do I Find Out Whats Covered

Admissions representatives at the facility youre considering will be able to tell you the scope of your Medicaid coverage by state. Our representatives are standing by 24-7 to help you find a rehab center that offers Medicaid near you. You dont have to struggle with addiction or substance use on your own anymore.

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Does Medicaid Cover Addiction Counseling And Therapy

Yes, Medicaid typically provides coverage for some, if not all, of addiction counseling and therapy. Medicaid is the largest payer for mental health services in the U.S. and plays a significant role in substance use disorder services reimbursement.4 Congress has enacted several laws to increase the accessibility and affordability of mental health and SUD services. One of the most recent laws is the Mental Health Parity and Addiction Equity Act , which requires health insurance providers to offer the same level of benefits for mental health and SUD services that they do for other types of medical care.5

Aegis Treatment Center Bakersfield Ca

Medicaid Insurance &  Coverage For Drug Rehab: Overview

The Aegis Treatment Center in Bakersfield, CA, is a center that has multiple awards declaring it as one of the best in the city. There are two clinics in Bakersfield, one on 21st Street and the other on Columbus Street.

Both of these clinics offer outpatient treatment. Patients with opioid addictions may find this rehab that takes Medicaid to be the most optimal choice for them, as they also provide medication-assisted treatment with methadone and suboxone.

There are several other Aegis centers available in California, so patients who may be located too far from Bakersfield can locate those closest to them to start treatment.

Anyone in need of detox coverage or other services should verify what is available to them in their state.

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Paying For Rehab With Medicaid And Medicare

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Have a confidential, completely free conversation with a treatment provider about your financial options.

Medicaid Insurance Coverage For Drug & Alcohol Addiction Treatment

Medicaid is a government-funded insurance program for low-income individuals. The state-funded, state-run program has specific guidelines for what behavioral health servicesincluding drug and alcohol addiction treatmentare covered by Medicaid, and each states rules vary.

Nearly 12% of Medicaid beneficiaries over the age of 18 have a substance use disorder, and Medicaid does provide some coverage for drug and alcohol addiction rehab and treatment.1 The amount covered for treatment varies state to state and other by factors, including your income and whether or not there is a medical need for treatment.2

In order for Medicaid coverage to pay for rehab expenses, your primary care provider may need to assess you and complete the necessary paperwork before you begin treatment. If you have a rehab treatment facility in mind, ask them if they accept Medicaid insurance and what is required in order for Medicaid coverage to kick in to help offset the costs.

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Medicaid Coverage For Drug Rehab

Medicaid is the state and federally funded program that helps individuals in low-income situations get the medical help they need. Medicaid benefits vary by state, but individuals must be below certain income levels, and not have health insurance otherwise available to them. Medicaid covers most of the expenses for health care, and it is getting better at covering mental health and addiction treatment services as well. As far as drug rehab goes, Medicaid will usually cover inpatient and outpatient treatment, psychiatric care, and medications associated with addiction recovery. Medicaid is more likely to cover services if the person needs medical and mental health care along with their drug rehab. However, coverage varies, and it is important to check with a case worker to determine exact benefits.

Inpatient Drug And Alcohol Treatment

What Drug Rehab Centers Accept Medicaid?

Inpatient rehab programs may be covered by Medicaid, but the amount of coverage and eligible rehab centers will vary by state. Within inpatient treatment , individuals stay onsite at the rehab facility for a number of days or weeks until treatment is completed.

Participants in inpatient rehab programs may take part in a number of therapies, counseling, detoxification, medication-assisted treatment, and more.

Often, Medicaid coverage for inpatient addiction treatment will depend on which rehab center a person chooses to attend. Some private rehab facilities will not accept Medicaid, but many do.

State-funded rehab centers typically accept Medicaid to provide free or low-cost addiction treatment to those in need. However, these facilities may have long waiting lists, so its best to research these treatment centers prior to seeking treatment.

Length of stay for an inpatient program covered by Medicaid may be very specific, such as 28 or 30 days. Longer stays may be approved according to patient need. Speaking to a treatment specialist to determine the exact amount of residential treatment stay covered by Medicaid can help avoid any surprise or excess fees or costs during treatment.

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What If I Need To Stay In Rehab For Longer Than Colorado Medicaid Covers

Colorado Medicaid only covers a certain number of days in a rehab facility. If you want to stay in treatment longer, there are a few other options for financial assistance.

A few of the options are:

  • scholarships from the rehab center
  • government grants
  • sliding-fee scales based on your household income

Medicaid Insurance In The Different Usa States

Each state has category-defined statutes for example, there are low-income seniors, parents enrolled in Medicaid of low-income children, pregnant women, and low-income children of a particular age. Persons with disabilities fall into certain categories as well, if they receive supplemental security income and have no work history they are enrolled in Medicaid to ensure they have health coverage. A person must prove they have a disability, such as blindness, deafness, mental illness, or a physical disability that prevents them from working.

Each state is not required to participate in Medicaid, although every state currently does and complies with federal Medicaid laws. Each state sets standards of eligibility, how much is paid into it, the types of services covered, and all of these changes from state to state as each state administers its own program. In the year 2002, there were close to 40 million Americans enrolled in the program, with the majority of them being children. By the year 2009, there were close to 63 million Americans enrolled in Medicaid and receiving different services and coverage.

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Catholic Health Services Of Long Island Multiple Locations

Catholic Health Services of Long Island is comprised of a network of eight hospitals throughout New York state which offer a range of addiction treatment services, including inpatient, outpatient, medication-assisted treatment, and partial hospitalization programs.

CHS also provides access to a number of resources to help individuals who are seeking addiction recovery. These include a smoking cessation program, vocational training, a faith-based healing program, and pregnancy support services.

Using Florida Medicaid For Medication

Does Medicaid Cover Rehab for Drugs and Alcohol?

Many individuals in addiction treatment will participate in medication-assisted treatment . This treatment involves a combination of medication to ease withdrawal symptoms and manage cravings and a number of therapies.

Fortunately, Florida Medicaid provides coverage for both medication-assisted treatment and medication management.

Medication-assisted treatment takes place in a rehab center, usually during an inpatient or partial hospitalization program. Medication management is a treatment method for the ongoing management of psychological cravings and other withdrawal symptoms which lend to addiction.

Florida Medicaid covers medication-assisted treatment programs for opioid and other addictions which have been approved and certified by the Substance Abuse and Mental Health Services Administration . Medications covered may include the following.

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Applying For Colorado Medicaid

To find out if you qualify for Colorado Medicaid, visit Health First Colorado for application options. They offer a variety of ways to apply, including:

The information and documents you need in order to apply for Colorado Medicaid include the following information for each applicant:

  • Social security number for those who have one
  • Immigration document numbers for non-citizens
  • Name, address, contact information, and birth date
  • Employer and income information for all household occupants. These may include W2 forms or pay stubs
  • Information related to Social Security Administration or Supplemental Security Income payments
  • Any health insurance plans that cover household members, including health insurance and Medicare

Length Of Rehab Stay Covered By Medicaid

The length of time a person spends in rehab depends on their individual needs as well as their specific provider benefits. There is no predetermined length of treatment that applies to everyone. However, evidence indicates that treatment outcomes are contingent on adequate treatment length.10

Each state has different rules for eligibility and treatment coverage for inpatient rehab. Prior to the ACA, addiction treatment services were often not covered by private insurance and were extremely limited for people with public insurance.11 Insurance companies now have to provide a full range of treatment services, including residential treatment for substance use disorders.11

Inpatient treatment can last anywhere from 5-7 days for medical detox and up to 90 days or more depending on a persons needs and how they progress in treatment. Outpatient care can last a year or more.12

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Private Inpatient Drug And Alcohol Rehab Centers

Around 59.3 million Americans aged 12 and older report having used an illegal drug within one year of being surveyed. 1 A substance use disorder is a risk for many, and that risk exists regardless of age, socioeconomic status, or cultural …

drugrehabrehabcovered byrehab

You are not alone.DrugAbuse.com is a subsidiary of American Addiction Centers . Get help with finding the right treatment program when you are ready.

Priority Treatment Is Often Given To Those Who Meet One Or More Of The Following Criteria:

Medicaid work requirement, drug treatment approved as part of HIP 2.0 extension
  • Pregnant women
  • Individuals who also struggle with significant mental health concerns
  • When treatment is mandated through legal or criminal avenues

Each state handles public health treatment services differently. While providers that accept Medicaid are generally open to anyone who needs help, these services are often allocated in priority order. There is often a waiting list for public drug treatment services.

Medicaid is treated like any other insurance by providers that accept it. Medicaid and insurance coverage may put limits on the length of time in treatment or on specific services or medications, but parity laws ensure that these limitations are similar to those associated with other medical issues.

The National Institute on Drug Abuse recommends that no matter what form addiction treatment takes, the program should be at least 90 days to best sustain recovery and minimize relapse.

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Medicaid Varies Somewhat From State To State In Terms Of Eligibility In General A Person Must:

  • Be a U.S. citizen
  • Be a resident of the state where coverage is being sought
  • Meet financial eligibility status, which is commonly 138 percent below the FPL

In addition, a person may qualify if they have a documented disability, such as blindness.To determine Medicaid coverage and eligibility, you will need to go to your specific states Medicaid website and apply. When completing an application on the Health Insurance Marketplace, you can find out which programs you are eligible for and pick one that suits your needs and circumstances.

Substance abuse treatment services must be provided under all plans sold through the marketplace.

  • Treatment for co-occurring medical and mental health services
  • Recovery support

Every state has its own model, and plans within the state can vary as well. The best way to know what your Medicaid insurance will cover is to talk to a representative about your specific plan before seeking treatment services.

Drug treatment centers have trained staff members on hand who can answer questions about payments and health insurance coverage, including Medicaid. They can help you navigate how to pay for services as well.

Finding A Treatment Center That Accepts Medicaid

Finding a treatment center that Medicaid will cover is a bit trickier because the services vary from state to state. The best course of action would be to contact your Medicaid caseworker for a list of centers in your area. If you are not currently covered by Medicaid, you may visit your state assistance website or local office to apply. If you have a list of treatment facilities in mind, call or email the centers directly to ask. Most facility websites will clearly state if Medicaid is accepted.

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Using Florida Medicaid For Inpatient Addiction Treatment

Florida Medicaid plans have specific guidelines for whats covered and how coverage will be provided. Individuals seeking inpatient treatment are required to get a full clinical assessment to show medical necessity.

Inpatient addiction treatment is generally covered by Florida Medicaid if an individual gets a clinical assessment prior to heading to treatment. In most instances, this assessment will be covered by their Medicaid plan. Many rehab centers provide these assessments free of charge.

Cases may vary, but individuals can typically receive coverage for inpatient treatment through Florida Medicaid if they meet one or more of the following requirements:

  • they complete a full clinical assessment which shows the need for substance abuse and/or mental health disorder treatment
  • they display addictive behaviors and/or mental health disorder symptoms
  • symptoms of mental illness or addiction interfere with daily functioning

To be approved for coverage by Florida Medicaid, the inpatient rehab program must be facilitated by a licensed practicioner, such as a clinician, substance abuse technician, or recovery support specialist.

Florida Medicaid reimburses for inpatient rehab services in programs where group sizes are 12 or fewer.

Within these programs, each type of treatment also carries its own coverage requirements. Services may include medically supervised detoxification, medication-assisted treatment, behavioral therapy, counseling, or individual, family, or group therapy.

Addiction Treatment Services Covered By Medicaid

Alcohol And Drug Rehabs That Accept Medicaid

Those who qualify for Medicaid generally do not have a copay for treatment services. For those who do have copays, there is a set out-of-pocket maximum they will be expected to pay. Copay amounts vary by state.

While Medicaid provides coverage for addiction treatment services for individuals who need it, those receiving treatment may have to complete a clinical assessment to prove medical need.

The following are treatment services covered by Medicaid:

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Qualifying For Medicaid In Colorado

The Federal government has general rules and qualifications that affect all states. However, each state handles its own Medicaid program, which means there are varying rules per state. What allows or denies a person coverage in one state may not apply in another one.

Many things determine if a person qualifies for Medicaid. Federal law requires that states provide coverage for groups that include low-income families, qualified children and pregnant women, and those who receive Supplemental Security Income. Individual states can add their own requirements.

The ACA gave states the opportunity to expand their coverage so that it might include a wider variety of people under age 65 who qualify as having low incomes.

Below is a general chart for income levels that determine qualifications for receiving Colorado Medicaid. The maximum monthly income for adults age 19-65 is as follows:

  • Individual: up to $1,415
  • Family of 2: up to $1,911
  • Family of 3: up to $2,408
  • Family of 4: up to $2,904
  • Family of 5: up to $3,401
  • Family of 6: up to $3,897
  • Family of 7: up to $4,394
  • Family of 8: up to $4,890
  • Family of 9: up to $5,387
  • Family of 10: up to $5,884

Keep in mind that you still may qualify even if you make more than the maximum amount. This detailed chart offers a broader overview of incomes that pertain to children, pregnant women, and parents and caretaker relatives.


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