Top 4 Drug Rehab Centers That Accept Medi-Cal (California Medicaid)

Updated on June 24, 2019 | Written by the AddictionResource Editorial Team

California is home to hundreds of inpatient drug and alcohol treatment centers. The vast majority of these treatment centers can be extremely costly and are only covered by private insurance. The following is a list of the top 5 state-funded rehab centers in California that accept Medi-Cal. For more information, contact a treatment specialist today.

List Of Inpatient Rehabs That Accept California Medicaid (Medi-Cal)

Medi-Cal is California’s Medicaid insurance plan, providing free or low-cost health insurance coverage to more than 13.5 million California residents as of 2017.

With Medi-Cal, individuals seeking essential health benefits like substance use disorder treatment can receive care free of charge.

Cost is one of the main deciding factors for many people when it comes to finding addiction treatment. Because of this, it may be a good idea to first find a rehab center that accepts an individual’s Medi-Cal plan.

California Medicaid (Medi-Cal) Insurance Coverage For Addiction Treatment

For the vast majority of Medicaid (Medi-Cal) recipients in California, there is no out-of-pocket cost, which means no copays and no monthly premiums.

However, some adult Medi-Cal recipients with children may have to pay a monthly premium of up to $13 per child, with a family maximum of $39 per month.

Medi-Cal offers 21 different managed care plans for Medicaid policyholders which vary based on the county in which they reside.

Most California counties offer commercial plans through Medi-Cal. These may include plans through:

Because each plan varies, it’s important to discover exactly which addiction treatment services will be covered by an individual’s Medi-Cal plan before selecting a treatment program

Addiction treatment services and programs generally covered through Medi-Cal include:

  • counseling
  • individual, group, and family therapy
  • outpatient treatment
  • inpatient treatment
  • partial hospitalization
  • mental health care
  • co-occurring disorder treatment
  • medication-assisted treatment
  • medication management
  • continued care

Top 4 Rehab Centers That Accept California Medicaid (Medi-Cal)

There are more than 65 rehab centers in California which currently accept Medi-Cal plans for addiction treatment coverage.

The following top 5 rehab centers that accept California Medicaid were selected based on facility accreditation, standards of treatments offered, and positive reviews from program participants.

1. Safe Refuge, Long Beach

Based in Long Beach and serving all of Southern California, Safe Refuge is a CARF-accredited rehab center providing residential treatment, outpatient treatment, supportive housing, and many resources. Low-income residents and individuals with barriers to treatment can receive proper addiction treatment at Safe Refuge.

Residential programs here include therapy in a community-like setting, with stays ranging from 90 to 180 days or longer when needed.

Treatments and services offered at Safe Refuge include:

  • case management
  • group and individual therapy
  • counseling
  • educational services
  • vocational training
  • 12-step support group involvement
  • drug and alcohol testing services

2. Cedar House, Bloomington

Cedar House is an alcohol and drug rehab facility with two rehab centers providing addiction treatment to California residents. Individuals can seek co-ed or men-only addiction treatment at these facilities.

Services provided at Cedar House include:

  • medically supervised detox
  • residential programs
  • outpatient services
  • aftercare support
  • co-occurring disorder treatment
  • medication management

Other resources offered at Cedar House include DUI programs, gender-specific programs, programs for women with children, and a sober living home.

3. Tarzana Treatment Center, Multiple Locations

Accredited by the Joint Commission on Accreditation of Healthcare Organizations, Tarzana Treatment Center is a residential rehab facility providing comprehensive behavioral healthcare for substance use and mental health disorders. Tarzana rehab centers are located in Long Beach, Lancaster, North Ridge, Palmdale, Reseda, Tarzana, and Woodland Hills.

Treatment plans at Tarzana Treatment Center are individualized based on an initial assessment. Individual rehab programs may include:

  • individual and group therapy
  • relapse prevention planning
  • family components
  • 12-step support groups
  • medication-assisted treatment
  • medication management
  • continued care

4. CLARE Foundation, Santa Monica

The CLARE Foundation has been providing substance use disorder and other treatment services for nearly 50 years. Residential programs include gender-specific programs for men and women and specialized programs for pregnant women.

CLARE offers medically supervised detox services and encourages long-term residential treatment for those who need it.

Inpatient treatment services provided at the CLARE Foundation includ:

  • medical support and monitoring
  • individual and group therapy
  • trauma-informed care
  • 12-step meetings
  • career readiness training
  • employment assistance

Using California Medicaid To Pay For Inpatient Addiction Treatment

California Medicaid (Medi-Cal) pays for inpatient addiction treatment programs so long as the individual shows medical necessity. This can be achieved by undergoing a clinical assessment before heading to a rehab center.

Previously, Medicaid insurance plans only covered residential treatment in rehab facilities with 16 beds or less. For many states, this still holds true. This means that individuals in need of inpatient treatment for addiction could only seek it through a small or federally funded rehab center.

California is one of the first states to implement an expansion of Medicaid coverage through signing a Section 1115 waiver, now known as the Drug Medi-Cal Organized Delivery System Waiver. Among other changes, this would waive the rule that Medicaid recipients can only receive treatment at a rehab facility with 16 beds or less.

Residential treatment with limitations, medication-assisted treatment with proof of medical necessity, and medically supervised detox services were previously covered by California Medicaid plans and continue to be covered.

With the new waiver signed, the following expanded inpatient services may now be covered under an individual’s Medi-Cal plan:

  • intervention
  • case management
  • short-term residential treatment up to 90 days, with no rehab facility bed limit
  • opioid addiction treatment programs
  • additional medications for medically supervised withdrawal

For qualified Medi-Cal policyholders, these services will be completely covered so long as all Medicaid conditions are met and proof of medical need is provided.

Using California Medicaid To Pay For Outpatient Addiction Treatment

Outpatient addiction treatment is completely covered by California Medicaid. As with residential programs, Medicaid coverage guidelines for outpatient addiction treatment in California are very specific.

Some important factors for outpatient addiction treatment coverage through California Medi-Cal include:

  • outpatient addiction treatment is covered according to verified medical need
  • to qualify for Medicaid coverage, outpatient programs must meet at least 3 days per week, for 3 hours per day
  • outpatient group counseling sessions are limited to 10 participants in order to receive coverage
  • programs must be facilitated by licensed and approved medical personnel
  • rehab centers must be licensed and approved by the state

Outpatient programs approved for coverage by Medi-Cal may include outpatient counseling and therapy programs, 12-step support programs, and medication management.

New, expanded outpatient addiction treatment services are also now available for coverage through the Drug Medi-Cal Organized Delivery System Waiver.

These may include intensive outpatient programs (IOP), partial hospitalization programs (PHP), and ongoing medication management or medication-assisted treatment when necessary. In some cases, Medi-Cal recipients may be eligible for recovery housing coverage (sober living support) through their plan as well due to the waiver changes.

Treatment services may be subject to periodic evaluations to assess a person’s ongoing need for treatment, treatment coverage, and their progress in recovery.

Using California Medicaid To Pay For Medication-Assisted Treatment

Medication-assisted treatment (MAT) combines medication interventions with counseling, therapy, and other evidence-based treatments for a well-rounded approach to recovery.

Medication-assisted treatment programs are covered through California’s Medicaid plans, though guidelines for coverage are also specific for this type of treatment.

Typically, Medi-Cal plans provide coverage for MAT programs if the participant is 18 years of age, not pregnant, and free from substances (sober) at the time of treatment.

With the Section 1115 waiver, these guidelines may be expanded and changed—a decision made by the state of California based on the current opioid crisis.

California State aims to make treatment for opioid addiction more accessible and help more individuals recover. Medication-assisted treatment is one of the most effective ways to accomplish this goal, so Medicaid coverage for MAT is highly likely if an individual has need for it.

The following medications may be covered by California Medicaid (Medi-Cal) plans:

Buprenorphine (Suboxone)

Buprenorphine (Suboxone) is an opioid agonist medication which replaces the effects of more addictive opioids. This in turn helps an individual wean off use of opioids without undergoing the withdrawal symptoms which make recovery difficult to achieve.

Methadone (Methadose)

Methadone (Methadose) is an opioid antagonist which blocks the effects of opioids from reaching the brain. This prevents an individual from receiving the positive effects of opioids, helping them to taper off use of the drugs and alleviating withdrawal symptoms like cravings.

Naltrexone (Vivitrol)

Naltrexone (Vivitrol) works to block the positive effects of either alcohol or opioids for those with a physical dependence. Naltrexone is not used during detoxification, like Suboxone or methadone, but for ongoing medication management after an individual has completed detox.

How To Pay For Costs Not Covered By California Medicaid (Medi-Cal)

Costs not covered by an individual’s Medicaid plan generally include monthly premiums and services not covered by Medicaid.

For example, Medicaid may cover up to 90 days of an inpatient rehab stay. For those who need a longer stay, resources may be available to help cover the cost of treatment.

Most rehab centers use a sliding-fee scale or similar payment program to help individuals and their families get the help they need to enter recovery.

Certain medications may also not be covered by Medicaid. For this reason, it’s important to undergo a clinical assessment prior to the start of treatment to determine which services and which medications, if any, will be necessary for treatment.

Scholarships, grants, personal loans, and savings are all additional payment options to help addicted individuals seek the care they need.

Eligibility Requirements For Medi-Cal

Medi-Cal has always covered low-income children (ages 19 and younger), families, and pregnant women. As of January 2014, adults who meet income eligibility requirements may also receive Medi-Cal.

While Medi-Cal is available for low-income, California residents, a tier of coverage for recipients who are not necessarily considered low-income is also available, called Covered California.

Between Medi-Cal and Covered California, individuals may qualify for multiple plans with varying levels of coverage. Individuals without insurance coverage who are considering entering addiction treatment may find it worthwhile to apply to California’s medical assistance programs to see if they qualify.

Finding A Rehab Center That Accepts California Medicaid (Medi-Cal)

The Drug Medi-Cal Organized Delivery System waiver opened the door for more rehab centers to provide addiction treatment services to more individuals.

With increased federal funding and no limitations on bed counts, California Medicaid has made inpatient treatment—the most successful form of treatment for addicted individuals—more accessible.

It may now be easier to find a rehab center that accepts California Medicaid (Medi-Cal) plans than in previous years. For help finding a rehab center in California that accepts Medi-Cal and matches your individual treatment needs, contact us today.

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These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. Learn more about how we safeguard our content by viewing our editorial policy.

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