Medicaid is a state and federal health insurance plan created in 1965 that helps patients with low incomes receive necessary health care, including treatment for substance abuse.
As of 2020, every state in the union, including Delaware, has a Medicaid plan, though there are differences from state to state.
There are some rehab centers in Delaware whose services are free, but they are not numerous. And even modest fees for addiction treatment can become unaffordable for many patients over the long-term. If not for Medicaid, many of these patients would not seek treatment at all.
Thankfully, the Medicaid insurance program is accepted at a number of alcohol and drug treatment facilities throughout the state, making treatment programs accessible to more individuals facing drug or alcohol addictions.
Delaware Medicaid Coverage For Alcohol And Drug Treatment
Delaware’s Medicaid program is the Diamond State Health Plan. The plan was developed by the Division of Medicaid and Medical Assistance, or DMMA, along with Delaware’s Division of Services for Aging and Adults with Physical Disabilities.
It utilizes managed care organizations, or MCOs, to deliver services to enrollees. Most people choose an MCO or have one chosen for them by a Health Benefit Manager.
People who aren’t in an MCO include those who are also eligible for Medicare, people who live in a nursing home, people who are considered aliens, and people who already have military health insurance.
MCOs that partner with the Diamond State Health Plan are United Healthcare, including UnitedHealthcare Dual Complete, and Highmark Health Options.
In January 2014, Delaware expanded its Medicaid coverage as per the Affordable Care Act (ACA). Enrollment for Medicaid runs from November 1 to December 15.
Drug And Alcohol Rehab Programs Often Covered By Delaware Medicaid
In 2016, Delaware Medicaid was updated to make sure that its substance use disorder, or SUD, plan covered a range of treatments, including inpatient and outpatient treatment and medication-assisted detox.
The state’s Division of Substance Abuse and Mental Health uses the START, or Substance Use Treatment and Recovery Transformation, to help patients with addictions. This initiative makes substance abuse treatment easier to navigate and provides more customized care for the patient.
Treatments for substance abuse which may be covered by Medicaid plans include:
- screening and evaluation
- outpatient counseling
- medication maintenance
- continuous treatment team programs
- case management
- mental health services
- inpatient treatment service
- long-term or residential treatment
- treatment for addicted patients referred by Drug Courts
- medication-assisted treatment
Top 4 Rehab Centers That Accept Delaware Medicaid
The following are four treatment facilities in Delaware that accept Medicaid. These drug rehab centers were chosen for their high standards of care, accreditation, and patient reviews.
1. Connections CSP Dover, Dover, Delaware
Connections is an outpatient treatment center that helps patients recover from alcohol and drug addictions through medication-assisted treatment, or MAT.
Medications used are Vivitrol, naltrexone, and buprenorphine. The treatment center is also part of a SAMHSA-certified opioid treatment program. They also have computerized treatment, which is a benefit in a time of the COVID-19 pandemic.
Besides opioid and alcohol addiction treatment, Connections offers the Matrix Model for patients with addiction to stimulants such as methamphetamine.
They offer rational emotive behavioral therapy, cognitive behavioral therapy, and relapse prevention and help patients with a dual diagnosis.
These are patients who need both mental health treatment and treatment for alcohol or drug addiction. They also have programs for lesbian, gay, bisexual, or transgender patients, seniors, and pregnant women, and postpartum women. There are special treatment programs for veterans, active-duty military, and military families.
Patients are also helped with employment training and are given assistance with social services, housing, and transportation.
Location and contact information:
1114 South DuPont Hwy.
Dover, DE 19901
Find a treatment program that accepts the Diamond State Health Plan today.
Call to be connected with a treatment specialist. 100% Free and Confidential.(844) 616-3400
2. Delaware Guidance Services For Children And Youth, Wilmington, Delaware
This outpatient treatment facility helps children, adolescents, and young adults combating addiction through behavior modification, dialectical behavior therapy, and trauma therapy.
Cognitive behavioral therapy and individual psychotherapy are also offered. The addiction center provides family psychoeducation and operates a crisis intervention team.
Delaware Guidance Services has language services for patients who are hearing-impaired or speak Spanish.
Location and contact information:
1213 Delaware Ave.
Wilmington, DE 19806
(302) 652-3948 ext. 1121
3. MeadowWood Behavioral Health, New Castle, Delaware
This addiction treatment center offers medication-assisted treatment to patients with opioid, alcohol, and benzodiazepine addictions. They use buprenorphine in treatment and even offer buprenorphine detoxification. Their service settings include hospital inpatient, partial hospitalization, and outpatient drug rehab.
Drug addiction therapies at MeadowWood include anger management, motivational interviewing, and relapse prevention. They practice community outreach, brief interventions, and endorse the 12-step program.
They also have special programs for adolescents, adults, and seniors and accept patients who are already using opioid prescription medications.
Location and contact information:
575 South DuPont Hwy.
New Castle, DE 19720
4. Rockford Center, Newark, Delaware
This recovery center offers partial hospitalization and hospital inpatient treatment where patients are helped through group and individual therapy as well as cognitive behavioral therapy. Trauma therapy is also available.
The drug and alcohol rehab center has treatment programs for patients with a dual diagnosis, members of the LGBT community, veterans, and patients referred to treatment by the drug courts. They have programs for veterans and active-duty military and their families and accept ages from children to seniors.
Rockford Center has language services for hearing-impaired patients, and patients who speak Spanish, Native American languages including Ojibwa and Hindi.
Location and contact information:
100 Rockford Dr.
Newark, DE 19713
Diamond State Health Plan (Delaware Medicaid) FAQs
When looking for addiction treatment, it is important to find a rehab center that works with your insurance provider. Below are some of the most frequently asked questions about what Delaware Medicaid (Diamond State Health Plan) does or does not cover for addiction treatment.
❓ Does Diamond State Health Plan (Delaware Medicaid) Cover The Cost Of Inpatient Treatment?
✔️ Delaware Medicaid covers the cost of inpatient treatment for substance use disorders, including short-term and long-term residential treatment.
❓ Does Diamond State Health Plan (Delaware Medicaid) Cover The Cost Of Outpatient Treatment Services?
✔️ Delaware Medicaid health plans cover outpatient treatment. Under Delaware Medicaid, outpatient treatment is considered a type of community support.
❓ Does Diamond State Health Plan (Delaware Medicaid) Cover Partial Hospitalization Programs (PHP)?
✔️ Delaware Medicaid pays for partial hospitalization, a form of outpatient services where patients are treated at their rehab facility for a longer period of time than in intensive outpatient treatment.
❓ Does Diamond State Health Plan (Delaware Medicaid) Cover Intensive Outpatient Programs?
✔️ A patient in intensive outpatient treatment, or IOP, usually spends at least nine hours per week at their treatment facility. This usually breaks down into three, three-hour-long counseling sessions. Delaware Medicaid covers this treatment program.
❓ Does Diamond State Health Plan (Delaware Medicaid) Pay For Medication-Assisted Treatment?
✔️ MAT, or medication-assisted treatment, is covered by Delaware Medicaid health insurance. MAT is now considered part of standard SUD treatment. It allows patients to detox while under supervision.
❓ Does Diamond State Health Plan (Delaware Medicaid) Cover The Cost Of Suboxone?
✔️ Suboxone, buprenorphine, and buprenorphine/naloxone tablets are covered under Delaware Medicaid as a pharmacy benefit under fee-for-service plans. This means patients can buy the prescription drugs at their pharmacy, and they are paid for individually as opposed to being part of a treatment package.
However, the patient needs to provide proof that they’re in SUD counseling. The medications also need prior authorization before they’re prescribed.
❓ Does Diamond State Health Plan (Delaware Medicaid) Cover The Cost Of Methadone?
✔️ Like Suboxone, methadone is covered under fee-for-service plans under Delaware Medicaid. The patient also needs to show proof that they’re in SUD counseling.
Paying For Costs Not Covered By Delaware Medicaid
If Delaware Medicaid doesn’t cover a treatment or a rehab program, a patient has several options to choose from. Some patients have both Medicaid and Medicare, and one plan may cover treatment that the other does not.
Other types of funding come from homeowner loans, crowdsourcing, the patient’s own savings, and private insurance plans. Other ways to pay for treatment services are payment assistance from the facility itself and sliding scale fees.
Patients can also look into:
- military insurance
- state welfare funds
- child and family service funds
- state corrections funds
- community service block grants
- block grants from community mental health
- Department of VA funding
Delaware Medicaid Eligibility Requirements
As Medicaid is there to help low-income people, a person who wishes to enroll can’t have an annual income above a certain percent of the federal poverty level.
For example, a single person can’t make more than $783 a month before taxes or have assets worth more than $2,000. A person must also be a permanent resident, national citizen, or legal alien of the United States and live in Delaware.
They must be in need of health insurance and fall into at least one of the following categories:
- pregnant women
- responsible for a child who is 18 or younger
- age 65 or above
- disabled or living with a disabled family member
Policyholders who receive Delaware Medicaid can still work and receive Medicaid and own their home and one vehicle.
Finding Rehab Facilities That Accept Delaware Medicaid
If you or a loved one has a drug or alcohol addiction but believe you can’t afford treatment, consider one of a number of treatment centers that accept Medicaid.
Most of these recovery centers are open even during the pandemic and have taken additional safety steps to protect patients and staff.
For more information about drug and alcohol rehab centers that accept Medicaid, get in touch with one of our addiction specialists by calling our helpline today.
Published on November 4, 2020
Addiction Resource aims to provide only the most current, accurate information in regards to addiction and addiction treatment, which means we only reference the most credible sources available.
These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. Learn more about how we safeguard our content by viewing our editorial policy.
- Benefits.gov — Delaware Medicaid
- Delaware.gov — Medicaid
- Delaware.gov — Substance Abuse
- Delaware.gov — DHSS Launches START Initiative to Engage More Delawareans Suffering from Substance Use Disorder