Medicaid Insurance for Rehab

Treatment Programs for Substance Abuse: What Does Medicaid Cover?

Medicaid is a program that was put into place by the federal government and is administered at the state level. It’s used to fund health care services for low-income individuals and families who meet a set eligibility standard. According to, more than 72.5 million people are covered under this program. Medicaid provides healthcare coverage to individuals, families, seniors and people living with disabilities.

Medicaid and the Affordable Care Act of 2010

When the Affordable Care Act of 2010 became law, it allowed states to extend Medicaid coverage to almost all low-income state residents (citizens or lawfully present non-citizens) aged 65 and younger. The Act also allowed people who were newly eligible for Medicaid benefits to receive either a “benchmark benefit or benchmark equivalent package.” This benefit or package includes a minimum level of healthcare coverage that includes access to substance abuse treatment.

Rules for Coverage of Treatment for Substance Abuse Programs

Since Medicaid is administered at the state level, the rules for subscribers who wish to receive treatment for substance abuse can vary depending on where they live. Before starting a treatment program, it’s a good idea to check with the state Medicaid agency to confirm the proposed treatment plan will be covered.

If prescribed addiction medications have been suggested as part of a drug or alcohol treatment plan, this becomes even more important. Depending on the state, a Medicaid agency may require evidence that a subscriber is receiving or enrolled in a behavioral therapy program. “Talk therapy” has been shown to be an effective part of substance abuse treatment, both on a one-on-one and on a group basis.

Find a Detox and Rehab Center that Accepts Medicaid

You can find help to get on the path to recovery, but you need to find out about what your coverage will provide you with in real terms.

  • How many sessions or days of treatment can you receive?
  • Does it pay up to a daily maximum?
  • What services are covered? Which ones are excluded?
  • Which drug and alcohol treatment centers near you accept Medicaid?

Even if Medicaid doesn’t cover certain substance abuse treatment services, you may still be able to find resources to help you find the right program, scholarships, financing options and other help. Contact us today to get no-cost information.

Call: 888-694-3198