Top 4 Rehab Centers That Accept Med-QUEST | Hawaii Medicaid

Medicaid is a health insurance program run by both the federal government and the states to help people with low incomes to very low incomes afford needed health care.

Every state has its own Medicaid plan, and Hawaii is no exception. Like other states, Hawaii’s Medicaid covers the treatment people need to recover from drug and alcohol addiction.

This is vital, for many people find drug rehab treatment so expensive that they don’t seek it or need to withdraw from a program before they are ready to.

Fortunately, Hawaii Medicaid makes substance abuse treatment accessible to many individuals and is accepted at a number of rehab centers throughout the state. Learn which Hawaii drug rehab centers accept Medicaid and the treatment programs offered by these facilities.

Hawaii Medicaid Coverage For Addiction Treatment

Hawaii Medicaid is operated under the Med-QUEST Division, which was set up in 1994 and is a combination of fee-for-service, or FFS, and Managed Care. Fee-for-service is a type of payment arrangement where treatment services are paid for individually and not as part of a bundle.

Managed care organizations contract with the state’s Medicaid program and treat patients at lower costs. In January 2015, the QUEST Integration program was initiated.

This program incorporates:

• QUEST
• QUEST-ACE
• QUEST-Net
• QExA

Med-QUEST also uses managed care providers that include:

• AlohaCareHMSA
• Kaiser Permanente
• Ohana Health Plan
• United Healthcare Community Plan

Hawaii also expanded Medicaid through the Affordable Care Act (ACA) in 2014. This extended eligibility for Medicaid to adults whose annual income was as much as 133 percent of the federal poverty level.

Drug And Alcohol Rehab Programs Often Covered By Hawaii Medicaid

QUEST Integrations’ medical benefits cover behavioral health services for both adults and children. This includes treatment programs for drug and alcohol abuse.

Services include medication-assisted treatment, medication management, and mental health services. There is an additional Community Care Services program that offers more intensive treatments under Medicaid.

These services are provided for adults that meet Community Care Services requirements:

• SBIRT, or screening, brief intervention, and referral for treatment
• treatment planning
• individual therapy
• group therapy
• collateral and family education
• continuous treatment teams
• screening for substance abuse and mental illness
• intensive case management
• outpatient services
• partial hospitalization
• inpatient services
• inpatient hospital service
• medication-assisted treatment
• aftercare
• group therapy
• detoxification

Top 4 Rehab Centers That Accept Hawaii Medicaid

The following are four of Hawaii’s top treatment centers that accept Medicaid. They were chosen for their accreditation, patient recommendations, and high treatment standards.

1. CARE Hawaii, Pearl City Office, Pearl City, Hawaii

CARE Hawaii’s Pearl City drug rehab center is an outpatient treatment facility for children and adolescents. It helps patients through addiction therapies and counseling such as cognitive behavioral therapy, relapse prevention, and motivational interviewing. They also stage brief interventions and practice outreach to the wider community.

They have special programs for adolescents and help patients obtain social services and housing. Other alcohol and drug treatment programs include aftercare, case management, discharge planning, and self-help groups. They also have drug and alcohol screening and peer support services. CARE Hawaii also accepts Medicare.

2. Cynthia Fata LMHC Counseling And Consulting, Hilo, Hawaii

This outpatient treatment center accepts ages from children and adolescents to adults. They help patients overcome addiction through brief interventions, the 12-step program, and other therapies such as cognitive behavioral therapy and motivational interviewing.

The addiction center treats patients who are already on opioid medication and offers counseling for individuals, families and couples. They accept ages from children and adolescents to adults.

3. Po’ailani Inc Outpatient Clinic, Kailua, Hawaii

Poailani offers several levels of outpatient services, including partial hospitalization programs (PHP) and intensive outpatient programs (IOP).

While at the drug and alcohol rehab center, patients can be helped by various addiction therapies such as anger management, motivational interviewing, and relapse prevention. The rehab center practices community outreach and encourages the 12-step approach.

They have many addiction treatment programs that address the different needs of their patients, including programs for:

• veterans
• active-duty military and their families
• seniors
• people with HIV
• clients referred to treatment by the court
• members of the LGBT communities
• people with HIV/AIDS
• people who’ve undergone trauma

They also have language services for hearingimpaired patients and patients who speak languages other than English.

4. Queens Medical Center Behavioral Health Center, Honolulu, Hawaii

This hospital has been caring for the Hawaiian people for close to two centuries, including those with alcohol and drug addiction.

Their addiction treatment includes partial hospitalization, inpatient drug rehab, outpatient rehab, and hospital inpatient service settings. They also have telemedicine therapy for patients who can’t make it to the rehab center or are nervous about in-person treatment due to the COVID-19 pandemic.

Patients in Queens Medical’s substance abuse treatment plans are also helped through group, couples, and individual therapy as well as trauma therapy and behavior modification.

They also help patients with a dual diagnosis. These are patients whose addiction problems are compounded by mental health challenges.

Other programs include diet and exercise counseling, education services, and court-ordered outpatient programs. The age groups Queens Medical accepts range from children to seniors, and there are services for patients who are hearing-impaired.

Hawaii Medicaid FAQs

Determining your coverage for drug and alcohol treatment can be a difficult and confusing process. Fortunately, you are not alone. Below are some of the most frequently asked questions about Hawaii Medicaid.

❓ Does Med-QUEST (Hawaii Medicaid) Cover The Cost Of Inpatient Treatment?

✔️ Hawaii Medicaid covers inpatient treatment for alcohol and drug abuse. Inpatient programs occur at a treatment facility for a specific length of time and are intensive in nature.

❓ Does Med-QUEST (Hawaii Medicaid) Cover Outpatient Treatment Services?

✔️ Outpatient treatment, where the patient receives treatment at the facility for a few hours per week then is discharged, is covered by Hawaii Medicaid. Outpatient programs vary in length and intensity.

❓ Does Med-QUEST (Hawaii Medicaid) Cover Partial Hospitalization Programs?

✔️ Hawaii Medicaid covers partial hospitalization. In this service setting, the patient spends most of the day at the drug rehab center before going home in the evening.

❓ Does Med-QUEST (Hawaii Medicaid) Cover Intensive Outpatient Programs?

✔️ Hawaii Medicaid health plans cover intensive outpatient treatment, which is also called IOP. Which type of outpatient program a person will need may depend on where they are in their recovery.

❓ Does Med-QUEST (Hawaii Medicaid) Pay For Medication-Assisted Treatment?

✔️ Medication-assisted treatment, or MAT, is one of the services covered by Hawaii Medicaid plans. MAT is used to allow patients to benefit from addiction therapies and counseling even as they detox from their drug of abuse.

❓ Does Med-QUEST (Hawaii Medicaid) Cover The Cost Of Suboxone Therapy?

✔️ Hawaii Medicaid covers Suboxone as well as buprenorphine and buprenorphine/naloxone tablets under fee-for-service plans as a pharmacy benefit.

Patients do not have to provide documentation that proves they’re in substance use disorder counseling. The medications do not require prior authorization before they are prescribed by a doctor.

❓ Does Med-QUEST (Hawaii Medicaid) Cover Methadone Maintenance Therapy?

✔️ Hawaii Medicaid pays for methadone as a pharmacy benefit under fee-for-service plans. A pharmacy benefit means the patient can buy methadone at their pharmacy, as long as it is prescribed by a treatment provider.

Paying For Costs Not Covered By Hawaii Medicaid

If Hawaii Medicaid doesn’t pay for certain treatments or services, patients can look for other sources of funding. They include their own savings, cash out of pocket, and private insurance.

Other types of funding include military insurance, and Access to Recovery, or ATR vouchers. Community service block grants, funds offered by the county or local government, and community mental health block grants are also options.

Drug and alcohol treatment centers often offer payment assistance or sliding scale fees to help with copayments and other costs not covered by health insurance, or are free of charge.

Hawaii Medicaid Eligibility Requirements

A person who wants to enroll in Hawaii’s Medicaid plan needs to be in need of health insurance, a resident of the state and must be a national, permanent resident, citizen, or legal alien of the United States.

Their income can’t be above a certain percentage of the federal poverty level, and they must be in one of the following categories:

• responsible for a child 18 or younger
• age 65 or older
• pregnant women
• blind
• disabled or living with a disabled family member

Finding Rehab Facilities That Accept Hawaii Medicaid

A good number of treatment facilities accept Hawaii Medicaid, and most of them have not only remained open but have installed safeguards to protect their staff and their patients from COVID-19.

With this in mind, there’s no time like the present for you or your loved one to seek help for drug addiction. Contact our addiction specialist helpline today for more information about Hawaii drug rehab centers that accept Medicaid.

Published on October 29, 2020

Written by the Addiction Resource Editorial Staff