North Dakota has about 33 drug rehab centers that accept Medicaid, a health insurance plan run by both the state and the federal government to help low-income policyholders afford health care. This includes treatment for alcohol and drug addiction.
Medicaid is available for people who need substance abuse treatment makes it easier for them to seek treatment and to stay with a treatment program as they recover. Many of these treatment facilities are open even during the COVID-19 pandemic.
North Dakota is home to a decent amount of Medicaid rehab centers, which accept this insurance program and make addiction treatment a viable option for residents throughout the state.
North Dakota Medicaid Coverage For Alcohol And Drug Addiction Treatment
North Dakota uses the Primary Care Case Management Program to ensure that Medicaid policyholders have a primary health professional to oversee their care. Patients can select a treatment provider or have one assigned to them.
Some North Dakota Medicaid enrollees will need to pay copayments, which are fees paid at the time of their treatment. Patients who are exempt from copays are those who are under 21, pregnant women, or those who need emergency care.
Tribal members who get treatment services under a Contract Health services referral are also exempt from copays. A copay for every outpatient behavioral health visit, which includes substance use disorder (SUD) treatment, is $2.
North Dakota Medicaid also has recipient liability. This is what the person pays toward their medical expenses each month. It is based on the policyholder’s monthly income.
North Dakota expanded Medicaid under the Affordable Care Act (ACA) in January 2014, though the North Dakota state legislature revisits the expansion now and then. People who enrolled under the expansion are covered by the Sanford Health Plan.
Drug And Alcohol Rehab Programs Often Covered By North Dakota Medicaid
North Dakota had a SUD voucher which helped patients gain greater access to alcohol and drug treatment, but it was suspended in July 2020. However, there are several other programs available that help patients who are struggling to free themselves from alcohol or drug addiction.
They include Free Through Recovery, 24/7 Recovery Talk, which is free, and ND Cares, which serves members of the military and their families.
Medicaid insurance coverage may pay for the following rehab programs and treatment services, based on your individual needs and Medicaid plan:
- care coordination
- recovery services
- case management
- community support
- inpatient treatment
- medication-assisted treatment
- medication management
- screening and assessment
- outpatient care
- partial hospitalization
Top 4 Rehab Centers That Accept North Dakota Medicaid
These top treatment centers accept Medicaid and were selected for this list because of the favorable reviews from their patients, their quality of treatment, and their accreditation.
1. CHI St. Alexius Health Archway Mental Health Service, Bismarck, North Dakota
This addiction treatment center offers people with a drug or alcohol addiction hospital inpatient, partial hospitalization programs (PHP), and outpatient treatment that consists of addiction therapies such as cognitive behavioral therapy.
They also offer activity and trauma therapy and telemedicine therapy for patients who are wary of traveling to the rehab center during the pandemic or who find the facility hard to get to. They accept and treat patients who have a dual diagnosis and need both mental health services and treatment for a substance use disorder (SUD).
The drug rehab center accepts ages from children to seniors and offers education services and treatment services for hearing-impaired patients. They operate a crisis intervention team.
Location and contact information:
900 East Broadway Ave.
Bismarck, ND 58501
(701) 530-7300 x7374
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2. Coal Country Substance Abuse Program, Beulah, North Dakota
Coal County Substance Abuse program helps patients combat their alcohol or drug addictions through MAT. Medications used include buprenorphine, usually for opioid addiction, and Antabuse, which is used to help patients with alcohol addictions.
They are also licensed to prescribe and administer buprenorphine and naltrexone, another prescription medication used to fight opioid abuse. This treatment is given on an outpatient basis.
Other addiction therapies include anger management and motivational interviewing. They also practice community outreach, relapse prevention techniques, and support the 12-step approach.
Their special treatment programs include:
- discharge planning
- family counseling
- group counseling
- couples counseling
- drug and alcohol screening
Location and contact information:
1312 Hwy. 49 North
Beulah, ND 58523
3. Prairie St. John’s, Fargo, North Dakota
This Fargo drug rehab center is another of the treatment facilities that both accept Medicaid and offer medicated detox to patients addicted to alcohol, opioids, benzos, cocaine, and methamphetamines.
To that end, they have a variety of service settings including inpatient treatment, outpatient treatment, short-term and long-term drug rehab, and partial hospitalization. Patients are also helped through brief interventions, 12-step facilitation, and community outreach.
Prairie St. John’s has special treatment programs for patients with a dual diagnosis, patients ordered into addiction treatment by the courts, seniors, and adolescents.
Other addiction services include case management, aftercare, and discharge planning. They help patients obtain social services, assist them with transportation, and accept patients who are already taking prescription medications for opioid abuse. They treat age ranges from children to adults.
Location and contact information:
510 4th St. South
Fargo, ND 58103
4. Trinity Addiction Services, Minot, North Dakota
The addiction services at this treatment facility help patients heal not only from opiates and alcohol but cocaine, benzodiazepines, and methamphetamines.
This is done through medication-assisted treatment with such medications as buprenorphine and Campral. Trinity’s service settings include hospital inpatient, partial hospitalization, and regular outpatient services.
While in the addiction treatment program, patients benefit from cognitive behavioral therapy, anger management, relapse prevention, and trauma therapy. Trinity encourages the 12-step program and practices outreach to the wider community in Minot.
The addiction center helps patients obtain social services and housing services, and has case management, aftercare, discharge planning, peer support services, and self-help groups. It takes age groups from young adults to adults and accepts patients who are already on opioid medication.
Location and contact information:
407 3rd St. SE
Minot, ND 58701
Paying For Costs Not Covered By North Dakota Medicaid
Addiction services that aren’t covered by North Dakota Medicaid plans can be covered by Medicare or another state-funded health plan. Other patients rely on loans or crowdsourcing.
Treatments can be paid for by the patient’s private funds, private insurance, military insurance, Department of VA insurance, or IHS/Tribal/Urban funding.
Some alcohol and drug treatment centers are open to working out a payment schedule for their patients as well. Others have a sliding fee scale, and a few are free of charge.
North Dakota Medicaid Eligibility Requirements
Anyone who wants to join North Dakota’s Medicaid plan has to be in need of health insurance, a resident of the state, and a national, permanent resident, citizen, or legal alien of the United States.
However, some legal aliens who entered the country after August 22, 1996 may need to wait for five years before they receive full benefits.
The patient’s annual income before taxes can’t be above a certain percentage of the federal poverty level, and they must be in one of the following categories:
- children who are in foster care or in subsidized adoption
- some people 26 and younger who were in foster care
- children from birth to 19 years old who have disabilities
- pregnant women
- people with breast cancer or cervical cancer
- disabled workers
- people who are blind or have other disabilities
- people on Medicare who have low or very low income
Children under 19 who are enrolled in Medicaid are continuously eligible, no matter the change in their circumstances. This is also true of pregnant women until 60 days postpartum.
North Dakota Medicaid FAQs
Finding the right addiction treatment program may depend on what your insurance does or does not cover. Below are some of the most frequently asked questions about what treatment programs North Dakota Medicaid will cover.
Does North Dakota Medicaid Cover Inpatient Treatment For Alcohol And Drug Abuse?
North Dakota Medicaid covers inpatient treatment for substance abuse. With this treatment plan, the patient resides at the facility, usually for 30, 60, 90 days, or even longer.
Does North Dakota Medicaid Cover The Cost Of Outpatient Treatment Services?
Outpatient treatment, where the patient visits the treatment facility for a few hours a week, is covered by North Dakota Medicaid.
Does North Dakota Medicaid Cover The Cost Of Partial Hospitalization?
A patient who is in a partial hospitalization program spends at least 20 hours a week at their addiction center. North Dakota Medicaid health plans cover this treatment.
Does North Dakota Medicaid Cover The Cost Of Intensive Outpatient Programs?
Intensive outpatient treatment is a service setting between regular outpatient and partial hospitalization treatment. The North Dakota Medicaid insurance program covers this type of care.
Does North Dakota Medicaid Pay For Medication-Assisted Treatment?
Medication-assisted treatment (MAT) uses opioid replacement therapy or other medications to ease the symptoms of withdrawal and remove cravings for the drug of abuse.
At the same time, the patient is monitored by the treatment facility, either on an inpatient or outpatient basis. MAT is a service covered by North Dakota Medicaid plans.
Does North Dakota Medicaid Cover The Cost Of Suboxone?
North Dakota Medicaid covers the cost of Suboxone, buprenorphine, and buprenorphine/naloxone tablets. Patients do not have to prove they are in SUD counseling, but the maximum dosage after six months is 24 milligrams a day.
Medicaid also requires prior authorization before a doctor can prescribe the prescription drugs, and approval for Suboxone requires step therapy. This means that the patient needs to try a less expensive drug before they “step up” to the more costly Suboxone.
Does North Dakota Medicaid Cover The Cost Of Methadone?
North Dakota Medicaid pays for methadone under fee-for-service plans. Unlike Suboxone, the patient needs to prove that they’re in SUD counseling.
Finding Rehab Facilities That Accept North Dakota Medicaid
There are several rehab facilities in North Dakota which accept Medicaid and are still accepting patients despite the pandemic, so there’s no time like the present for you or a loved one to seek help for drug or alcohol addiction.
Get in touch with our addiction helpline today to learn more about North Dakota rehab facilities that accept Medicaid.
Published on November 4, 2020
Addiction Resource aims to provide only the most current, accurate information in regards to addiction and addiction treatment, which means we only reference the most credible sources available.
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.
- ND.gov — North Dakota Medicaid
- ND.gov — Who is eligible?
- North Dakota Behavioral Health and Human Services — Addiction