Top 5 Rehabs That Accept Georgia Medicaid

Georgia Medicaid plans provide coverage for a range of substance use disorder treatment services. Several rehab centers in Georgia accept Medicaid plans to ensure that everyone gets the treatment they need.

Rehabs That Accept Georgia Medicaid

Georgia Medicaid makes free or low-cost treatment services possible for more than 17 percent of all low-income Georgia residents.

Essential health benefits covered by all Georgia Medicaid managed care plans include addiction and mental health treatment.

While Georgia Medicaid plans cover addiction treatment services entirely, some rehab centers may not comply with Medicaid.

Before selecting a rehab center, it’s beneficial to first understand which facilities accept Georgia Medicaid plans and which treatment services will be covered by your plan.

Georgia Medicaid Insurance Coverage For Addiction And Mental Health Treatment

All Georgia Medicaid policyholders are first deemed eligible based on low income and other requirements. Once a person is approved for Medicaid, they must choose a managed care plan.

There are four managed care plan providers for Georgia Medicaid:

  • Amerigroup Community Care
  • CareSource
  • Peach State Health Plan
  • WellCare

While managed care plans differ by plan guidelines and levels of coverage, they all cover all levels of addiction treatment.

Rewards Programs

Each managed care plan offers a rewards program. These programs reward policyholders for completing certain essential health benefits tasks, such as well checkups.

For example, individuals enrolled in WellCare’s Georgia Medicaid plan can receive a $30 Visa gift card through the WellCare Healthy Rewards program for completing an initial PCP visit within 90 days of signing up for their plan.

Monthly Premiums And Copays

Georgia Medicaid plans do not require monthly premiums. However, there may be small copays based on each service. In some cases, individuals may be able to get these copays waived.

Inability to pay Georgia Medicaid copayments cannot stop a person from receiving the care, treatment services, or medications they need. If a person is not eligible for fee waivers, they may have to pay copays at a later date.

Treatment Services Covered

For any and all treatment service coverage through Georgia Medicaid, a person must show medical need. This means they must undergo either a clinical assessment or physical or mental exam to show they need help for substance abuse.

The following addiction treatment services are typically covered by Georgia Medicaid when proven medically necessary:

  • counseling, individual and group
  • behavioral therapy
  • inpatient addiction treatment
  • outpatient treatment services
  • intensive outpatient programs
  • partial hospitalization programs
  • intervention services
  • medication management
  • medication-assisted treatment

Top 5 Rehab Centers That Accept Georgia Medicaid

Georgia’s list of rehab centers that accept Medicaid is more limited than in other states. Currently, 15 rehab centers accept Medicaid plans in the state of Georgia.

The following top 5 rehab centers that accept Georgia Medicaid were selected based on:

  • addiction treatment standards
  • alumni reviews
  • facility accreditation
  • rehab program excellence

1. Breakthrough Recovery Outreach, Atlanta, Georgia

Breakthrough Recovery Outreach is a CARF-accredited facility that offers both residential and outpatient treatment for substance abuse and mental health through a holistic approach.

Breakthrough Recovery aims to treat each person as a whole according to their individual needs. Residential programs include long-term (90 days), short-term (28 days), adolescent, and sober living programs.

All addiction treatment programs include a combination of evidence-based and traditional modes of treatment.

Treatments which may be included in an individual’s rehab program include:

  • individual and group counseling
  • behavioral therapy
  • post-traumatic stress treatment
  • trauma-informed treatment
  • meditation and yoga
  • massage therapy
  • music and art therapy
  • reflexology
  • qi gong

Breakthrough Recovery Outreach also strongly believes in a strong support system during recovery.

A comprehensive family program is available, offering:

  • participation in multi-family groups
  • individual family therapy
  • team treatment visits
  • weekly updates on your loved one

Outpatient services include evening intensive outpatient programs for adults and adolescents. This program is designed either for those individuals living in one of Breakthrough Recovery’s sober living homes or at their own residence.

Intensive outpatient programs include many of the same treatments as the residential programs, but occur during the week. This program is ideal for individuals who have transitioned to sober living and are attending school or work during the day.

Other services include aftercare meetings for ongoing recovery dedication, anger management programs, and a risk reduction program.

In addition to accepting Amerigroup and other Georgia Medicaid plans, Breakthrough Recovery Outreach also accepts most private insurance plans, including Aetna, Blue Cross Blue Shield, and Humana.

Location and contact information:

3648 Chamblee Tucker Rd., Suite F
Atlanta, Georgia 30341

(770) 493-7750

2. Highland Rivers Health, Dalton, Georgia

Highland Rivers Health is one of the leaders in mental health and addiction treatment in Georgia, providing both affordable and comprehensive treatment.

Highland Rivers Health offers a range of addiction and mental health services at 12 locations in northwest Georgia.

Services include:

  • outpatient recovery services at eight rehab centers
  • crisis stabilization and detox at three rehab centers
  • separate men’s and women’s residential programs
  • adolescent services

Residential recovery services through Highland Rivers works differently than through other residential programs. This program is available to those who are homeless or extremely low-income who need permanent housing.

Individuals who enter this sober living program must meet certain conditions, including attending treatment and participating in community events.

Services provided by the residential program include:

  • community and daily living skills education
  • links to community resources
  • help writing a relapse prevention plan
  • help with furnishing a person’s residence
  • comprehensive addiction treatment access

The men’s residential treatment program is a six-month, holistic program which aims to help men enter recovery, achieve sobriety, and re-integrate into society.

The men’s only program includes:

  • individual, group, and family counseling
  • 12-step meetings
  • art and nature therapy
  • exercise
  • wellness education
  • volunteer and community participation

A similar program is available for women through the Highland Rivers Women’s Outreach residential treatment program. This program helps women remove substances from their lives in order to remove barriers to treatment and community living.

Components of the women’s only outreach residential program include:

  • average stay of six to nine months
  • sober living environment
  • children ages 13 or younger may come to treatment with their mothers
  • individual, family, and group counseling
  • substance abuse screening
  • behavioral therapy
  • medication management
  • therapeutic childcare
  • GED preparation
  • help with finding and securing employment
  • life skills training
  • co-occurring disorder treatment
  • anger and emotional management

For those who need a less intensive form of addiction treatment, intensive outpatient programs (IOP) are available. These programs can range anywhere from 13 to 26 weeks in length and include intensive behavioral therapy, group counseling, and 12-step support.

Individuals in IOPs move through phases to complete treatment, with each phase lasting between one and two months.

Highland Rivers Health accepts Medicaid, Medicare, self-pay, and most private insurance plans.

Location and contact information:

900 Shugart Road
Dalton, Georgia 30720

3. Pineland Mental Health, Statesboro, Georgia

Pineland Mental Health is a treatment facility for mental health and addictive diseases, as well as for developmental disabilities. The rehab center is CARF-accredited and offers a range of care levels.

Treatment services are available in an eight-county region in Georgia, including:

  • Appling County
  • Bulloch County
  • Candler County
  • Evans County
  • Jeff Davis County
  • Tattnall County
  • Toombs County
  • Wayne County

All rehab locations offer ASAM Level 1 outpatient services. Flexible, customized programs are designed to meet each individual’s unique needs.

Treatments in these programs may include:

  • individual, family, and group therapy
  • addiction education
  • aftercare services
  • medical care as needed

Short-term, residential addiction treatment can be found through the John’s Place location in Bulloch County.

Gender-specific treatment for women can be found through the Women’s Ready for Work program, which serves women in addiction treatment and their children up to 10 years of age.

Individuals in need of detoxification can find outpatient, medically assisted detox services at several Pineland rehab centers.

All treatment programs may include a combination of evidence-based and traditional therapies. For individuals who complete more intensive treatment and are ready to step down, Pineland offers an array of outpatient programs with a continuum of care.

Additional services Pineland can provide to program participants include:

  • anger management
  • case management
  • clinical assessment
  • reports to probation/parole officers
  • reports to other social service agencies
  • treatment for multiple offenders
  • referral information for the judiciary system

Pineland Mental Health accepts Medicaid, Medicare, self-pay, and private insurance plans. Those who must pay privately can have fees assessed on a sliding scale, according to income and other factors.

Location and contact information:

P.O. Box 745
Statesboro, Georgia 30459

(912) 764-6906

4. Recovery Place, Savannah, Georgia

Recovery Place in Savannah offers CARF-accredited addiction treatment.

The following programs are offered through Recovery Place:

  • medically supervised detoxification
  • short-term inpatient treatment
  • dual diagnosis treatment
  • long-term residential
  • relapse prevention
  • outpatient treatment

Each program is tailored specifically to the needs of the individual, working to help them meet recovery goals.

Addiction and mental health treatment services include:

  • 12-step groups
  • family, group, and individual therapy
  • psychotherapy (talk therapy)
  • trauma-informed care
  • experiential therapy
  • medication management
  • medication-assisted treatment
  • spiritual guidance
  • aftercare

The Level Three Residential Program is located in historic downtown Savannah. Individuals in this program reside in sober living condominiums and attend treatment services for about 28 days.

Individuals in need of less intensive, day care can attend the intensive outpatient program. This program provides crisis stabilization, addiction education, group therapy, and individual counseling.

The Level One outpatient program is structured similarly to the intensive outpatient program but with more independence, as participants in these programs live at home.

Individuals can access outpatient services, including evaluation, therapy, and case management, up to three times per week.

Other programs offered through Pinland include family, survivor’s workshop therapy, professional resource, and family resource programs.

Payments accepted here include all Medicaid plans and the following private insurance plans:

  • Aetna
  • APS HealthCare
  • Blue Cross Blue Shield
  • Blue Cross Federal
  • Cameron & Associates
  • Cigna
  • ComPsych
  • Coventry
  • Coresource
  • First Health
  • Human
  • Magellan
  • MHN
  • MHNet
  • The Care Network
  • Tricare
  • United Behavioral Health
  • Value Options

Location and contact information:

835 E. 65th St,
Savannah, Georgia 31405

(912) 355-1440

5. River Edge Behavioral Health, Macon, Georgia

River Edge Behavioral Health provides addiction and mental health treatment and support services for individuals in Georgia.

The facility is CARF-accredited and offers the following drug and alcohol rehab programs:

  • medically supervised detoxification
  • women-only addiction treatment through LifeSPRING
  • men-only addiction treatment through Billingslea Recovery Residence
  • outpatient treatment services, day and evening options
  • supported employment
  • supportive housing

All programs through River Edge are customized for each person.

Treatments and services available here include:

  • clinical assessments
  • family and individual counseling
  • skills training
  • recovery and wellness education
  • medication management
  • group therapy
  • medical care as needed

Outpatient programs are available in Macon-Bibb, Monroe, Baldwin, and Fulton Counties. Residential treatment, crisis stabilization, and detox services are available at the River Edge Recovery Center.

The Recovery Center is a 44-bed residential treatment unit that provides comprehensive addiction treatment.

Here, individuals have access to:

  • assessment, intervention, and support services
  • 24-hour medical care
  • mental health care
  • medication management
  • medication-assisted treatment
  • individual, family, or group counseling
  • aftercare planning and recovery resources

River Edge also coordinates with local, supportive housing resources to help individuals find homes through Housing and Urban Development (HUD) subsidies.

River Edge Foundation is the initiative began in 2007 by River Edge Behavioral Health which helps make all its resources and services available to residents who need it most. River Edge accepts Medicaid and self-pay options.

Location and contact information:

175 Emery Hwy
Macon, Georgia 31217

(478) 803-7600

Paying For Inpatient Addiction Treatment With Georgia Medicaid

Inpatient addiction treatment is covered by all Georgia Medicaid plans when medically necessary.

To be considered medically necessary, treatment must be recommended by a physician, clinician, or other primary care provider after a full clinical assessment.

Inpatient stays are typically covered up to 28 days by Georgia Medicaid, with coverage for longer stays approved upon reevaluation when necessary.

Whether a person will have a copay for inpatient rehab stays depends on which managed care plan they have through Georgia Medicaid.

Inpatient Medicaid copays are assessed daily. If a person is unable to pay their copay, the rehab center may work with them to determine if they qualify for a payment plan, scholarship, grant, or other financial resources which can help ease the financial burden of treatment.

Copays for inpatient stays covered by Georgia Medicaid are assessed as follows:

AmeriGroup

  • $12.50 per day, kids and adults

CareSource

  • $12.50 per day, kids and adults

Peach State Health Plan

  • $12.50 per day, kids and adults

WellCare

  • $12.50 per day, adults
  • $12.50 per day for kids through PeachCare (ages 19 and younger), unlimited stays when medically necessary

Copays may be waived through any Georgia Medicaid plan if the individual is pregnant, under age 21, or meets other certain requirements.

Medicaid covers both traditional and evidence-based treatments for inpatient programs, including the following:

  • individual, family, and group counseling
  • behavioral therapy, such as cognitive behavioral therapy
  • medication management
  • medication-assisted treatment
  • medically supervised detox
  • dual diagnosis treatment

Paying For Outpatient Addiction Treatment With Georgia Medicaid

Outpatient addiction treatment functions with similar goals as inpatient treatment, but on a less intensive scale.

Georgia Medicaid covers certain outpatient addiction treatment services, including:

  • intensive outpatient programs (IOP)
  • partial hospitalization programs (PHP)
  • ongoing medication management, such as methadone maintenance
  • counseling sessions, group and individual
  • behavioral therapy

To be eligible for coverage of certain outpatient services or programs through Georgia Medicaid, a person may have to first show proof of completion of another service or program.

For example, Medicaid guidelines may require that a person receiving coverage for methadone daily doses first have completed 30 days of methadone medication in an inpatient setting.

Individuals who have completed inpatient treatment may have to undergo an additional assessment to show a medical need for ongoing coverage for outpatient treatment.

Copays for outpatient treatment coverage through Georgia Medicaid are as follows:

  • $3 for outpatient hospital services
  • $2 for outpatient services through a federally qualified provider (such as a rehab center)
  • copays are the same for adults and children (age 19 and younger)

These fees are the same for all Georgia Medicaid managed care plans, including Amerigroup, CareSource, Peach State Health Plan, and WellCare.

With outpatient treatment, individuals do not reside in an inpatient facility but attend sessions up to three or four times weekly for one to four hours per day.

Paying For Medication-Assisted Treatment With Georgia Medicaid

Medication-assisted treatment is a form of treatment which involves medication and a number of therapies and counseling.

Certain medications help individuals avoid or ease cravings and other withdrawal symptoms so they can focus more fully on recovery.

Georgia Medicaid plans only cover buprenorphine (Suboxone), methadone (Methadose), and naltrexone (Vivitrol) when proven medically necessary.

Each medication serves its own purpose, such as blocking the effects of opioids or alcohol. Medications can be used both during detoxification, to get through the worst of withdrawal, and in early and ongoing recovery.

Naltrexone (Vivitrol)

Naltrexone (Vivitrol) can be used for individuals in treatment for opioid abuse or alcohol abuse. However, the medication is usually only approved for those who have undergone detox (rid the substance from their body).

Buprenorphine (Suboxone)

Buprenorphine (Suboxone) was recently approved for use in treatment of opioid abuse without medical supervision, or in ongoing recovery. While Suboxone is covered by Georgia Medicaid for used in medication-assisted treatment, it may not always be covered for daily use in recovery.

Methadone (Methadose)

Methadone (Methadose) is the most commonly covered medication in medication-assisted treatment, prescribed for individuals in recovery from opioid abuse.

Georgia Medicaid covers methadone when medically necessary and often approves it for daily use in recovery when an individual shows medical need and has already been using the medication.

Some prescriptions may come with a copay.

Georgia Medicaid copays for prescription drugs are as follows for all managed care plans:

  • preferred drugs (from the preferred drug list): $.50 per medication
  • non-preferred drugs: copay based on price of drug, not to exceed $3 per medication

How To Pay For Costs Not Covered By Georgia Medicaid

Individuals seeking addiction treatment with Georgia Medicaid coverage cannot be turned away for treatment for inability to pay copayments. However, not all rehab centers accept Georgia Medicaid insurance plans.

For this reason, it’s best to first select a rehab center which accepts Georgia Medicaid. This will eliminate the biggest portion of a person’s treatment costs.

Since Georgia Medicaid plans come at no cost to the policyholder (no monthly premium required), the only costs a person must pay come from copays or extended inpatient stays not covered by Medicaid.

Most rehab centers which accept Georgia Medicaid also offer payment plans, such as sliding fee scales which base monthly payment amounts on a person’s income and other qualifying factors.

Private scholarships may be available at certain rehab centers. The state of Georgia also allots a certain amount of funding every year toward substance abuse treatment grants.

Savings or treatment loans are another option. Cost should never hold a person back from entering addiction treatment, and many rehab facilities will work with a person and their family to find a payment plan that suits their needs.

Eligibility Requirements For Georgia Medicaid

To be eligible for Georgia Medicaid, individuals must meet state and federal low-income requirements.

Georgia residents may also qualify for Medicaid if they are:

  • pregnant
  • under age 21
  • over age 65
  • legally blind
  • disabled

Locating A Rehab Center That Accepts Georgia Medicaid

While thousands of people qualify for Georgia Medicaid each year, not all who need addiction treatment can find the help they need.

Finding addiction treatment that matches an individual’s needs may be easier now than in previous years.

Many rehab centers accept Georgia Medicaid plans and many more are willing to work with individuals on customized payment plans.

To find a rehab center that accepts your Georgia Medicaid plan, contact us today.

This page does not provide medical advice. See more
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