Drug And Alcohol Rehab Centers That Accept Florida Medicaid
Medicaid insurance is the single largest payer of mental health treatment services in the U.S. and is quickly becoming one of the largest payers for addiction treatment as well.
For those with Florida Medicaid insurance plans who are seeking addiction treatment, using their coverage can either greatly reduce or completely cover the cost of treatment.
Medicaid is a state- and federally funded insurance program, so Florida Medicaid coverage may have strict guidelines for what’s covered. Also, individuals with this type of insurance may be limited to treatment centers which accept it.
For this reason, it’s a good idea to research which rehabs in Florida accept Florida Medicaid and to understand exactly which treatment services will be covered by an individual’s plan.
Florida Medicaid Coverage For Addiction Treatment
With most Florida Medicaid plans, any addiction treatment services which are covered, including rehab, will be completely covered. Coverage does not include any premiums a person may have to pay, however.
Because Medicaid is typically a plan for low-income individuals, any premiums or copays will generally be very low.
The following addiction treatment services are usually covered by Florida Medicaid plans:
- inpatient drug and alcohol rehab programs
- outpatient addiction treatment
- medication-assisted treatment (MAT)
- behavioral therapy
- 12-step programs
Top Five Rehab Centers That Accept Medicaid In Florida
Before selecting a rehab center, it’s a good idea to explore as many treatment options as possible to ensure an individual gets the most individualized treatment available.
The following is a list of the top five rehab centers that accept Florida Medicaid. Rehab facilities were chosen for their accreditation, experience in treating addiction and mental health disorders, program participant reviews, and selection of treatment services offered.
1. BayCare Hospitals, Multiple Locations
BayCare Hospitals service Florida residents in 15 different locations throughout the state, offering a range of addiction treatment services and programs.
At their Tampa Bay area location, BayCare Behavioral Health, they offer the following services: individual, family, and group counseling; intensive outpatient programs (IOP); dual diagnosis treatment; inpatient treatment; medically supervised detox; and various support services, like Veterans and family support.
2. Meridian Behavioral Healthcare, Multiple Locations
Meridian Behavioral Healthcare is a well-known, accredited outpatient addiction treatment center with over 20 locations and servicing over 12 counties in Florida. Treatment includes services and support for individuals affected by substance abuse, mental health issues, and trauma.
Meridian places a large focus on treating any and all mental health issues, so programs for co-occurring disorders are available and each person receives a clinical assessment. Services include intensive outpatient treatment, counseling, group therapy, employment support, challenge courses, medication-assisted treatment, and more.
3. SalusCare, Cape Coral And Fort Meyers
At SalusCare, no individual is turned away for inability to pay, as they accept Medicaid, Medicare, most private insurance plans, and offer a range of payment options. SalusCare offers six rehab centers in Fort Meyers and one in Cape Coral.
This facility provides a number of services and programs based on individual need. These include intensive outpatient day programs, outpatient evening programs, medically supervised detox, counseling, a community treatment approach, diversion therapy, and a maternal assistance program.
4. Aspire Health, Multiple Locations
Aspire Health has multiple locations in the five Florida counties of Brevard, Lake, Orange, Osceola, and Seminole. Programs are CARF International certified and include co-occurring disorder treatment as well.
Programs here provide comprehensive addiction treatment, including outpatient treatment, inpatient and residential programs, gender-specific treatment, medication-assisted treatment, counseling, and therapy. Services include help with employment, adolescent and youth services, transitional housing, and more.
5. Gateway, Jacksonville
Founded in 1978 by a group of recovering individuals following the 12-step AA program, Gateway has been servicing the Jacksonville area ever since. Programs include 12-step support groups, counseling, behavioral therapy, medication-assisted treatment, detox, and continuing care.
The rehab center offers an accredited inpatient program, outpatient treatment, specialized programs for adolescents, pregnant women, and postpartum women, and recovery housing (sober living).
Knowing which rehab centers will accept an individual’s Florida Medicaid plan can help ease the treatment selection process.
Though these are the top five rehab centers which accept Florida Medicaid, there are more than 50 facilities in the state of Florida which will accept Medicaid.
Using Florida Medicaid For Inpatient Addiction Treatment
Florida Medicaid plans have specific guidelines for what’s covered and how coverage will be provided. Individuals seeking inpatient treatment are required to get a full clinical assessment to show medical necessity.
Inpatient addiction treatment is generally covered by Florida Medicaid if an individual gets a clinical assessment prior to heading to treatment. In most instances, this assessment will be covered by their Medicaid plan. Many rehab centers provide these assessments free of charge.
Cases may vary, but individuals can typically receive coverage for inpatient treatment through Florida Medicaid if they meet one or more of the following requirements:
- they complete a full clinical assessment which shows the need for substance abuse and/or mental health disorder treatment
- they display addictive behaviors and/or mental health disorder symptoms
- symptoms of mental illness or addiction interfere with daily functioning
To be approved for coverage by Florida Medicaid, the inpatient rehab program must be facilitated by a licensed practicioner, such as a clinician, substance abuse technician, or recovery support specialist.
Florida Medicaid reimburses for inpatient rehab services in programs where group sizes are 12 or fewer.
Within these programs, each type of treatment also carries its own coverage requirements. Services may include medically supervised detoxification, medication-assisted treatment, behavioral therapy, counseling, or individual, family, or group therapy.
While all of these services are covered by Florida Medicaid, each has specific guidelines for coverage. These include that the individual’s medical report shows a necessity for the treatment and that each program is facilitated by a licensed professional.
Using Florida Medicaid For Outpatient Treatment
Florida Medicaid coverage for outpatient treatment holds many of the same requirements as inpatient treatment, such as requiring individuals to get a full clinical assessment prior to starting treatment.
One of the largest types of outpatient addiction treatment paid for by Florida Medicaid is community-based day programs.
These programs aim to restore a person’s health by increasing their personal, psychological, physical, social, and occupational functioning without removing them from their home.
Such programs may include intensive outpatient programs (IOP) and outpatient treatment programs. Florida Medicaid will cover approved outpatient treatment services for group sizes with 12 or fewer participants.
Using Florida Medicaid For Medication-Assisted Treatment (MAT)
Many individuals in addiction treatment will participate in medication-assisted treatment (MAT). This treatment involves a combination of medication to ease withdrawal symptoms and manage cravings and a number of therapies.
Fortunately, Florida Medicaid provides coverage for both medication-assisted treatment and medication management.
Medication-assisted treatment takes place in a rehab center, usually during an inpatient or partial hospitalization program. Medication management is a treatment method for the ongoing management of psychological cravings and other withdrawal symptoms which lend to addiction.
Florida Medicaid covers medication-assisted treatment programs for opioid and other addictions which have been approved and certified by the Substance Abuse and Mental Health Services Administration (SAMHSA). Medications covered may include the following.
Methadone is a medication used for both medication-assisted treatment programs in treating opioid withdrawal symptoms and for daily management after treatment ends.
Florida Medicaid covers methadone during inpatient and outpatient treatment programs. Individuals using methadone may also be approved for coverage of take-home doses after 30 days of use.
Buprenorphine (Suboxone) Coverage
Buprenorphine (Suboxone) is another medication for opioid medication-assisted treatment programs which may also be covered by Florida Medicaid. Rather than blocking the effects of opioids, like methadone, Suboxone provides an opioid-like effect without the instant rush of effects which lead to addiction.
Medication-assisted treatment programs must be certified by licensed professionals in order to be covered by Florida Medicaid plans.
How To Find A Rehab Center That Accepts Florida Medicaid
For individuals seeking rehab in Florida, their individual Medicaid insurance plan may cover all of the costs of treatment. Costs that an individual may have to pay will come from any services not covered by Medicaid.
Cost is one of the most-cited reasons for individuals not getting the help they need for addiction and mental health treatment.
With Florida Medicaid and a number of rehab centers that will work with each individual for a targeted payment plan, cost should never keep those seeking recovery from getting the help they need.
Our treatment specialists can help you determine which rehab centers will accept your Florida Medicaid plan, and which have programs that match your unique needs. For more information, reach out to us today.
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- Florida Agency for Health Care Administration — Community Behavioral Health Services Coverage and Limitations Handbook
- Florida Department of Children and Families — Family-Related Medicaid Programs Fact Sheet