States primarily use Medicaid to pay for inpatient mental health care for people under the age of 21 (referred to as “mental performance under 21 years of age”) and rehabilitation services (known as a “rehab option”) in residential homes. The short answer is yes, Medicaid covers drug and alcohol rehabilitation services. In fact, all health insurance providers provided by government agencies or through health marketplaces must provide coverage for behavioral health services. Addiction services are covered under this umbrella.

To find out if your policy helps pay for treatment, follow the link to get a confidential review of the benefits from our staff. This benefit is significant for Medicaid to help cover the cost of inpatient mental health services. The Federal Medicaid Program does not reimburse states for mental illness (IMD) facilities, except for young people who receive this service and people aged 65 or older who are being cared for in an IMD. At the age of 22, individuals are transferred to community services or non-Medicaid inpatient services.

Yes, Medicaid usually pays for at least a portion of drug and alcohol rehab treatment. State insurance usually covers rehabilitation for most people. While Medicaid often covers substance use disorder (SUD) treatment, coverage for Medicaid addiction treatment also depends heavily on individual state guidelines. In addition, Medicaid rehab insurance coverage may vary depending on the insurance plan.

The costs associated with SUD treatment may vary between Medicaid health insurance members depending on the state. Although “the existing waiver is largely superfluous, the state sees the state plan option more as a “long-term assurance” to have the IMD payment authority. The addiction center does not support a treatment facility and does not guarantee the quality of care provided by a treatment facility or the results to be achieved. In addition to covering new services, states have taken steps to expand or maintain IMD provider networks for SUD services.

While all states that choose to participate in the Medicaid program must cover in-patient hospital services, these services specifically exclude care in IMDs. This rehab center helps patients overcome alcohol and drug addictions through MAT or drug treatment. A PRTF provides comprehensive mental health treatment for children and adolescents (adolescents) who need treatment that can be most effectively delivered in a treatment facility due to mental illness, substance abuse, or severe emotional disorders. American Addiction Centers helps you find treatment, participate in treatment, and improve your overall health and well-being.

Nevertheless, treatment utilization rates (use of treatment services by people with a behavioral diagnosis in the past year), especially for inpatient treatment, remain low among payers. It describes qualified inpatient treatment programs and the IMD exclusion policy, including Centers for Medicare guidance %26 Medicaid services that highlight relevant exceptions for QRTPs that are considered IMD. The cost of drug and alcohol treatment varies from person to person and also depends on the rehabilitation center, the type of program attended, and the specific services. If you choose treatment for drug or alcohol addiction, you can work with your doctor to determine the right continuum of care based on your needs and preferences.

In states that have expanded Medicaid benefits due to the ACA, people who earn 138% above the poverty line can qualify for Medicaid. Administrative data shows large differences in in-patient service use among non-older Medicaid adults receiving mental health or substance use disorder services. States also cover behavioral health services through optional categories of benefits that states can include in their Medicaid programs, such as case management or prescription drugs (which all states do).