Medicaid Coverage for Addiction Treatment at AdCare

If you or a loved one is struggling with addiction and have Medicaid, you could qualify for free or low-cost drug and alcohol rehab at AdCare. AdCare locations in Massachusetts accept Massachusetts Medicaid (MassHealth) and all AdCare Rhode Island facilities accept Rhode Island Medicaid (Rhode Island Medical Assistance).

Medicaid provides health coverage to over 72.5 million Americans.¹ Low-income individuals/families, pregnant women, and those with disabilities may qualify for Medicaid, which can help pay anywhere from a portion to the full amount of substance use treatment.¹

Does Medicaid Cover Drug & Alcohol Rehab?

Many, though not all, detox and rehab programs accept Medicaid.² If you have Medicaid and need care, you can contact a treatment provider to inquire about the plans they accept. If the facility does accept Medicaid, rehab may be covered in part or in full.

Several AdCare facilities accept Medicaid and will apply this coverage to your treatment. Because we accept Medicaid, you or your loved one may be able to access lifesaving care without an overwhelming financial burden.

MassHealth and Rhode Island Medical Assistance both offer various Medicaid plans, which means your specific coverage may vary. However, federal mandates ensure all coverage complies with substance use and mental health disorder parity requirements.³

The Mental Health Parity and Addiction Equity Act (MHPAEA) prohibits discrimination by health insurance that could limit a person’s coverage for behavioral health treatment and related services.³

This Act requires plans that include mental health and substance use disorder coverage to provide it in a way that is no more restrictive than what the plan makes available for medical or surgical conditions.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 depend on your Medicaid plan and coverage. Factors that impact the cost include but are not limited to:

• The plan you have and the level of coverage.
• The type of treatment (inpatient, outpatient, etc.).
• The length of your treatment.
• Whether you have any additional insurance coverage.

You can call us at to discuss your coverage or .

Using Medicaid to Cover Addiction Treatment

If you aren’t sure how to use Medicaid for drug and alcohol treatment, we are here to help. When you contact us, an admissions navigator will walk you through the process step-by-step, so you don’t have to worry about doing it on your own.

We are here to help you the entire way, from verifying your insurance coverage to getting through the rehab admissions process. We understand that the decision to consider treatment can be overwhelming, and we are here to make the journey a lot less scary.

Our AdCare Locations

AdCare has many rehab facilities in New England offering drug and alcohol addiction treatment in various forms. Your specific rehab insurance coverage in New England may cover medical detox, inpatient, or outpatient treatment.

Located in Worcester, Adcare Hospital accepts Massachusetts Medicaid (MassHealth) plans and offers intensive drug and alcohol rehab in Massachusetts.

AdCare also offers outpatient programs in Worcester, MA, that accept most Massachusetts Medicaid plans.

Additionally, you can find Rhode Island Medicaid-accepted drug and alcohol rehab at our Rhode Island facilities in:

• North Kingstown.
• Warwick.
• Greenville.
• South Kingstown.

Using Medicaid for rehab may be beneficial for your situation. Our local AdCare staff is available 24 hours a day, 7 days a week to assist with any questions or needs you may have regarding how to pay for rehab with Medicaid.