Medicaid Coverage for Addiction Treatment at AdCare
Medicaid provides health coverage to more than 72.5 million Americans.1 It is designed to assist low-income individuals and families, pregnant women, and those with disabilities, potentially covering some or all costs associated with substance use treatment.1
If you or a loved one is struggling with addiction and have Medicaid, you may be eligible for affordable or even free drug and alcohol rehabilitation services at AdCare. Our facilities in Massachusetts accept Massachusetts Medicaid (MassHealth), while all AdCare locations in Rhode Island accept Rhode Island Medicaid (Rhode Island Medical Assistance).
Does Medicaid Cover Drug & Alcohol Rehab?
Many detox and rehab programs accept Medicaid, though not all do.2 If you have Medicaid and are seeking treatment, it’s a good idea to contact a provider to see which plans they accept. If they accept Medicaid, your rehab costs may be partially or fully covered.
Several AdCare facilities accept Medicaid, allowing you or your loved one to access critical care without facing significant financial strain.
Both MassHealth and Rhode Island Medical Assistance offer different Medicaid plans, so your coverage may vary. However, federal regulations ensure that all coverage meets the parity requirements for substance use and mental health disorders.3
The Mental Health Parity and Addiction Equity Act (MHPAEA) prohibits discrimination in health insurance coverage that could restrict access to behavioral health treatment. This law mandates that plans offering mental health and substance use disorder coverage must do so under the same terms as medical and surgical benefits.3
What Kinds of Drug & Alcohol Treatment Are Covered by Medicaid?
Medicaid covers different levels of addiction treatment depending on the type of plan. The types of treatment approved may depend on your treatment needs.
The following may be covered by your Medicaid plan:4
- Health screenings and labs
- Psychological/behavioral health consultations as needed
- Medical detox (inpatient or outpatient)
- Medications for opioid or alcohol use disorders
- Intensive inpatient addiction treatment
- Standard outpatient addiction treatment
- Intensive outpatient (IOP) addiction treatment
- Individual, group, and family counseling
- Treatment for co-occurring mental health disorders
Individuals with MA or RI Medicaid plans may be covered for some or all the above forms of treatment with AdCare. Our admissions team can discuss with you which types of care your plan may cover.
Am I Responsible for Anything When I Use Medicaid?
Your financial responsibility will vary based on your Medicaid plan and its specific coverage. Several factors influence the cost, including:
- The specific plan you have and the level of coverage it provides.
- The type of treatment you receive (inpatient, outpatient, etc.).
- The duration of your treatment.
- Any additional insurance coverage you may possess.
You can call us at to discuss your coverage or .
Using Medicaid to Cover Addiction Treatment
If you’re uncertain about how to use Medicaid for drug and alcohol treatment, we’re here to help. When you reach out to us, an admissions navigator will guide you through each step of the process, so you won’t have to navigate it alone.
From verifying your insurance coverage to guiding you through the rehab admissions process, we’re here to support you every step of the way. We understand that deciding to seek treatment can feel overwhelming, and our goal is to make this journey much easier for you.
Our AdCare Locations
AdCare operates multiple rehab facilities in New England, providing various forms of drug and alcohol addiction treatment. Your specific rehab insurance coverage in New England may include options such as medical detox, Adcare inpatient addiction treatment, or outpatient programs.
Located in Worcester, AdCare Hospital accepts Massachusetts Medicaid (MassHealth) plans and offers intensive drug and alcohol rehab in Massachusetts.
In Rhode Island, you can find Medicaid-accepted drug and alcohol rehab at our Rhode Island facilities in North Kingstown and Warwick.
Using Medicaid for rehab can be beneficial for your situation. Our local AdCare team is available 24/7 to answer any questions you may have and assist you with the process of using Medicaid to cover rehab costs.
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