Top 5 Rehabs That Accept Ohio Medicaid

Ohio Medicaid plans provide coverage for a range of substance use disorder treatment services. A number of rehab centers in Ohio accept Medicaid plans to ensure that everyone gets the treatment they need.

Rehabs That Accept Ohio Medicaid

More than 2.7 million individuals were receiving Ohio Medicaid as of September 2018. Medicaid is a state- and federally-funded insurance plan which provides free and low-cost healthcare coverage for individuals who meet income and other requirements.

Ohio Medicaid makes it possible for these individuals to secure necessary medical care, including addiction treatment, for little to no cost.

Because the cost of treatment can keep many individuals from receiving the care they need to enter recovery, Ohio Medicaid can provide a great advantage in helping people make lasting changes in their lives.

For those looking to use Ohio Medicaid to pay for an alcohol or drug rehab program, it may be a good idea to first research which rehab centers accept their Medicaid plan.

Ohio Medicaid Insurance Coverage For Addiction Treatment

Services covered by Ohio Medicaid are covered at 100 percent. However, Ohio Medicaid may place limitations on certain aspects of coverage.

Treatment stays in an inpatient rehab center, for example, may be limited to a specific number of days. Outpatient services may be limited to a number of visits per year. Total services covered may also be limited to a specified dollar amount.

Ohio Medicaid Copays

Each Ohio Medicaid plan will vary according to the individual. Medicaid copay charges in Ohio related to addiction treatment include prescription copays for prescriptions with prior authorization and non-emergency hospital stays.

Ohio Medicaid policyholders will have to pay a $3 copay for prescriptions and non-emergency hospital visits.

Copay fees can be waived if:

  • individual is under age 21
  • individual is pregnant
  • individual is postpartum (up to 90 days)
  • individual receives emergency services in a hospital or other medical facility (this could include a rehab center)
  • individual is receiving family-planning services
  • individual is enrolled in a managed care plan

For those who cannot pay these fees, they cannot be denied services based on an inability to pay.

Ohio Medicaid Addiction Treatment Services

Although coverage through Ohio Medicaid varies per individual, certain services are covered by all plans. These services are covered without the requirement of a copay.

Addiction treatment services covered by Ohio Medicaid insurance plans may include:

  • alcohol and drug screening through analysis/urinalysis
  • ambulatory (outpatient) detoxification
  • case management
  • clinical assessments
  • individual and group counseling
  • intensive outpatient programs (IOP)
  • intervention services
  • medication-assisted treatment: buprenorphine (Suboxone)
  • medication-assisted treatment: naltrexone (Vivitrol)
  • medication-assisted treatment: methadone (Methadose)

Ohio Medicaid Managed Care Plans

Individuals who enroll in Ohio Medicaid must choose a managed care plan.

Ohio Medicaid managed care plans are offered by the following commercial healthcare insurance providers:

  • buckeye health plan
  • CareSource
  • Molina HealthCare
  • Paramount Advantage
  • UnitedHealthCare

Top 5 Rehab Centers That Accept Ohio Medicaid

More than 200 alcohol and drug rehab centers in Ohio accept Medicaid insurance plans for addiction treatment coverage.

The following top 5 rehab centers which accept Ohio Medicaid were chosen based on:

  • rehab program excellence
  • variety of treatments and therapies offered
  • facility accreditation
  • positive reviews from past program participants

1. Nova Behavioral Health, Dayton, Ohio

Nova Behavioral Health is a CARF-accredited rehab center which provides residential and outpatient addiction treatment services.

Residential programs through Nova are specialized to meet the needs of a specific group and include:

  • women’s treatment program: short-term, gender-specific program for women which focuses on exploring their emotional, social, and life issues
  • men’s residential program: short-term, gender-specific program for men focuses on helping men overcome their issues
  • dual disorder treatment: involves a combination of mental health counseling and therapy and substance use treatments
  • Morningstar program: a program for individuals with a prominent mental health disorder and a minor substance use problem

Due to the variation of programs offered at Nova Behavioral Health, programs are highly customized and may include a number of the following treatments:

  • 12-step group involvement
  • anger management
  • family addiction education
  • individual and group therapy
  • parenting skills groups
  • relapse prevention planning
  • trauma-informed care

Nova accepts Ohio Medicaid healthcare plans and private pay plans.

Location and contact information:

732 Beckman St.
Dayton, Ohio 45410

(935) 253-1680

2. CommQuest, Canton, Ohio

CommQuest offers addiction treatment services certified through the state of Ohio in 18 different locations throughout the state.

To provide comprehensive, customized treatment for every individual, CommQuest offers a range of specialized rehab programs that include:

  • residential treatment for teenage girls through Bright House
  • residential treatment for teenage boys through Smith Hall
  • women-only inpatient addiction treatment through Deliverance house
  • men-only inpatient addiction treatment through Wilson Hall
  • co-ed inpatient addiction treatment and medically supervised detox through Alliance Detox and Recovery Unit

CommQuest also offers additional services at various locations, which include medication-assisted treatment with buprenorphine, methadone, and naltrexone.

Opioid addiction treatment can be found at CommQuest’s Regional Center for Opiate Recovery. The Driver Intervention Program helps first-time OVI (operation of a vehicle while impaired) offenders manage substance abuse and avoid future arrests.

Dual diagnosis treatment is a part of most customized programs, helping individuals learn to manage both substance abuse and mental health disorders for a more complete healing experience.

Ohio Medicaid plans completely cover CommQuest services, but the rehab center also provides services for those who can make little or no financial contribution. CommQuest runs mostly on the donations of private individuals and organizations.

Location and contact information:

Alliance Detox and Recovery
200 East State St.
Alliance, Ohio 44601

(330) 281-8503

3. Hitchcock Center For Women, Cleveland, Ohio

Hitchcock Center for Women has been providing addiction treatment services and sober housing support for women in Ohio since 1978.

Residential treatment programs for women are customized to each woman’s needs. The Hitchcock residential program in Cuyahoga County allows women in treatment to bring their children up to age 12.

Residential programs for women through the Hitchcock Center include:

  • individual and group counseling
  • gender-specific treatment
  • evidence-based treatments
  • wrap-around case management

Other rehab programs through the Hitchcock Center for Women include intensive outpatient programs, outpatient services, and intensive outpatient programs with supported housing.

Intensive outpatient programs allow women to attend day treatment while still living at home. When women seek IOP programs through supported housing, they gain access to sober living and may bring their children up to age 12.

For women who have made it through treatment, Hitchcock can connect them with aftercare services.

Hitchcock Center for Women accepts Ohio Medicaid insurance plans and also sponsors women’s treatment through private donation funds.

Location and contact information:

1227 Ansel Rd.
Cleveland, Ohio 44108

(216) 421-0662

4. New Directions, Cleveland Ohio

New Directions offers gender-specific, dual diagnosis residential treatment for Ohio residents. Intensive outpatient programs and outpatient services are also available.

The approach of New Directions is to treat addiction as a disease which needs ongoing management. Each program is designed to meet the needs of the individual.

Treatments through rehab programs at New Directions include:

  • individual, group, and family counseling
  • home-based therapy
  • parent education
  • crisis intervention
  • case management
  • drug screens
  • clinical assessments
  • medication management

In addition to accepting Ohio Medicaid plans, New Directions connects individuals with private pay options, such as the healthcare coverage lender, Prosper Healthcare Lending.

Location and contact information:

30800 Chagrin Blvd.
Cleveland, Ohio 44124

(216) 591-0324

5. Oriana House, Akron, Ohio

Oriana House offers a number of addiction treatment services in Cuyahoga County, North Central Ohio, Summit County, and South East Ohio.

Oriana House programs are run through the community corrections programs, funded by the State of Ohio.

Individuals within Ohio county jails and state prisons can enter Oriana House rehab programs for substance abuse and mental health treatment.

Court-ordered rehab is also offered for those seeking addiction treatment in lieu of jail time.

Benefits for recovering individuals in Oriana House programs include:

  • improving the individual’s integration back into the community
  • providing individuals with more affordable addiction treatment options
  • increasing accountability, as individuals who fail to complete the program will face consequences
  • reducing continued crime and drug use, for a longer-lasting recovery

Residential rehab programs through Oriana House focus on the re-entry process, helping individuals who have been pre-released from prison or jail. The Cuyahoga County program also provides treatment for individuals awaiting trial.

Outpatient rehab programs are individualized, and include:

  • individual counseling and case management
  • medical monitoring when needed
  • daytime programming
  • alcohol and drug testing
  • curfew calls
  • recovery goal-setting
  • setting a daily activity itinerary

Programs through Oriana House are completely covered through Medicaid and other state funding, such as addiction treatment grants.

Location and contact information:

P.O. Box 1501
Akron, Ohio 44309

(330) 535- 8116

Paying For Inpatient Addiction Treatment With Ohio Medicaid

Inpatient addiction treatment services are covered by Ohio Medicaid through all five managed care plans.

To receive coverage, Medicaid policyholders must undergo an initial assessment which shows medical need for substance use treatment.

Limitations may be set for number of days in residential programs, such as 28 days. After that, if an individual needs further addiction care, they may be required to continue on in an outpatient program, providing proof of medical necessity.

Copays are not required for inpatient stays covered through Ohio Medicaid.

The following inpatient services are covered through all Medicaid plans:

  • medically supervised detox, with proof of medical necessity
  • inpatient rehab programs
  • medication-assisted treatment programs
  • medication management
  • dual diagnosis treatment
  • behavioral therapy, such as cognitive behavioral therapy

However, treatment services may be limited to rehab centers which accept Ohio Medicaid plans or through rehab centers which are approved through the Ohio Department of Health.

In July 2018, Ohio Medicaid changed the way it paid for treatment services. Instead of directly paying rehab centers, Ohio Medicaid began working with private providers, like CareSource, to negotiate payment of services.

This helped bring about more complete payment of services and fees, such as inpatient treatment. It also allowed Medicaid to reimburse more qualified treatment providers, such as those found at inpatient rehab centers, at a higher rate than those with lower qualifications.

Paying For Outpatient Addiction Treatment With Ohio Medicaid

Outpatient addiction treatment services and rehab programs are covered through Ohio Medicaid plans to the same degree as inpatient services.

That is, buckeye health plan, CareSource, Molina HealthCare, Paramount Advantage, UnitedHealthCare all provide complete coverage for outpatient addiction treatment.

New changes to the Ohio Molina Medicaid managed care plans include that outpatient services must receive prior authorization for treatment services.

This means individuals must provide proof of medical necessity for treatment through a clinical evaluation. Evaluations can be provided through a primary care provider or rehab facility.

Copays are not required for outpatient addiction treatment services. Individuals enrolled in ongoing outpatient treatment programs may have to provide renewed proof of medical necessity after a specific length of time, such as 90 days.

Outpatient addiction treatment services covered through Ohio Medicaid include:

  • individual and group counseling
  • intensive outpatient programs
  • partial hospitalization programs
  • ongoing medication management
  • certain therapies, such as behavioral therapy

Paying For Medication-Assisted Treatment With Ohio Medicaid

Beginning January 2018, Ohio Medicaid announced it would begin paying for more medications for medication-assisted treatment programs.

Previously, Ohio Medicaid plans only covered medication-assisted treatment which included buprenorphine and the buprenorphine-naloxone combination, Suboxone.

This posed limitations for individuals who may have responded better to recovery with other medications, such as naltrexone (Vivitrol) or methadone (Methadose).

Now, Medicaid in Ohio will cover other medications for medication-assisted treatment, so long as proof of medical necessity is provided.

The following medications are covered by Ohio Medicaid insurance plans:

Buprenorphine (Suboxone)

Suboxone is a buprenorphine combination drug which works by providing effects similar to that of opioid drugs, without the addictive side effects.

Suboxone has been useful in helping many individuals overcome withdrawal symptoms, such as cravings and severe headaches, and helping them manage ongoing withdrawal symptoms so they can enter recovery.

Methadone (Methadose)

Methadone is an opioid antagonist medication, which means it works by blocking the euphoric and other addictive effects of opioid drugs.

Blocking effects of opioid drugs allows individuals to reduce cravings and other withdrawal symptoms while tapering use of methadone over time.

Naltrexone (Vivitrol)

Naltrexone is a medication which works to block the addictive effects of alcohol and opioids. This allows an individual to overcome withdrawal symptoms and manage ongoing symptoms during recovery.

How To Pay For Costs Not Covered By Ohio Medicaid

The only costs of addiction treatment for Ohio Medicaid recipients include any services not covered by Medicaid plans.

Ohio Medicaid plans do not require monthly premium payments. Assistance programs are available, as well as copayment plans, for those who are unable or struggling to pay copays.

Depending on the plan and individual need, Ohio Medicaid plans may cover up to 90 days of inpatient addiction treatment.

For those who need a longer stay at a residential facility, they may be able to receive funding assistance through a number of resources.

Certain alcohol and drug rehab centers offer facility scholarship or alumni scholarship programs. Each state also allots a number of grants for addiction treatment programs for those who qualify.

Additional options include private pay programs. Most rehab facilities work with individuals and their families to cover any costs of treatment not covered by insurance. Payment plans may include sliding-fee scales based on eligibility.

A number of privately funded, nonprofit scholarships are also available throughout the U.S., such as through the Sobriety Foundation.

Eligibility Requirements For Ohio Medicaid

Individuals in Ohio must meet specific requirements to qualify for Medicaid.

In general, an Ohio resident may qualify for Medicaid if they are:

  • a low-income individual
  • pregnant
  • a mother with infants/children
  • an individual with a disability

Ohio residents must also be certified U.S. citizens with a valid social security number who meet low-income requirements in order to receive Medicaid.

Ohio Medicaid income requirements are as follows, based on household size:

Household Size And Income Limit (per year):

  • 1- $16, 146
  • 2- $21,892
  • 3- $27,637
  • 4- $33,383
  • 5- $39,129
  • 6- $44,874

Even if individuals do not meet income limits for Ohio Medicaid insurance plans, they are still encouraged to apply as additional health care coverage options and assistance may be available.

Finding Rehab Centers That Accept Ohio Medicaid Plans

New changes to the Ohio Medicaid plan in 2018 made it easier to secure high-quality addiction treatment services.

Ohio Medicaid paying for more qualified service providers opens the door for Medicaid recipients to get the best care possible for addiction treatment, leading to a long-lasting recovery.

It may now be easier to secure excellent addiction treatment in Ohio than ever before. For help in locating rehab centers in Ohio that accept Medicaid, contact one of our treatment specialists today.

This page does not provide medical advice. See more