Top 4 Rehab Centers That Accept SoonerCare (Oklahoma Medicaid)

In 2020, there are about 200 treatment facilities in Oklahoma that treat drug and alcohol addiction.

Though these treatment facilities offer many ways to pay for their services, a person may find the cost beyond their means, even when they have certain kinds of private insurance. This is where Medicaid comes in.

Oklahoma Medicaid plans make it possible for those with addiction to find the substance abuse treatment they need to begin recovery.

Medicaid is not accepted through every drug rehab center in the state of Oklahoma. However, a number of addiction treatment centers accept the health insurance plan and help Medicaid members through a range of addiction services.

Oklahoma Medicaid Insurance Coverage For Drug And Alcohol Addiction Treatment

Oklahoma Medicaid is called SoonerCare. Every SoonerCare member can have screening for alcohol or drug addiction delivered by ITU clinics, federally qualified health centers, and patient-centered medical homes with prior authorization, or PA.

If the policyholder goes to another type of treatment provider, including a public or private outpatient treatment center, they will need to complete pre-admission forms.

Types Of Medicaid Plans In Oklahoma

The two types of Oklahoma Medicaid are SoonerCare Traditional and SoonerCare Choice. The former operates a network of health care providers in the form of general physicians, pharmacies, and hospitals.

In SoonerCare Choice, each member enrolled in the insurance program has a medical home that coordinates their healthcare services.

There’s also the SoonerPlan, which is for men and women ages 19 and older. This plan helps with family planning.

Addiction Treatment Coverage Through Oklahoma Medicaid

The Affordable Care Act (ACA) allowed for the Oklahoma Medicaid Expansion Initiative, which was passed in June 2020 and will go into effect on July 1, 2021.

Benefits for patients already enrolled in SoonerCare won’t change, but some people will be enrolled in a managed care program when the expansion goes into effect.

Substance abuse and mental health services are given the same weight and operate under the same rules as physical health treatments under the Mental Health Parity and Addiction Equity Act.

Covered services may vary according to individual need, but could include the following:

• outpatient services
• case management
• residential behavioral management service
• acute psychiatric inpatient care
• medication-assisted detoxification

Top 4 Rehab Centers That Accept Oklahoma Medicaid

These addiction treatment centers accept SoonerCare and have been chosen for their high patient ratings, accreditation, and high standards of treatment.

1. Carl Albert CMHC, McAlester, Oklahoma

This drug and alcohol treatment center offers both mental health and drug rehab services. Addiction therapies include individual psychotherapy, couples, family, and group therapy. This rehab center accepts people with a dual diagnosis and practices telemedicine therapy.

The rehabilitation center accepts age groups from children to seniors and offers other treatment programs, such as case management and assertive community treatment.

They have programs for patients ordered into addiction treatment by the court, peer support services, and diet and exercise counseling.

They run a crisis intervention team and have walk-in services for psychiatric emergencies and language services for Spanish-speaking and hearing-impaired people. Carl Albert CMHC also accepts Medicare.

2. Cornerstone Counseling and Consulting, Oklahoma City, Oklahoma

This outpatient treatment facility accepts people with co-occurring mental health disorders. They offer special programs for seniors, children with serious emotional disturbance, and members of the LGBT community.

They also treat people who have been ordered into treatment by courts and persons with post-traumatic stress disorder (PTSD).

Addiction therapies include:

• couples therapy
• group therapy
• behavior modification
• trauma therapy
• activity therapy

3. Mission Treatment Centers Substance Abuse Treatment, Tulsa, Oklahoma

The Mission Treatment Centers are part of a SAMHSA-certified opioid treatment program, so all people in their drug treatment programs are considered part of this program.

They do offer methadone maintenance services even though methadone is not covered under Oklahoma Medicaid.

Their addiction treatment approaches include:

• motivational interviewing
• cognitive behavioral therapy
• anger management
• relapse prevention
• trauma therapy

They also offer outreach to the wider community and accept patients with a dual diagnosis or other mental health issues, women who are pregnant or who’ve just given birth, veterans, and people who have undergone trauma.

Other programs include aftercare, help with obtaining housing and social services, and case management. The addiction centers also offer drug or alcohol screening.

4. Rolling Hills Hospital, Ada, Oklahoma

Though this is a hospital with inpatient treatment services, it still accepts Medicaid members. Besides addiction therapies such as group, individual, and family therapies, they also have programs for people with co-occurring disorders.

Veterans, seniors, children who have serious emotional disturbance, and people with Alzheimer’s disease or dementia can also find help here.

Drug rehab programs at Rolling Hills include case management and language services for patients who are hearing-impaired.

SoonerCare FAQs

Determining what types of treatment programs are covered by SoonerCare (Oklahoma Medicaid) should not have to make finding addiction treatment more stressful. Below are some of the most frequently asked questions about SoonerCare coverage for alcohol and drug rehab.

❓ Does SoonerCare (Oklahoma Medicaid) Cover Inpatient Treatment For Drug And Alcohol Abuse?

✔️ SoonerCare typically does not cover inpatient treatment for substance abuse, either for children or adults, though this can depend on your individual plan. SoonerCare does cover acute psychiatric inpatient treatment.

❓ Does SoonerCare (Oklahoma Medicaid) Cover The Cost Of Outpatient Treatment Services?

✔️ SoonerCare covers outpatient treatment services as long as the patient has prior authorization. There are limits to outpatient program hours and other characteristics based on the person’s pre-approved treatment level.

❓ Does SoonerCare (Oklahoma Medicaid) Cover The Cost Of Partial Hospitalization Programs?

✔️ Oklahoma Medicaid does cover partial hospitalization programs (PHP), where the person spends most of the day at the recovery center but goes home in the evening.

❓ Does SoonerCare (Oklahoma Medicaid) Cover The Cost Of Intensive Outpatient Programs?

✔️ SoonerCare does pay for intensive outpatient programs, or IOP. In this type of addiction treatment program, people visit the rehab center more frequently than they would if participating in regular outpatient treatment.

❓ Does SoonerCare (Oklahoma Medicaid) Pay For Medication-Assisted Treatment?

✔️ SoonerCare does cover medication-assisted treatment. A person in medication-assisted treatment, or MAT, is supervised during their period of detox. They may be given medications to ease much of the discomfort of withdrawal symptoms and quell cravings for their drug of abuse.

Since the person is more comfortable during detox with use of MAT, they are able to concentrate on and benefit from other kinds of addiction treatments.

❓ Does SoonerCare (Oklahoma Medicaid) Cover The Cost Of Suboxone?

✔️ SoonerCare pays for Suboxone, but the person’s treatment provider must have prior authorization before they can prescribe it.

The person will need to present documentation that they’re being treated for a substance use disorder. Suboxone can then be covered for up to 90 days.

❓ Does SoonerCare (Oklahoma Medicaid) Cover The Cost Of Methadone?

✔️ As of 2020, SoonerCare insurance programs don’t cover the cost of methadone. It’s not on the OHCA list of medications that need prior authorization before it can be prescribed.

People with Oklahoma Medicaid that still need methadone maintenance therapy (MMT) may have other options for paying for the prescription drug.

Paying For Costs Not Covered By Oklahoma Medicaid

Addiction services that aren’t covered by SoonerCare can be paid for through other types of funding.

Some payment assistance and payment options include:

• other state-funded insurance
• state welfare or state agency funding
• block grants
• juvenile justice or state correction funds
• private insurance
• money from the person’s savings
• Indian/Tribal/Urban, or ITU funding
• scholarships
• crowdfunding
• health care credit card
• Department of Veterans Affairs funding

Some addiction centers are free of charge. Others allow the person to make payment arrangements or have a sliding scale based on their financial and social circumstances.

Eligibility Requirements For Oklahoma Medicaid

A person who wants to enroll in Oklahoma’s SoonerCare program must be a resident of Oklahoma and a United States citizen.

They can also be a legal alien or permanent resident who needs health care or health insurance. Immigrants who came to the country after August 22, 1996 can’t enroll in SoonerCare for five years.

Medicaid eligibility requirements state their income must be below a percentage of the federal poverty level. For example, a two-person household can’t have an annual gross income of more than $36,216.

A person may qualify for SoonerCare if they are also in one other category:

• 65 years old or older
• pregnant
• blind
• disabled
• responsible for a child younger than 19
• a child under 19
• a woman under 65 who needs treatment for breast or cervical cancer
• enrolled in the SoonerPlan

Finding Rehab Facilities That Accept Oklahoma Medicaid

There are a good number of Oklahoma addiction treatment centers that accept SoonerCare. Most are open despite the COVID-19 pandemic and are taking steps to make sure that staff and patients are safe from the virus.

If you or a loved one need to seek help for alcohol or drug addiction, don’t wait to begin your recovery. Contact our treatment helpline now for more information on rehab centers near you, help with insurance verification, and more.

Published on October 8, 2020

Written by the Addiction Resource Editorial Staff