Top 5 Rehab Centers That Accept Illinois Medicaid (Medical Assistance Program)

Medicaid is one of the largest providers of healthcare coverage in Illinois. Individuals can receive addiction treatment coverage using their Illinois Medicaid plan. It is best to find rehab centers which accept Medicaid before selecting a rehab program.

Drug Rehab Centers That Accept Illinois Medicaid

Rehabs That Accept Illinois Medicaid (Medical Assistance Program)

Illinois Medicaid and CHIP medical assistance programs now cover 2.9 million state residents, with 20 percent of those residents eligible for coverage due to the new plan expansion.

The Medicaid expansion in Illinois broadened eligibility requirements, making the healthcare coverage program readily available for more state residents.

Some of the essential health benefits covered by Illinois Medicaid include mental health and addiction treatment. New guidelines under the expansion have also brought about more comprehensive treatment options for substance abuse and mental health.

Individuals with Illinois Medicaid plans can use their coverage to seek addiction treatment. Finding a rehab center in Illinois which accepts their Medicaid plan first can make this process run more smoothly, easing financial concerns.

Illinois Medicaid Insurance Coverage For Addiction And Mental Health Treatment

Illinois residents who have been deemed eligible for Medicaid will first have to enroll in one of the program’s managed care plans.

Depending on where they reside in the state, all Medicaid residents have access to at least five different plans.

Managed care plans for Illinois Medicaid are provided through commercial insurance carriers and include the following:

  • Blue Cross Blue Shield of Illinois
  • CountyCare
  • Harmony Health Plan
  • IlliniCare Health Plan
  • Meridian Health
  • Molina Healthcare of Illinois
  • NextLevel Health

Premiums And Copays

Depending on individual plans, Illinois Medicaid policyholders may have a small monthly premium, due on the 20 of each month. Premiums are based on income and other factors.

Copays are part of each plan and are based on services. Individuals cannot be turned down for services based on inability to pay copays, but may have to make these payments at a later date.

General copays for Illinois Medicaid include: $3.90 for hospital/inpatient stays daily, $3.90 for brand name prescriptions, and $2 for generic prescriptions.

Addiction Treatment Services Covered

All Illinois managed care Medicaid plans cover addiction and mental health treatment services.

The following treatments are currently covered:

  • inpatient treatment
  • outpatient treatment
  • medication-assisted treatment
  • counseling: group, family, individual
  • therapy: behavioral, evidence-based, traditional
  • medication management
  • medically supervised detoxification

Part of the new Illinois Medicaid expansion revised and expanded guidelines for substance abuse and mental health treatment, attempting to give individuals more complete options for recovery.

The following treatment services are covered by Illinois Medicaid plans as of 2018:

  • short-term inpatient treatment
  • withdrawal management (such as medication-assisted treatment)
  • home health services for babies born to opioid-addicted mothers
  • job and transportation services

Top 5 Rehab Centers That Accept Illinois Medicaid

Medicaid insurance plans are widely accepted in the state of Illinois, with over 100 facilities accepting Medicaid coverage for addiction and mental health services.

This list of top 5 rehab centers in Illinois which accept Medicaid was compiled based on:

  • facility accreditation
  • positive reviews
  • degree of program excellence

1. Chestnut Health Systems, Bloomington, Illinois

Chestnut Health Systems is an addiction and mental health rehab center offering a range of treatment programs accredited by the Joint Commission.

Chestnut provides rehab programs in four locations, with inpatient treatment offered at its Bloomington facility.

Outpatient, medication-assisted treatment with Suboxone, and intensive outpatient programs are offered at its three sister locations in Belleville, Granite City, and Maryville.

Chestnut rehab centers can treat a variety of addictions and mental health issues, as well as gambling addiction and financial issues.

Services are provided for children, adolescents, and adults.

Inpatient treatment is gender-specific and individual programs may include:

  • counseling
  • addiction education
  • self-help groups
  • life-skills training
  • relapse prevention
  • stress management
  • coping strategies

Payments accepted through Chestnut Health Systems include Medicaid, private insurance plans, and private pay.

Location and contact information:

1003 Martin Luther King Dr.
Bloomington, Illinois 61701

(309) 827-6026

2. Human Resources Development Institute, Chicago, Illinois

Human Resources Development Institute (HRDI) provides a wealth of low-cost and affordable, CARF-accredited rehab programs throughout Chicago.

Residential addiction treatment and mental health treatment is provided at three rehab locations:

  • Near West (for men)
  • Harriet Tubman (for pregnant and non-pregnant women and their children under age four)
  • Essence House (for women with co-occurring disorders)

Outpatient addiction and mental health programs are provided at an additional rehab location for children, adolescents, and adults.

HRDI places a large focus on complete treatment of co-occurring disorders. Treatments may include a number of evidence-based therapies, counseling, and medication-assisted treatment.

A number of services are also provided at HRDI, including housing support, screening and relapse prevention support, employment and education services, and more.

HRDI accepts all Medicaid plans and other private pay options.

Location and contact information:

222 S. Jefferson St.
Chicago, Illinois 60661

(312) 441-9009

3. The South Suburban Council, East Hazel Crest, Illinois

The South Suburban Council on Alcoholism and Substance Abuse has been treating residents in the Greater Chicago area for more than 50 years, earning the gold seal of approval from the Joint Commission.

Programs include both inpatient and outpatient options with individualized treatment plans based on a clinical assessment.

Treatment services may include:

  • counseling
  • addiction education
  • 12-step groups
  • medication monitoring
  • medication-assisted treatment
  • medically supervised detox
  • non-medical detox
  • group and family counseling
  • relapse prevention services

Individuals who complete treatment at The South Suburban Council are provided with resources for extended care or ongoing outpatient services, depending on their needs.

The South Suburban Council accepts Medicaid, most insurance carriers, and private pay.

Location and contact information:

1909 Cheker Square
East Hazel Crest, Illinois 60429

(708) 647-3333

4. Lutheran Social Services Of Illinois, Des Plaines, Illinois

Lutheran Social Services treats many residents in several areas at its addiction treatment centers throughout Illinois.

Services include residential, detox, outpatient, and transitional and sober living homes. Programs are designed according to individual need.

If one program through Lutheran Social Services does not provide the treatment an individual needs, he or she can be referred to its sister locations.

Addiction treatment services provided include:

  • medication-assisted treatment
  • 12-step support groups
  • substance abuse education
  • 24/7 medical care
  • DUI risk education
  • individual, group, and family counseling
  • community involvement
  • sober living support

Individuals who complete programs through Lutheran Social Services also have access to ongoing aftercare and referral services.

Lutheran Social Services accepts all Medicaid plans, some private insurance plans, and works with any uninsured individuals to determine a payment plan that works for them.

Location and contact information:

1001 E. Touhy St.
Des Plaines, Illinois 60018

(847) 635-4600

5. Serenity House, Addison, Illinois

Serenity House offers gender-specific residential treatment and outpatient services for Illinois residents.

Residential treatment works like halfway-house living, with nine to 18 hours of clinical treatment weekly for residents paired with a sober living environment.

Inpatient treatment can provide assistance with DUI courses, clinical assessments, and ongoing treatment referrals.

Programs are individualized to meet the needs of each person in treatment, and may include:

  • 12-step groups
  • counseling
  • addiction education
  • behavioral therapy
  • life-skills training
  • relapse prevention

For individuals ready for the next phase of recovery, Serenity House can place them in one of seven sober living homes. Each home is gender-specific and provides a number of supportive resources and treatment assistance.

Serenity House accepts Medicaid, private insurance plans, and private pay.

Location and contact information:

891 S. Rohlwing Rd.
Addison, Illinois 60101

(630) 620-6616

Paying For Addiction Treatment With Illinois Medicaid

Illinois Medicaid plans cover most forms of addiction treatment, including three of the most common types: inpatient, outpatient, and medication-assisted treatment programs.

Inpatient Treatment

Short-term inpatient programs are typically 28 to 30 days in length. Coverage for inpatient programs through Illinois Medicaid may cover the stay entirely or an individual may have to pay a minor daily copay.

Inpatient treatment coverage requires prior authorization which shows medical necessity.

Outpatient Treatment

Outpatient treatment services must meet certain requirements for coverage, including that Illinois Medicaid policyholders must show medical need for treatment.

Outpatient services may come with a copay per visit, depending on the type of treatment (counseling, therapy, etc.).

Medication-Assisted Treatment

Medication-assisted treatment (MAT) typically takes place in inpatient treatment programs and involves use of medications to ease withdrawal symptoms and a number of therapies.

Individuals must show medical need for medication during detox and treatment for Medicaid coverage of MAT. Each prescription may come with a copay, and medication usage is highly monitored during treatment.

Finding A Rehab Center That Accepts Illinois Medicaid

Illinois Medicaid provides addiction treatment coverage for a large percentage of its policyholders, with substance abuse treatment making up half of the state’s Medicaid spending.

With recent expanded coverage for addiction and mental health treatment services through Illinois Medicaid, finding an adequate alcohol or drug rehab program may be easier now than in previous years.

To learn more about Illinois Medicaid coverage and the rehab centers that accept it, contact us today.

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