If you have been struggling with a substance use disorder or a mental illness and you qualify for Medicaid, you might be able to use it to offset part or all of your addiction and mental health treatment services and programs.

About Medicaid

A federal and state health insurance program, Medicaid is designed to take care of the costs of mental and behavioral health care services for people who qualify for the program. It mostly targets qualified expectant women, disabled adult children, and low families from low income backgrounds.

Some states also cover other groups, including people who are receiving hospice care as well as foster care teens. The important thing to keep in mind is that eligibility for Medicaid varies from one state to the next.

According to the ACA - the Affordable Care Act - passed in 2010, now states can expand coverage under Medicaid to protect almost everyone with a low income as long as they are under 65 years of age.

The Act also extended eligibility for children to about 133 percent of the federal poverty levels. States can also cover adults who have a low income, below or at 133 percent of this federal poverty level.

Medicaid Coverage for Drug and Alcohol Rehab

The rollout of ACA allowed states to expand Medicaid, such that it now includes benefits and payouts for mental health and substance use disorder treatment and rehabilitation services.

Operated by states, Medicaid has different eligibility requirements. As such, states can offer varying levels of coverage for substance abuse and addiction treatment. in some states, for instance, coverage has been limited according to services received. Other states, on the other hand, will only offer coverage after you have received prior authorization. In yet others, you will only receive coverage if addiction treatment is considered to be medically necessary.

Although Medicaid will often cover mental health and substance abuse treatment services, not every treatment facility will accept it. This means that you might not be able to use it to pay for the recovery services that you receive.

However, most of these facilities will offer insurance benefits checking services to find out the benefits - if any - that you may be able to receive from Medicaid so that you can get help with your substance abuse and addiction.

Services Covered by Medicaid

If you are on Medicaid, you may be covered for the following mental health and substance abuse treatment programs and services. however, you first need to choose addiction treatment centers that accept Medicaid as a form of payment. You should also ensure that the services that you are going to need will be covered by this federal and state insurance program:

  • 12-step support group meetings
  • Ancillary recovery services
  • Behavioral therapy and counseling
  • Cognitive behavioral therapy
  • Community reinforcement
  • Contingency management
  • Educational counseling
  • Employment training
  • Family therapy
  • Group therapy
  • Individual therapy
  • Inpatient addiction treatment
  • Intensive addiction medical care
  • Long-term addiction treatment (residential)
  • Medical detox
  • Medically supervised medication use
  • Medication management
  • Mental health services
  • Motivational enhancement
  • Opioid maintenance
  • Outpatient addiction treatment
  • Psychoeducation
  • Screenings and evaluation
  • Short-term addiction treatment (residential)
  • Skills development
  • Vocational counseling

If you are from a low income background, check in your state to find out if you qualify for Medicaid and if you can use it for your addiction and mental health treatment and rehabilitation.

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