Who May Receive Nursing Facility Services
NF services for are required to be provided by state Medicaid programs for individuals age 21 or older who need them. States may not limit access to the service, or make it subject to waiting lists, as they may for home and community based services. Therefore, in some cases NF services may be more immediately available than other long-term care options. NF residents and their families should investigate other long-term care options in order to transition back to the community as quickly as possible.
Need for nursing facility services is defined by states, all of whom have established NF level of care criteria. State level of care requirements must provide access to individuals who meet the coverage criteria defined in federal law and regulation. Individuals with serious mental illness or intellectual disability must also be evaluated by the state’s Preadmission Screening and Resident Review program to determine if NF admission is needed and appropriate.
Nursing facility services for individuals under age 21 is a separate Medicaid service, optional for states to provide. However, all states provide the service, and in practice there is no distinction between the services.
In some states individuals applying for NF residence may be eligible for Medicaid under higher eligibility limits used for residents of an institution. See your state Medicaid agency for more information.
Understanding Drug And Alcohol Treatment Facilities That Accept Medicaid
In effect, Medicaid is intended to help families and persons from low income households who meet criteria for the options it offers. Eligibility must also be recognized by state and federal law.
If you enroll into drug and alcohol rehab facilities that accept Medicaid, the center will not pay the money directly to you. Instead, the money will be sent directly to the facility you enroll in. In some states, however, you may also have to pay for some portion of the rehab cost – a situation that is commonly referred to as co-payment.
Today, Medicaid covers many individuals – meaning that they can get into alcohol and drug rehabilitation facilities that accept Medicaid. However, even if you are among these individuals, there are certain criteria you must meet to be eligible for the financial assistance provided.
Some of these eligibility requirements include:
- Whether you are aged, blind, disabled, or with child
- Your resources and income , including items you can sell for cash, real property, and bank accounts
- Whether you are a legal immigrant or an US citizen
That said, the criteria that are used to determine your resources and income will differ from one state to another as well as from one group to another.
Our Approach To Addiction Treatment
At BrightView, we offer a comprehensive outpatient addiction treatment model that addresses the needs of the whole person: what we call the biopsychosocial model of care. This includes four components:
- First, there is medication that can help to ease cravings and withdrawal symptoms.
- Then there is therapy, which includes individual sessions and group counseling to promote healing and relational development.
- The third component of treatment is social support services to ensure that all needs are methousing, employment, insurance, transportation, family services, and more.
Recovery can be challenging, so its helpful to have encouragement from someone who has walked a similar path to your own. BrightView centers are located throughout Ohio, including Columbus, to provide care for all of the needs of patients facing substance use disorders. Our evidence-based treatment programs ensure that when someone is ready for help, they are equipped with proven programs for the best chances of success. If you are looking for drug rehab in Columbus, insurance and payment for rehab may be a concern. Its important to know that BrightView accepts all insurances, including Medicare, Medicaid, TriCare , and all commercial insurance plans.
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Nova Behavioral Health Dayton Ohio
Residential programs through Nova are specialized to meet the needs of a specific group and include:
- womens treatment program: short-term, gender-specific program for women which focuses on exploring their emotional, social, and life issues
- mens residential program: short-term, gender-specific program for men focuses on helping men overcome their issues
- dual disorder treatment: involves a combination of mental health counseling and therapy and substance use treatments
- Morningstar program: a program for individuals with a prominent mental health disorder and a minor substance use problem
Due to the variation of programs offered at Nova Behavioral Health, programs are highly customized and may include a number of the following treatments:
- 12-step group involvement
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Alcohol And Drug Rehabilitation Programs That Accept Medicaid
If you are addicted to drugs and alcohol, it is crucial that you receive rehabilitation before it is too late. However, many addicts often have money troubles arising from their persistent alcohol and drug abuse over the long term – which may affect their ability to earn a living due to job loss and the escalating cost of drugs and alcohol. Still, this should never stop someone from getting into rehabilitation.
Today, there are a large number of drug treatment facilities that accept Medicaid. By getting into one of these programs, you can easily receive the treatment and care you need for effective rehabilitation and recovery from your substance abuse disorder and any other co-occurring disorders you might be struggling with.
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How Alcohol And Drug Rehabilitation Facilities That Accept Medicaid Work
The health coverage provided through Medicaid comes with substantial advantages that you can benefit from as you enroll in rehabilitation for a number of behavioral health issues – including but not limited to those that revolve around drug and alcohol addiction.
To this end, when you enroll in alcohol and drug rehabilitation facilities that accept Medicaid, you will have access to the right treatment in the form of prescription drugs used in the rehab of opioid use problems, detox, short or long term inpatient services, outpatient services, and recovery support.
Medicaid is so widespread that by 2017 more than 68 million Americans were enrolled into the program. For these individuals – as well as their families – the key to using the benefits offered lies in recognizing how coverage works for the treatment of drug and alcohol addiction and substance use disorders.
The federal Medicaid website reports that the program now offers coverage for millions of individuals – including eligible individuals with disabilities, the elderly, pregnant women, children, and other adults from low income households. The program is also run through states but according to certain criteria set by the federal government. As such, this program is funded through partnerships between the federal government and states.
- Outpatient services
Private Rehab Centers That Accept Medicaid
Unlike state-funded rehab centers, privately owned recovery centers are often for-profit and many do not offer free treatment services.
However, they may accept Medicaid as well as other insurance carriers, such as Blue Cross Blue Shield , UnitedHealthcare, Humana, and many more.
What to know about private treatment centers that accept Medicaid:
- They offer similar services to state-funded rehab centers, but may provide longer residential stays, depending on what is covered by your insurance plan and availability.
- They may not provide free treatment, but insurance may cover up to 100% of treatment costs, and they may offer payment plans with sliding scale fees.
- They may accept both Medicaid and private health insurance plans.
- These rehab facilities may have immediate availability.
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Medicaid For Drug And Alcohol Rehab
Medicaid is a public insurance program for low-income families. Under the 2010 Affordable Care Act , also known as Obamacare, insurance providers must cover all basic aspects of drug and alcohol dependency recovery. While Medicaid covers substance abuse treatment, not all facilities accept Medicaid as a form of payment. To find a recovery provider that accepts Medicaid, get in touch with the Substance Abuse and Mental Health Services Administration . Additionally, individuals can find a directory of rehabs and insurance providers here to aid in the search for local treatment centers and centers throughout the country.
Featured Centers Accepting Medicare and/or Medicaid
- Within a specified income bracket
In some states, Medicaid covers all adults below a certain income level. Those who receive Supplemental Security Income are often automatically eligible for Medicaid.
The ACA requires people to earn less than 133 percent of the federal poverty level to be eligible for Medicaid. A person living above the poverty level may still be eligible for government insurance if they fall in the right income bracket.
Even if someone meets income requirements, they may not be eligible for Medicaid. Each state has its own rules for Medicaid eligibility.
Federal Requirements Specify That Each Nf Must Provide At Least:
- Nursing and related services
- Specialized rehabilitative services
- Medically-related social services
- Pharmaceutical services
- Dietary services individualized to the needs of each resident
- Professionally directed program of activities to meet the interests and needs for well being of each resident
- Emergency dental services
- Room and bed maintenance services
- Routine personal hygiene items and services
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Focus Residential Group Llc
Focus Residential Group Llc is a dual-diagnosis treatment center in Franklin Furnace, Ohio that offers treatment services for drug or alcohol use and mental health disorders that include PTSD as well as paranoid personality disorder.
Address: 326 Gervais Road, Franklin Furnace, OH 45629 in Scioto County
Services included:
- People with HIV or AIDS, rehab for adult women and sexual abuse victims
- Residential rehab, short-term residential treatment and long-term residential treatment
- Housing services, peer support and social skills training
- Inpatient treatment for dual diagnosis
- Accepts Medicaid
Using Your Medicaid Plan To Cover Addiction Treatment
If you want to use your Medicaid plan to cover treatment for drug or alcohol addiction, its important to consider some key factors.
First, make sure you choose a rehab center that accepts Medicaid. Not all treatment centers will comply with Medicaid coverage, and its best to know before heading to rehab if the rehab center youre considering accepts your plan.
Talk first with a treatment specialist or your Medicaid provider to ensure you have everything in place before heading to treatment. This can include getting an assessment from a primary care provider or getting the necessary paperwork in order.
Whatever is needed, it is helpful to have all factors in place before beginning treatment. Figuring out how to pay for addiction treatment using Medicaid will provide some financial relief and ease some of the concern associated with entering treatment.
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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.
Examples Of Behavioral Services Covered By Ohio Medicaid
Ohio Medicaid many mental health services and substance abuse treatments. Often, these services do not require any copay if they are provided within network.
Mental Health Services:
- Opioid Addiction Management
In order to receive assistance, it is important that you verify that the treatment provider accepts Ohio Medicaid. In addition, the actual number of treatment hours for behavioral services that are covered per year will depend on your specific plan and Medicaid Managed Care Organization.
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What Will My Medicaid Plan Cover For Drug Rehab
Medicaid health plans cover a range of treatment programs for drug and alcohol addiction. Covered services may include inpatient drug and alcohol rehab, residential treatment, detox programs, and an array of outpatient services.
Check with your state plan to know which services you may be able to access.
Ohio Medicaid Managed Care Organizations
Most people will receive coverage through a Medicaid Managed Care Organization .
An MCO is a private health insurance company that provides other services in addition to the traditional Medicaid program.
The following MCOs are currently being offered:
- UnitedHealthcare Community Plan of Ohio
- Humana Health Plan of Ohio
- Molina Healthcare of Ohio
- Anthem Blue Cross and Blue Shield
- CareSource Ohio
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What Are The Eligibility Requirements For Medicaid
The biggest requirement people must meet to obtain Medicaid is financial eligibility. The insurance program is aimed toward low-income people and families.
The Affordable Care Act established income eligibility requirements based on a persons modified adjusted gross income .
People who are at or below a certain percent of the federal poverty level typically qualify for Medicaid.
Each state, however, can choose whether to extend Medicaid eligibility to adults with income at 133% of the poverty level.
In other words, to know if you will qualify for Medicaid based on your income, you will have to check state-specific eligibility requirements.
Medicaid is available across the U.S. to low-income people who are:
- blind or disabled
Common Addiction Treatment Programs Covered By Medicaid
In addition, Medicaid covers major alcohol and drug addiction treatment needs, including inpatient rehab programs, outpatient services, mental health services, and medication-assisted treatment.
Coverage may depend on verified medical needs and may be limited to care within a certain, eligible rehab center.
If you want to use Medicaid to seek treatment for a substance use disorder, it may be worthwhile to know if your plan covers the following major treatment methods.
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Finding Rehab Centers That Accept Ohio Medicaid Plans
New changes to the Ohio Medicaid plan in 2018 made it easier to secure high-quality addiction treatment services.
Ohio Medicaid paying for more qualified service providers opens the door for Medicaid recipients to get the best care possible for addiction treatment, leading to a long-lasting recovery.
It may now be easier to secure excellent addiction treatment in Ohio than ever before. For help in locating rehab centers in Ohio that accept Medicaid, contact one of our treatment specialists today.
Written by the Addiction Resource Editorial Staff
Addiction Resource aims to provide only the most current, accurate information in regards to addiction and addiction treatment, which means we only reference the most credible sources available.
These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. Learn more about how we safeguard our content by viewing our editorial policy.
- Benefits.gov Ohio Medicaid: Program Descriptions
Faq About Medicaid Coverage For Drug And Alcohol Treatment Centers
- Do all drug rehab centers accept Medicaid? No, not all drug and alcohol treatment centers accept Medicaid insurance to cover the cost of treatment at their drug rehab facilities.
- How do you get Medicaid to pay for a drug rehab center? Medicaid will cover all or part of the primary aspects of addiction treatment services. Some states do require a co-payment for substance abuse treatment programs. READ MORE
- Will Medicaid cover all my treatment costs for drug addiction treatment? The short answer to this question is most of the time. Medicaid will offer various different treatment methods and services. READ MORE
- Who is eligible to use Medicaid for substance abuse treatment programs? Everyone who has Medicaid may be eligible to enter into treatment for an addiction problem. To be eligible for Medicaid you must fall under the criteria laid out by each state. READ MORE
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How To Check My Anthem Coverage For Rehab In Ohio
Finding a treatment facility can feel overwhelming but knowing in advance what your Anthem Blue Cross Blue Shield insurance will cover can give you peace of mind. The good news is, checking your coverage is easy. To learn about your specific coverage, contact one of our admissions navigators at , , or fill out the form below.
Dayton Va Medical Center
Dayton Va Medical Center is a dual diagnosis treatment center in Dayton, OH that provides treatment services for substance use and mental health disorders that include personality disorders as well as binge eating.
Address: 4100 West 3rd Street, Dayton, OH 45428 in Montgomery County
Services included:
- Sexual abuse victims, people with co-occurring pain and substance use and rehab for seniors
- Inpatient treatment for drug/alcohol addiction and mental health diagnosis
- Intervention services and domestic violence services
- Accepts private health insurance
- Residential rehab, intensive outpatient treatment program and regular outpatient treatment
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Recovery Services Of North West Ohio
Recovery Services Of North West Ohio is a dual-diagnosis treatment center in Fayette, OH that offers treatment services for substance abuse and mental health disorders that include mood disorders as well as antisocial personality disorder.
Address: 25212 U.S. Route 20, Fayette, OH 43521 in Fulton County
Services included:
- Co-occurring addiction and mental health treatment, people with trauma and adult women
- Inpatient treatment for drug/alcohol addiction and mental health diagnosis
- Long-term rehab, 30 and 60 day inpatient rehab programs and residential long term rehab
- Case managers, sober housing services and self help meetings
- Accepts Medicaid
Oriana House Akron Ohio
Oriana House offers a number of addiction treatment services in Cuyahoga County, North Central Ohio, Summit County, and South East Ohio.
Oriana House programs are run through the community corrections programs, funded by the State of Ohio.
Individuals within Ohio county jails and state prisons can enter Oriana House rehab programs for substance abuse and mental health treatment.
Court-ordered rehab is also offered for those seeking addiction treatment in lieu of jail time.
Benefits for recovering individuals in Oriana House programs include:
- improving the individuals integration back into the community
- providing individuals with more affordable addiction treatment options
- increasing accountability, as individuals who fail to complete the program will face consequences
- reducing continued crime and drug use, for a longer-lasting recovery
Residential rehab programs through Oriana House focus on the re-entry process, helping individuals who have been pre-released from prison or jail. The Cuyahoga County program also provides treatment for individuals awaiting trial.
Outpatient rehab programs are individualized, and include:
- individual counseling and case management
- medical monitoring when needed
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