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Medicaid Insurance Covering For Drug & Alcohol Rehab

Medicaid Insurance Covering For Drug & Alcohol Rehab


Phone Number

Toll-Free: 877-267-2323

Disclaimer: We do strive to provide the most accurate and updated information about the addiction treatment insurance coverage of each provider. However, policy changes, as well as errors, do occur. So, confirm with your health insurance provider the level of your coverage.

Medicaid Insurance

Drugs and alcohol rehabilitation programs are expensive, especially for low-income earners. Fortunately, Medicaid, a federal health insurance cover specially designed for low-income earners, covers addiction treatment services.

Medicaid can provide treatment services such as detox, therapy, and substance use disorders (SUDs) medication. Read on to find out more about Medicaid Insurance coverage for drugs and alcohol rehabilitation.

Does Medicaid cover addiction treatment?

After the Affordable Care Act of 2010 came into effect, states had to include substance abuse and mental health services in the Medicaid coverage. Additionally, these benefits have to meet the requirements of the Mental Health Parity and Addiction Equity Act. This act is a law that makes it illegal for insurance providers to offer less suitable services for substance abuse and mental health compared to other medical services.

However, each state has different eligibility requirements. Also, each state offers different coverage levels for addiction treatment. Most states will only cover rehabilitation if a medical professional deems the treatment necessary. Also, not all addiction treatment centers accept Medicaid.

Check this link to see the substance abuse benefits Medicaid covers in your state.

What addiction treatment services does Medicaid Insurance cover?

Medicaid Insurance covers the following addiction treatment services.

  • Detox

Detox is the first step in addiction treatment. It helps you safely withdraw from alcohol or drug use in a medically supervised and controlled setting.

  • Short-term and long-term inpatient care

Inpatient residential addiction treatment programs provide the rehabilitation and medical care needed after detoxification. These treatment plans may or may not include detox. Other services included in an inpatient rehabilitation program include individual and group therapy, recovery recreational activities, and 12-step meetings.

A short-term residential program can last between 3 and 6 weeks. Long-term care plans range from 6 months to a year.

  • Outpatient addiction treatment

Most outpatient treatment plans focus on counseling in both individual and group settings. These programs often involve cognitive behavioral therapy, psychoeducation, support groups, and skills development to help addicts cope with life after recovery.

Intensive outpatient services (IOPs), which involve at least none hours of therapy per week, are more effective than standard outpatient programs. IOPs are similar to inpatient programs in both effectiveness and services provided, studies suggest.

Partial hospitalization programs (PHPs) also fall under outpatient care. These programs cater to individuals who need a more comprehensive treatment plan than standard outpatient can offer. PHPs involve more than 20 hours a week. They often involve medically supervised use of medication, therapy, support groups, vocational training, and treatment of co-occurring conditions. PHPs are more comprehensive than IOPs due to the greater time commitment.

  • Counseling and therapy

Recovering addicts often require therapy and counseling to reframe their attitudes and thoughts surrounding substance abuse. Some of the therapy approaches used in addiction treatment include cognitive behavioral therapy, motivational enhancement, and community reinforcement.

  • Opioid craving medications

Even after detox, opioid users feel the urge to use. During detox, doctors use methadone or buprenorphine. After detox, doctors can use naltrexone to fight the cravings and decrease the risk of relapse.

  • Mental health services

About 60% of people suffering from substance use disorders also have a mental health disorder. Such individuals will benefit from a combination of addiction treatment and mental health services.

  • Screening

Medicaid also covers screening, an intervention measure that determines if an individual is at risk of developing a substance abuse problem. Screening also helps identify the right addiction treatment plan.

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