Paying For Inpatient Addiction Treatment With Ohio Medicaid
Inpatient addiction treatment services are covered by Ohio Medicaid through all five managed care plans.
To receive coverage, Medicaid policyholders must undergo an initial assessment which shows medical need for substance use treatment.
Limitations may be set for number of days in residential programs, such as 28 days. After that, if an individual needs further addiction care, they may be required to continue on in an outpatient program, providing proof of medical necessity.
Copays are not required for inpatient stays covered through Ohio Medicaid.
The following inpatient services are covered through all Medicaid plans:
- dual diagnosis treatment
- behavioral therapy, such as cognitive behavioral therapy
However, treatment services may be limited to rehab centers which accept Ohio Medicaid plans or through rehab centers which are approved through the Ohio Department of Health.
In July 2018, Ohio Medicaid changed the way it paid for treatment services. Instead of directly paying rehab centers, Ohio Medicaid began working with private providers, like CareSource, to negotiate payment of services.
This helped bring about more complete payment of services and fees, such as inpatient treatment. It also allowed Medicaid to reimburse more qualified treatment providers, such as those found at inpatient rehab centers, at a higher rate than those with lower qualifications.
Gateway Rehab: Neil Kennedy Recovery Centers Youngstown Ohio
Rehab programs offered here include the following:
- inpatient drug rehab and outpatient programs
- extended care to help prevent relapse
- individualized recovery programs tailored to each patient
- assistance with the alcohol and drug detox process
- recovery support groups
- treatment programs for those over the age of 40
Alcohol and drug treatment here is accredited by the Joint Commission.
Location and contact information:
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
Read Also: Orthopedic Dr That Accepts Medicaid
Inpatient Drug And Alcohol Treatment
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.
Does Medicaid Cover Rehab
Yes, Medicaid does often cover rehab. While individual plans and benefits vary by provider and state, Medicaid accounted for 21% of the $24 billion that health insurance payers spent on substance use disorders in 2009.4 Close to 12% of Medicaid recipients over the age of 18 have a substance use disorder.4
The Mental Health Parity and Addiction Equity Act was established to ensure that Americans with mental health issues and substance use disorders could receive the care they need by prohibiting discriminatory practices that could limit insurance coverage for behavioral health treatment.5 Federal guidelines now require Medicaid to comply with parity requirements and allow coverage for mental health and SUD to be no less restrictive than coverage that is available for other medical conditions.5
Recommended Reading: How To Get A Home Health Aide With Medicaid
Medicaid Drug Rehab In Ohio
There are a total of 875 drug treatment centers listed under the category Medicaid drug rehab in ohio. If you have a facility that is part of the Medicaid drug rehab category you can contact us to share it on our website. Additional information about these listings in Ohio is available by phoning our toll free rehab helpline at 866-720-3784.
How To Find Government
Many individuals struggling with drug abuse and alcohol addiction do not seek treatment because of the cost. However, even for addicts and alcoholics in need who have no health insurance or who cannot pay for the overall costs of rehab, there are …
You May Like: Family Of Three Income For Medicaid
How To Find A Facility That Accepts Medicaid For Drug Addiction Treatment In Ohio
Once you have qualified for and enrolled in Medicaid, you can start finding an addiction treatment center. There are several ways to find covered Medicaid drug addiction treatment in Ohio:
- Visit the Ohio Department of Medicaid website. You can search the provider directory for treatment providers. Ohio also offers a Specialized Recovery Services program as a supplement to Medicaid, so it is worthwhile to inquire about it when applying for assistance.
- Visit the Substance Abuse and Mental Health Services Administration website. The treatment services locator can help you find treatment facilities located in and around Columbus, Ohio. Select Medicaid under payment options to narrow your search results down to facilities that are covered.
- You can also do a simple Google search for âMedicaid drug addiction treatment Ohioâ to develop a list of covered facilities in the area.
Take Our Substance Abuse Self
Take our free, 5-minute substance abuse self-assessment below if you think you or someone you love might be struggling with substance abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.
Read Also: Ga Medicaid Income Limits 2020
Accept Medicaid Insurance Drug Rehab Facilities In Mansfield Ohio United States
Medicaid is one of the most common means of state funding for addiction treatment centers. Its the primary source through which patients with no or limited means get the help they need for their alcohol or drug dependency. Medicaid is an ideal option for those who need alcohol or drug treatment but dont have any private health insurance.
These programs generally cover detox as well as outpatient treatment centers. In limited cases, Medicaid may fund inpatient or residential treatment facilities, but outpatient coverage is more common due to the cost differential. Data from Medicaid indicates that nearly 12 percent of Medicaid beneficiaries over 18 suffer from substance use disorder . If you or your loved one are among these numbers, help is only a phone call away.
Finding Effective Addiction Treatment Programs In Ohio
Not all SUD treatment centers accept Medicaid, making it more challenging to afford treatment at their facilities. To help keep drug rehab within your reach, you need to know how to find Medicaid drug rehab centers in your area.
First, you can reach out to Medicaid directly to determine which SUD treatment centers they cover. Either visit the Ohio Department of Medicaid website to search their directory of care providers for a treatment center or call to speak with a representative. They can help you find your local drug rehab and explain your treatment coverage.
The Substance Abuse and Mental Health Services Administration website is always an excellent resource for anything related to substance use disorder treatment. You can use their treatment services locator to find drug rehab centers in your area that accept Medicaid.
If you have a treatment center in mind, perhaps one referred to you by a peer, you can also contact them directly to ask if they accept Medicaid.
Read Also: Can You Receive Both Medicare And Medicaid
Ohio Medicare Alcohol & Drug Addiction Treatment Centers
Medicare recipients are among the fastest-growing population for those in need of substance abuse treatment. There are multiple factors associated with the aging process that render older people increasingly vulnerable to SUD, from the bodys increasing inability to break down prescriptions and alcohol, to sleep disorder, to depression and anxiety over the uncertainty and challenges of old age, and more. At the same time, older Americans find themselves with increasingly limited economic means of paying for the treatment they very often come to so desperately need. Medicare has stepped in to fulfill this need and offer recipients a larger variety of choices while increasing access and affordability.
Medicare can either cover all or part of addiction treatment for those who meet age and other eligibility requirements. Medicare generally covers outpatient programs and medically supervised detox. In some cases, however, the program may cover inpatient or residential care, particularly for those who have not had success in an outpatient facility. We offer an extensive database of Medicare treatment facilities for alcohol and drug addiction, and were ready to help you or your loved one find the treatment center thats right for you. Dont spend your golden years in withdrawal start reclaiming your life from drugs and alcohol today.
- Address: 4410 Carver Woods Drive
- Address: Suite 206
Are There Limits On This Health Plan Coverage Of Rehab
Yes, Medicaid puts limits on the amount of covered services per year in many categories of treatment. Inpatient treatment center programs are typically capped at between 30 and 60 days, although Ohio Medicaid does make some exceptions when necessary. Individual and group therapy, whether its in a residential treatmentenvironment or is a form of outpatient treatment, is limited to 30 hours per week. However, this type of health plan coverage doesnt set limits for participating in an intensive outpatient program with regard to how long you can take part each year.
Understanding benefit limits and the specific details of coverage can be difficult, especially since so many of these answers rely on the specifics of your diagnosis and case. The experienced staff at New Day Recovery is adept at dealing with this health plan coverage, and we understand how to apply for authorizations, provide and document appropriate treatment and bill them for the right services. We work with you to make the entire process as seamless as possible because our belief is that you should concentrate on recovery and not the minutia of insurance policies.
Recommended Reading: Medicaid Breast And Cervical Cancer Program Texas
How Do I Pay For Rehab In Ohio
Your rehab costs depend on your location, the treatment facility, and the kind of treatment you need to get better. If you can’t afford to pay in cash, you should get an insurance cover to help cover part of your treatment.
Most Ohio rehab facilities accept private and public insurance plans like Medicare for addiction treatment. Some also accept military insurance for veterans. Depending on the institution, you can get payment assistance and pay for treatment on a sliding scale according to your income.
Getting help from family and friends can also help with payment, so all your attention is on getting sober and overcoming your addiction.
Medicaid Drug Rehab Center Near Cleveland Oh
Mikaela Taylor is a licensed clinical mental health counselor and is the Vice President of Clinical Operations for Ohio. Mikaela has grown with… read more
The cost of substance use disorder treatment can make some people feel that it is not an option. However, your financial situation should not stop you from getting the treatment you need to overcome SUD. If you are eligible for Medicaid benefits, you can find affordable help from a
Medicaid drug rehab center near Cleveland, Ohio.
If you or someone you care about needs help finding a drug rehab center that accepts Medicaid, look no further than BrightView. We strive to make treatment for substance use disorder accessible to everyone, regardless of their finances.
Call us today at to learn how our Medicaid drug rehab clinic can help you get back on track for a happier, healthier life.
You May Like: Medicaid Omaha Nebraska Phone Number
Drug & Alcohol Detoxification Facilities In Ohio
Ohio is possibly the hardest-hit state due to the opioid epidemic. It holds a distinction as being on 5 out of 6 top 10 lists for opioid overdose deaths and opioid-positive drug tests. Ohio holds 1st place for the number of forensic tests that tested positive for heroin, fentanyl, and oxycodone in 2016, and is in 3rd and 4th place for heroin and fentanyl overdose deaths, respectively. Additionally, Ohio has one of the highest heroin overdose death rates per capita in the country, at about 14 deaths per 100,000 residents. There is also a significant cocaine overdose death rate in Ohio, at roughly 10 deaths per 100,000 residents. Crystal meth is also a significant issue in Ohio, with around 29 overdose deaths per 100,000 residents one of the highest rates in the country. Overall, Ohio ranks #2 in the country for drug overdose deaths, at 39.1 deaths per 100,000 residents. While the drug problem in Ohio is severe, the chances for recovery are also widespread. There are dozens of high-quality drug and alcohol detox centers located all across the state that can provide help to someone struggling with a drug or alcohol addiciton.
The Need For Medicaid Drug Rehab In Columbus
The opioid epidemic has hit every corner of the country, and Ohio is no exception. According to the Ohio Department of Health, the state saw 5,017 drug overdose deaths in 2020, which was a 25% increase over 2019.1 As families around the state struggle to cope with the loss of a loved one, theyre also searching for answers.
For many people, the answer is drug addiction treatment. But traditional drug rehab programs can be expensive, and not everyone has insurance that will cover the cost. Thats where Medicaid comes in. Effective addiction treatment programs with Medicaid coverage can help those in Columbus and beyond get the care they need to recover.
Recommended Reading: How To Get Medicaid Card Online
Addiction Treatment Services Covered By 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:
Arrow Passage Recovery Massillon Ohio
Arrow Passage Recovery is a private rehab center in Massillon, OH that offers inpatient treatment of drug and alcohol addiction.
The treatment facility is:
- a member of the National Association of Addiction Treatment Providers
- rated 4.8 stars on Google
This rehab center offers a variety of treatment programs, including:
- inpatient treatment
- medically-assisted drug and alcohol detox
- one-on-one and group counseling sessions
- access to 24-hour medical attention to help prevent relapse
Location and contact information:
Find the right treatment program in Ohio today.
Arrowhead Behavioral Health serves those with an alcohol or drug addiction in Maumee, Ohio.
This drug and alcohol rehab facility features:
- the gold seal of approval from the Joint Commission
- LegitScript certification
- partnership with the National Action Alliance for Suicide Prevention
The following addiction services are available:
- psychiatric services
The Center for Addiction Treatment is a medically monitored, non-hospital-based detox center in Cincinnati, Ohio.
The location of this rehab center means anyone near the tri-state area of Ohio, Indiana, or Kentucky can seek addiction recovery help.
Here, clients choose between inpatient drug rehab or intensive outpatient treatment.
This drug and alcohol rehab center is backed by:
- Joint Commission accreditation
- partnership with the Ohio Department of Mental Health and Addiction Services
- 4.6 stars on Google
Recommended Reading: How Do I Get My Medicaid Number
What Are Medicaid And Medicare
Some of the most commonly used methods for paying for drug and alcohol rehab, Medicaid and Medicare are federal- and state-funded health insurance programs. These insurance programs can provide free or low-cost drug and alcohol addiction treatment. Each program has different requirements for eligibility.
Medicare and Medicaid may cover part or all of your substance abuse treatment costs.
Every state has different rules for eligibility and treatment coverage. Rules for eligibility also change annually. If you were turned down for Medicaid or Medicare in the past, you could be eligible now.
Break free from addiction.
Ohio Medicaid Insurance Coverage For Addiction Treatment
Services covered by Ohio Medicaid are covered at 100 percent. However, Ohio Medicaid may place limitations on certain aspects of coverage.
Treatment stays in an inpatient rehab center, for example, may be limited to a specific number of days. Outpatient services may be limited to a number of visits per year. Total services covered may also be limited to a specified dollar amount.
Also Check: Is Nebraska Total Care Medicaid
What Should I Do If I Need Rehab Services
Struggling with alcohol or drug addiction on your own is rarely a winning proposition. But fear of the unknown and worries about the financial impact of treatment often keep people from reaching out for help.
No matter what your current insurance situation is or whether you think you can afford treatment, dont make this mistake. Call us today our compassionate admissions counselors are always ready to take your call and listen to your story. We work with you to understand your needs so we can make the right referrals and recommendations for next steps.
Our staff is experienced in addiction treatment, and if your insurance wont pay for rehab at New Day Recovery, we can offer referrals to treatment programs that do accept your policies. If youre struggling financially and dont have health coverage, we can help you apply for Medicaid or understand other options for paying to attend a rehab center.
The important thing to know is that you have options. No matter who you are or what your situation is. Ohio Medicaid is only one of the many options that can come into play, so call us even if you are certain you wont qualify for that coverage. And never assume that you wont qualify eligibility information can be confusing, and you might be surprised to discover what type of assistance is available in paying for drug or alcohol addiction treatment.