Inpatient Rehabs In New York That Accept Medicaid
As of 2017, 6.4 million people in New York received Medicaid, or about one of three New York state residents.
Medicaid is one of the fastest-growing coverage providers for substance abuse treatment, so many people in New York are only able to access treatment because of their Medicaid plan.
Individuals who meet income and other eligibility requirements in New York can qualify for Medicaid insurance, a program that is funded both federally and by the state.
In most instances, a New York Medicaid plan (also called a Managed Care plan) will cover the entire cost of addiction treatment. Any excess fees or costs may come in the form of minor copays and services not covered by Medicaid.
Researching which rehab centers accept New York Medicaid (Managed Care) before heading to treatment can help ensure that an individual’s treatment will be paid for, allowing for more complete focus on recovery.
New York Medicaid Coverage For Addiction Treatment
There are multiple types of addiction treatment available, and New York Medicaid plans cover these services for those who qualify.
To receive coverage for a substance abuse treatment program, individuals may have to provide proof of medical necessity. This could be completed by undergoing a clinical assessment (provided free of charge by most rehab centers) prior to starting treatment.
Addiction is a condition that is unique to each person. Because of this, each person seeking addiction treatment will have different needs from the next. Knowing which services a person needs can help an individual choose an appropriate rehab center and treatment program.
When using a New York Medicaid plan to pay for these services, it may be a good idea to research which specific services are covered by Medicaid and the exact level of coverage.
Typically, the following types of addiction treatment are covered by New York Medicaid (Managed Care) plans:
- behavioral therapy
- inpatient treatment programs
- medication-assisted treatment
- outpatient treatment programs
Top 5 Rehab Centers That Accept New York Medicaid
There are more than 200 rehab facilities and addiction treatment centers that accept Medicaid in New York.
The following five facilities are listed as the top rehab centers in New York that accept Medicaid based on program participant reviews, accreditations, and standard of treatments offered.
1. Bridge Back To Life Center, Multiple Locations
Bridge Back to Life offers addiction treatment services in five locations in the greater New York City Metro Area.
Bridge Back To Life Center Programs may include:
- a medically supervised detox program
- medication-assisted treatment with Suboxone and Vivitrol
- gender-specific treatment
- specialized programs for LGBTQ individuals and professionals
- counseling and behavioral therapy
Bridge Back to Life also provides a range of services for its program participants. These are customized to meet the needs of each individual and include a DWI program, treatment for co-occurring disorders, family components, group support, and much more.
2. Council On Addiction Recovery Services, Olean
The Council on Addiction Recovery Services (CAReS) provides residential treatment at three different facilities in Olean as well as substance abuse prevention programs.
Residential programs include Weston’s Manor (for men), Wendy’s House (for women), and a Supportive Living program to house individuals who have completed inpatient treatment.
Treatment is individualized according to each person’s unique needs, and residential programs can include:
- medication-assisted treatment
- recovery coaching
- clinical assessments
- vocational training
3. Hope House, Inc., Albany
Hope House provides residential treatment through four facilities in New York:
- Hope House Bette Center (for men)
- Hubbard I (adolescent males)
- Hope House Women and Children
- Hubbard II (for women)
Hope House also provides outpatient treatment, including medication management with Probuphine, Suboxone, and Vivitrol through a clinic in Albany.
For those who need help transitioning after completing residential treatment, Hope House provides a number of aftercare services as well. These include financial support through their Supportive Housing program and access to treatment and community transitional support through their Next Step program.
4. New Hope Manor, Barryville And Poughkeepsie
New Hope Manor in Barryville provides residential treatment to women through its Stabilization program and to women, women with children, and pregnant women through its Rehabilitation program. Program lengths are variable, meaning each woman’s length of stay will be determined by her recovery needs and progress.
Services found at New Hope Manor include:
- cognitive behavioral therapy
- motivational interviewing
- vocational training
- case management
- mental health care
- family therapy
Mothers can also enjoy onsite child care and other child-related resources. In Poughkeepsie, individuals can access aftercare services for continued addiction treatment.
5. Catholic Health Services Of Long Island, Multiple Locations
Catholic Health Services (CHS) of Long Island is comprised of a network of eight hospitals throughout New York state which offer a range of addiction treatment services, including inpatient, outpatient, medication-assisted treatment, and partial hospitalization programs.
CHS also provides access to a number of resources to help individuals who are seeking addiction recovery. These include a smoking cessation program, vocational training, a faith-based healing program, and pregnancy support services.
Using New York Medicaid For Inpatient Addiction Treatment
Whether New York Medicaid plans will cover inpatient addiction treatment depends on the type of plan.
Medicaid Managed Care plans in New York offer three types of behavioral health benefits packages as follows:
- Benefits for Non-SSI enrollees: covers inpatient rehab programs
- Benefits for SSI enrollees: covers inpatient rehab programs
- SSI “Health Only”: does not cover inpatient rehab programs (individuals can elect to pay for inpatient treatment with this plan through the Fee For Service program)
Inpatient addiction treatment services covered through eligible New York Medicaid Managed Care plans include:
- medically supervised inpatient care
- medically managed inpatient detoxification
- behavioral therapy
- medication-assisted treatment
- medication management
Individuals seeking inpatient treatment are required to provide proof of medical necessity to receive Medicaid coverage. This can be achieved through an evaluation by a physician or during a clinical assessment at a rehab facility.
Medicaid coverage generally provides a specified number of days for which inpatient treatment will be covered (up to 28), but may cover more days in certain cases and with prior authorization.
Using New York Medicaid To Pay For Outpatient Addiction Treatment
Outpatient treatment for addiction is covered to the same degree as inpatient treatment by New York Medicaid plans. SSI and Non-SSI Medicaid recipients can receive coverage for outpatient treatment, outpatient withdrawal programs, outpatient detoxification support, and medication management.
Certain outpatient programs may require prior authorization for coverage, such as medication management and partial hospitalization programs. Medication maintenance coverage typically takes effect after individuals have been on a medication for 30 days or more.
For example, individuals may have to show proof of need for continued medication through participation in inpatient medication-assisted treatment for 30 days prior to seeking a medication management program (daily dosing).
Coverage for outpatient treatment as continued care through New York Medicaid may be subject to a reevaluation—individuals may have to undergo a clinical assessment to prove they need continued care after completing an inpatient program.
Using New York Medicaid For Medication-Assisted Treatment (MAT)
Medication-assisted treatment is typically covered by eligible New York Medicaid plans. However, guidelines for covered medication and length of use may be very specific.
Methadone is a medication used to block the effects of opioids, relieving withdrawal symptoms in opioid-dependent individuals. Methadone is approved for New York Medicaid coverage during detoxification and medication-assisted treatment programs. Certain individuals may be approved for methadone coverage for long-term opioid abuse management.
Buprenorphine (Suboxone) Coverage
Suboxone may be covered by New York Medicaid plans during inpatient addiction treatment programs. This medication is mostly administered in a medically supervised setting, so it is typically not covered for daily use, though individual coverage can vary by plan and patient need.
While medications are often necessary during detoxification to alleviate withdrawal symptoms, a copay may be necessary for some medication-assisted treatment programs. Copay fees accrue on a daily basis (detox programs usually last seven to 10 days, while inpatient treatment may last 28 days or longer).
Find A Rehab Center That Accept New York Medicaid Today
The New York State Department of Health estimates that 1.9 million New Yorkers have a substance abuse problem. Yet addiction treatment is available and can be completely covered for those with New York Medicaid plans.
Many individuals do not seek treatment for a number of reasons, one of the greatest of which is cost. However, there are over 200 rehab centers accepting Medicaid in New York and a vast many other treatment centers willing to design targeted payment plans.
Cost should never keep an individual from getting into a rehab program that could change their life for the better. Reach out to our treatment specialists today to learn more about rehab centers that accept Medicaid in New York.
Published on December 3, 2018
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- New York State Office of Alcoholism and Substance Abuse Services — Medicaid Managed Care
- New York State Office of Alcoholism and Substance Abuse Services — Chemical Dependence Benefits Package