Top 4 Rehab Centers That Accept Iowa Medicaid

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The cost of addiction treatment in Iowa, as in other states, can be covered by Medicaid, a health insurance program set up to help low-income people. Many Iowa rehab centers accept Medicaid, and offer residents an array of treatment services for substance abuse.

Rehab Centers That Accept Iowa Medicaid

There are over 150 rehab facilities in Iowa, and though there are several that offer free treatment programs, most do charge some kind of fee. Because treatment for drug and alcohol addiction can take weeks or months, the cost of treatment can be prohibitive for some people.

This may even lead some patients to forgo treatment altogether, especially during the COVID-19 pandemic. Yet Medicaid health plans in Iowa allow members to get the help they need through alcohol and drug rehab programs throughout the state.

Certain addiction treatment centers accept Iowa Medicaid insurance coverage. Medicaid plans cover specific addiction services, so it’s important to know which treatments you may need before entering a treatment program.

Iowa Medicaid Insurance Coverage For Alcohol And Drug Addiction Treatment

Iowa Medicaid is run by the Iowa Medicaid Enterprise, which is in turn a division of the Iowa Department of Human Services.

Since April of 2016, most people who have Medicaid are in IA Health Link, which consists of managed care programs. A few policyholders are still in the Medicaid Fee-For-Service program.

There are three basic coverage groups for the Medicaid assistance program in Iowa:

  • IA Health Link
  • Hawki
  • Medicaid Fee-for-Service

IA Health Link gives its members comprehensive health care. This includes behavioral health treatment, which covers addiction treatment. Under the Affordable Care Act (ACA), Iowa expanded Medicaid in 2016 through the managed care approach. This lets private health insurers cover the cost and coordinate the care of patients.

Iowa’s Medicaid expansion is now called the Iowa Health and Wellness Program. People are eligible for this program if they are ineligible for other types of Medicaid or Medicare.

People enrolled in Iowa Medicaid do not have a copayment for the care they receive to help them heal from drug addiction or alcohol addiction. Any copays have maximums that allow the person to pay out of pocket. The amounts are different depending on where the person lives.

Drug And Alcohol Rehab Programs Often Covered By Iowa Medicaid

Medicaid coverage for substance abuse treatment will vary according to policyholder need for treatment, the recovery center they attend, and other factors.

General covered services may include:

Top 4 Rehab Centers That Accept Iowa Medicaid

These addiction treatment centers that accept Iowa Medicaid were chosen for high patient favorability reviews, accreditation, and high quality of treatment.

1. Common Road To Recovery, Cedar Rapids, Iowa

Common Road to Recovery helps patients through outpatient treatment and intensive outpatient treatment. Their computerized treatment is important, especially during the coronavirus pandemic.

Patients are also helped through addiction therapies, such as relapse prevention and the 12-step philosophy pioneered by Alcoholics Anonymous.

Other drug and alcohol treatment programs provided are:

  • aftercare
  • discharge planning
  • group counseling
  • substance abuse education
  • substance abuse screening

They have exclusive services for DWI patients and accept clients who are already taking opioid medication. They treat children, adolescents, and adults.

Location and contact information:

4403 1st Ave. SE
Cedar Rapids, IA 52402
(319) 423-0919

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2. Sioux City Drug Treatment, Sioux City, Iowa

This addiction center offers detoxification for patients trying to heal from their addictions and service settings that include inpatient treatment and outpatient drug rehab and hospital inpatient services.

They also have short-term and long-term rehab plans. Patients are also helped through cognitive behavioral therapy and behavior modification.

Sioux City Drug Treatment has special treatment programs for active-duty military and provides housing services for their patients.

Location and contact information:

4400 Sergeant Rd.
Sioux City, IA 51106
(712) 250-3518

3. Vera French Community Mental Health Center, Davenport, Iowa

This inpatient treatment center for adults helps patients through such addiction therapies as individual psychotherapy, behavior modification, group therapy, and counseling in diet and exercise.

They treat patients who have a dual diagnosis, or a co-occurring mental health disorder and substance use disorder.

The drug rehab center accepts patients who have been ordered into treatment by the court. They offer legal advocacy and supported employment and treat ages from young adults to seniors.

Location and contact information:

2504 Telegraph Rd.
Davenport, IA 52804
(563) 322-6247

4. Woodward Community Based Services, Des Moines, Iowa

The treatment settings of this treatment facility are outpatient programs and intensive outpatient. While in these programs, patients are helped through cognitive behavioral therapy, anger management, and motivational interviewing.

The rehab center practices outreach to people in the wider community and brief interventions. They also have counseling for patients who’ve undergone trauma.

Woodward treats patients from children to adults.

Some of their special rehab programs are:

  • case management
  • aftercare
  • discharge planning
  • drug or alcohol screening
  • group or individual counseling
  • life skills

Location and contact information:

611 5th Ave.
Des Moines, IA 50309
(515) 274-9607

FAQs About Iowa Medicaid

Iowa Medicaid provides coverage for a variety of addiction treatment programs for individuals looking for an affordable way to overcome addiction. Below are some of the most frequently asked questions about what Iowa Medicaid will and will not cover.

Does Iowa Medicaid Cover The Cost Of Inpatient Treatment For Addiction?

Iowa Medicaid covers inpatient treatment programs for drug and alcohol abuse. This means that the person actually lives at the rehab facility for a time, usually 30 to 60 days, and sometimes longer.

In Iowa, inpatient treatment (residential treatment) doesn’t require prior authorization, but the person must have at least five hours a week of treatment while they are a resident.

Does Iowa Medicaid Cover The Cost Of Outpatient Treatment Services?

Iowa Medicaid covers outpatient treatment services as well. Within outpatient programs, people therapy or other counseling sessions at the drug rehab facility for several hours a week, but go home or to transitional living when the session is over.

Does Iowa Medicaid Cover The Cost Of Partial Hospitalization Programs?

Iowa Medicaid covers partial hospitalization for addiction treatment. A patient who is in a partial hospitalization program (PHP) spends at least 20 hours a week at the treatment facility but goes home in the evening.

Does Iowa Medicaid Cover The Cost Of Intensive Outpatient Programs?

Iowa Medicaid covers intensive outpatient programs, or IOP. In an IOP program, the patient spends more time at the treatment center than they would in a regular outpatient treatment program, but again goes home in the evening.

Does Iowa Medicaid Pay For Medication-Assisted Treatment?

Iowa Medicaid covers medication-assisted treatment, or MAT. Patients who use MAT are supervised by health professionals and given medications such as buprenorphine or Suboxone to help them purge toxins from their system with less pain.

Because of this, they can benefit from other types of addiction treatments even as they undergo detoxification.

Does Iowa Medicaid Cover The Cost Of Suboxone?

Suboxone, a type of opioid that allows patients to undergo detox in greater comfort, is covered under Iowa Medicaid. If it is considered a medical benefit, it doesn’t require prior authorization. If it is a pharmacy benefit, it requires prior authorization.

Prior authorization is when Medicaid approves the drug for the patient’s use. The patient usually has to provide documentation that shows they are in treatment before their doctor can prescribe the medication.

Does Iowa Medicaid Cover The Cost Of Methadone?

Oral or injected methadone is covered without prior authorization if it is a medical benefit. It is not covered if it is a pharmacy benefit for medication-assisted treatment.

Pharmacy benefit usually means the patient goes to their pharmacy to fill the prescription. A medical benefit means that the medication is given in the doctor’s office or in an outpatient setting.

Paying For Costs Not Covered By Iowa Medicaid

There are several ways for a person to pay for treatment services not covered by Iowa Medicaid. These include state-funded health insurance, local or county government funds, IHS/Tribal/Urban, or ITU funds, cash, or self-payment.

Private insurance is also accepted in some rehab facilities. They may allow people to arrange for payment schedules to cover the cost of their addiction treatment, or charge on a sliding fee scale.

Iowa Medicaid Eligibility Requirements

To enroll in the Iowa Medicaid program, a person must be a resident of Iowa, a citizen, legal alien, or permanent resident of the United States and in need of health care.

They must be considered low-income and a member of one of these groups:

  • under 21
  • a parent with a minor child
  • pregnant
  • a woman who needs treatment for cervical or breast cancer
  • 65 or older
  • disabled according to standards set by Social Security
  • an adult between ages 19 and 64 with an income at or lower than 133 perrent of the federal poverty level

Finding Rehab Facilities That Accept Iowa Medicaid

Most treatment centers that accept Iowa Medicaid remain open and ready to help. If you or a loved one need treatment to recover from addiction and you want to learn more about these treatment facilities, contact one of our addiction specialists today.

This page does not provide medical advice. See more

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