Inpatient Drug Rehab Medicaid

Medicaid Drug Rehab Centers

Medicaid is designed to help families and individuals from low income households who are eligible for the options it offers. Eligibility must also be recognized by Federal and State law for inpatient drug rehab medicaid and outpatient medicaid drug rehab.

If you enroll into drug rehab centers that accept Medicaid, the program will not pay the money directly to you. Instead, payments will be sent directly to the center you check into. In some states, however, you might also have to pay for some part of the rehabilitation cost – a situation that is commonly referred to as co-payment.

Today, Medicaid covers many people – meaning that they can get into drug rehab centers that accept Medicaid. However, even if you are among these people, there are certain requirements you must meet to be eligible for the financial assistance provided.

Eligibility requirements include:

  • Age
  • Whether you are aged, blind, disabled, or pregnant
  • Your resources and income (if any), including items you can sell for cash, real property, and bank accounts
  • Whether you are a legal immigrant or a US citizen

That said, the rules that apply to counting your resources and income will vary from one state to another as well as from one group to another for innpatient drug rehab medicaid centers.

If you have a child who requires treatment but can only do so utilizing Medicaid, the program may also offset their cost of treatment. However, they must be legal immigrants or US citizens – even if you might not be one. Still, legal permanent residents have 5 year limits placed on their eligibility.

Therefore, you might want to apply for Medicaid particularly if you have a low income and if you match any of the eligibility requirements. Even in cases where you may not be sure about your qualification status, it is vital that you apply for Medicaid before getting qualified caseworkers to evaluate your particular situation. This may be the only option you have to offset the cost of the drug treatment you require.

The Process of Understanding How Drug Rehabs that Accept Medicaid Patients

The health coverage provided through Medicaid comes with substantial benefits that you can enjoy as you seek treatment for a variety of behavioral health concerns – including but not limited to those that revolve around alcohol and drug addiction. Rehabs that accept medicaid is an underserve market, abut here at Qualis Care, we believe everyone should have access to treatment.

To this end, when you check into drug rehab centers that accept Medicaid, you will receive the right treatment in the form of medications used in the treatment of opioid use disorders, detoxification, 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 people – as well as their families – the key to using the benefits provided lies in understanding how coverage works for the treatment of addiction and substance use disorders.

The federal Medicaid website reports that the program now provides coverage for millions of people – including eligible people with disabilities, elderly adults, pregnant women, children, and other adults from low income households. The program is also administered through states but according to certain requirements set by the federal government. As such, this program is funded through partnerships between the federal government and states.


The following are the Medicaid programs according to state:

  • Alabama | Medicaid
  • Alaska | Medicaid
  • Arizona | AHCCCS Arizona Health Care Cost containment System
  • Arkansas | Medicaid
  • California | Medi-Cal
  • Colorado | Medicaid
  • Connecticut | Medicaid
  • Delaware | DMAP Delaware Medical Assistance Program
  • Florida | Florida Medicaid
  • Georgia | Medical Assistance
  • Hawaii | Medicaid
  • Idaho | Idaho Medicaid Program
  • Illinois | Medical Assistance
  • Indiana | Medicaid
  • Iowa | Medical Assistance
  • Kansas | HealthWave
  • Kentucky | Medicaid
  • Louisiana | Medicaid
  • Maine | MaineCare
  • Maryland | Maryland Medicaid Program
  • Massachusetts | MassHealth
  • Michigan | Medicaid
  • Minnesota | Medical Assistance
  • Mississippi | Medicaid
  • Missouri | MO HealthNet
  • Montana | Medicaid
  • Nebraska | Medicaid
  • Nevada | Medicaid
  • New Hampshire | Medicaid
  • New Jersey | Medicaid
  • New Mexico | Medicaid
  • New York | Medicaid
  • North Carolina | Medicaid
  • North Dakota | Medicaid
  • Ohio | Ohio Medicaid
  • Oklahoma | SoonerCare
  • Oregon | Oregon Health Plan
  • Pennsylvania | Medical Assistance
  • Rhode Island | Medicaid
  • South Carolina | Healthy Connections
  • South Dakota | Medicaid
  • Tennessee | TennCare
  • Texas | Medicaid
  • Utah | Medicaid
  • Vermont | Green Mountain Care
  • Virginia | Medical Assistance Program
  • Washington | Medicaid State Plan
  • West Virginia | Mountain Health Choices
  • Wisconsin | Medicaid
  • Wyoming | EqualityCare

 

If you are addicted to drugs or alcohol, it is important that you receive treatment before it is too late. However, many addicts often have financial difficulties arising from their continued substance abuse over the long term – which might affect their ability to earn a living due to job loss and the escalating cost of drugs and alcohol. Still, this should never be a hindrance to getting into rehabs that accept medicaid.

Today, there are many drug rehab centers that accept Medicaid. By getting into one of these centers, you can easily get the treatment and care you need for successful rehabilitation and recovery from your substance use disorder and any other co-occurring disorders you might be struggling with.


Medicaid Coverage for No Insurance Rehab

Medicaid may cover both inpatient and outpatient addiction treatment. One thing to keep in mind is that when addiction treatment involves medical or mental-health care, it is more likely to be covered by Medicaid.

For example, if a physician or other accredited addiction professional determines that inpatient treatment is medically necessary, then Medicaid will cover it. The detox component of rehab often requires medical supervision, especially if the patient displays signs of psychosis or exhibits suicidal impulses, so Medicaid will usually cover such treatment.

Because outpatient treatment usually includes elements of mental-health therapy, inpatient drug rehab medicaid coverage is generally a safe bet here as well. Again, although Medicaid coverage varies from state to state, with outpatient treatment Medicaid generally covers addiction treatment much the same as it covers mental-health treatment.

Steps to Take for No Insurance Rehab

  • Not all addiction-treatment centers accept Medicaid, which sometimes presents difficulties for people seeking treatment. If you are covered by Medicaid and seeking help for an addiction, here are some steps you should take to secure the treatment you need:
  • Contact the local Medicaid office and talk to a caseworker. The caseworker should be able to suggest some treatment facilities and advise you about treatment options that fall within your coverage limits.
  • Contact your county’s mental health board for information about facilities, treatment, and Medicaid coverage. The personnel are usually fairly knowledgeable in these areas.
  • Contact the various treatment centers you’re interested in and simply ask them whether they accept Medicaid and for which treatment options.
  • If you locate a treatment center that meets you needs, be sure to find out how much of your treatment Medicaid covers and whether you will be required to make a co-pay.

What are Medicaid and Medicare?

Inpatient drug rehab medicaidSome 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.

Medicaid for Drug and Alcohol Rehab

Medicaid is a public insurance program for low-income families. Under the 2010 Affordable Care Act (ACA), also known as “Obamacare,” insurance providers (including Medicaid) must cover all basic aspects of drug and alcohol dependency recovery. While inpatient drug rehab 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 (SAMHSA).

Medicaid Eligibility by Income

To be eligible for Medicaid, applicants must be one of the following:

  • Over 65 years old
  • Under 19 years old
  • Pregnant
  • A parent
  • 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 and rehabs that take medicaid.

The ACA requires people to earn less than 133 percent of the federal poverty level (FPL) 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.

As of 2015, the table below explains the maximum income level allowed for Medicaid eligibility.

Medicaid Income Eligibility
Family Size Max. Annual Income
1 $15,654.10
2 $21,186.90
3 $27,121.50

Even if someone meets these income requirements, they may not be eligible for Medicaid. Each state has its own rules for Medicaid eligibility.

What Does Medicaid Cover?

Medicaid recipients don’t have co-payments for addiction treatment in most states. For states that charge co-payments, there is an out-of-pocket maximum set for Medicaid recipients.

Medicaid covers all or part of the following services:

  • Screenings
  • Intervention
  • Maintenance and craving medications
  • Family counseling
  • Inpatient care
  • Long-term residential treatment
  • Detox
  • Outpatient visits
  • Other mental health services

Medicare for Drug and Alcohol Rehab

Medicare is available to anyone over 65 years old and those with disabilities. Medicare is available for a monthly premium, which is based on the recipient’s income. People who earn less pay lower premiums.

Medicare can cover the costs of inpatient and outpatient drug rehabilitation. It consists of four parts that cover different parts of addiction recovery programs.

The Four Parts of Medicare
Part A Insurance for Hospital Stays. Medicare Part A can help pay for inpatient rehabilitation. Part A covers up to 60 days in treatment without a co-insurance payment. People using Part A do have to pay a deductible. Medicare only covers 190 days of inpatient care for a person’s lifetime.
Part B Medical Insurance. Part B can cover outpatient care for addicted people. Medicare Part B covers up to 80 percent of these costs. Part B covers outpatient care, therapy, drugs administered via clinics and professional interventions. Part B also covers treatment for co-occurring disorders like depression.
Part C Medicare-approved Private Insurance. People who want more benefits under Medicare can opt for Part C. Out-of-pocket costs and coverage is different and may be more expensive.
Part D Prescription Insurance. Medicare Part D can help cover the costs of addiction medications. People in recovery often need medication to manage withdrawal symptoms and cravings. These medications increase the likelihood of staying sober.

Are You Ready to get help?

Dual Eligibility

A person can be eligible for both Inpatient Drug Rehab Medicaid and Medicare. If someone is eligible for both, they can apply benefits from each program to their treatment. If you are over 65 or disabled, you may be eligible for both programs.

If you don’t have Medicaid or Medicare, contact a caseworker in your state. He or she can determine if you’re eligible for Medicaid or Medicare.

If you are eligible, the caseworker will walk you through the application process.

If you already have Medicaid or Medicare, you can find a drug or alcohol recovery facility by contacting SAMHSA.