About 179 alcohol and drug treatment centers in Oregon accept Medicaid. The rest accept private health insurance, other forms of insurance coverage, or cash pay.
Because of this, seeking help for drug addiction or alcohol addiction can be daunting for many people. Even with insurance programs, treatment can cost thousands of dollars.
But the Medicaid program is designed for people who live just above or below the federal poverty level.
Oregon residents with Medicaid insurance can access substance abuse treatment programs, such as residential treatment, drug and alcohol detox, and other addiction treatment services.
Oregon Health Plan Coverage For Addiction Treatment
Oregon’s form of Medicaid is the Oregon Health Plan, and it’s operated by the state’s Health Systems Division. As of September 2020, 1,189,408 residents of Oregon were enrolled in this plan.
The OHP Plus plan is for patients who are eligible for Medicaid and CHIP accepts pregnant women, children, seniors, and disabled patients. There is no copay for the Oregon Health Plan.
Oregon expanded its Medicaid coverage under the Affordable Care Act in 2014, and their Medicaid enrollment has risen 66 percent since that time.
Substance abuse treatment is covered under mental health services, and Medicaid also covers certain drugs that aren’t covered under Medicare Part D.
This is important for patients who are thinking of a medical detox program as part of their alcohol or drug addiction treatment. For more information about which treatment services are covered under the Oregon Health Plan, you can contact your coordinated care organization or CCO.
Coordinated care organization plans in Oregon are offered through the following insurance providers:
- Advanced Health
- Cascade Health Alliance
- Columbia Pacific Coordinated Care Organization
- Eastern Oregon Coordinated Care Organization
- Health Share of Oregon
- InterCommunity Health Network Coordinated Care Organization
- Jackson Care Connect
- PacificSource Community Solutions — Central Oregon Region
- PacificSourceCommunity Solutions — Columbia Gorge Oregon
- PacificSource Community Solutions — Lane
- Pacific Source Community Solutions — Marion/Polk
- Trillium Community Health Plan
- Umpqua Health Alliance
- Yamhill Community Care
Oregon Health Plan’s addiction services are run by the Alcohol and Drug Policy Commission.
Their services include:
- dual diagnosis
- DUII treatment
- services geared toward addicted health professionals
- medication-assisted treatment and recovery which is called U MATR under the plan
- peer recovery support services
- trauma therapies
Drug And Alcohol Treatment Services Often Covered By Oregon Health Plan
Depending on the individual Medicaid plan, Oregon Health Plan may cover a number of treatments for alcohol and drug abuse.
Some of these include:
- outpatient treatment
- intensive inpatient treatment
- partial hospitalization
- early intervention
- family counseling
- drug tests
- mental health treatment
Top 4 Rehab Centers That Accept Oregon Health Plan
Fortunately for low-income patients, there are many accredited drug treatment facilities that accept Oregon Health Plan. The following rehab centers were chosen based on their accreditation, patient reviews, and the high quality of care.
1. Clackamas Health Centers Hilltop Behavioral Health Center, Oregon City, Oregon
This outpatient treatment center helps patients through an assortment of addiction therapies, including rational emotive behavioral therapy.
They offer 12-step programs, trauma counseling, and teach skills such as relapse prevention. They offer the Matrix Model for patients who are addicted to stimulants.
Special treatment programs at the drug rehab center include those for adolescents, adult women and adult men, and patients with a dual diagnosis. They also have drug and alcohol screening and counseling for individuals, groups, and couples.
Location and contact information:
998 Library Court
Oregon City, OR 97045
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2. Integrated Health Clinics, Portland, Oregon
Like a number of treatment facilities that accept Medicaid, Integrated Health offers medicated detoxification for people with addictions to opioids, methamphetamines, and cocaine.
It is a SAMHSA-certified opioid treatment program, and all of its patients are considered part of the program.
This outpatient rehab facility helps patients with a variety of therapies, including cognitive behavioral therapy and motivational interviewing. They offer trauma therapy and have special programs for patients with a dual diagnosis, or co-occurring mental health disorder and substance abuse.
They also have exclusive services for methadone clients and DWI clients and have language services for Spanish speakers.
Location and contact information:
17882 SE Mcloughlin Blvd.
Portland, OR 97267
3. Wallowa Valley Center For Wellness Alcohol And Drug Program, Enterprise, Oregon
This drug and alcohol rehab facility is one that offers medication-assisted treatment (MAT) to patients with alcohol or drug addiction. They utilize buprenorphine and Vivitrol when treating patients with opioid abuse and Campral to help patients with alcohol addiction.
They also offer a mix of behavioral health and substance abuse treatments. They are an outpatient treatment facility.
Other types of treatment services at the rehab center include:
- cognitive behavioral therapy
- dialectical behavior therapy
- anger management
- relapse prevention
- 12-step philosophy
- rational emotive behavioral therapy
Wallowa Valley Center has special treatment programs for clients referred to treatment by the courts, people who’ve undergone trauma, adolescents, adult women, and people with a dual diagnosis.
Location and contact information:
207 SW 1st St.
Enterprise, OR 97828
4. White Bird Clinic Chrysalis Program, Eugene, Oregon
The treatment options of this outpatient clinic include cognitive behavioral therapy, relapse prevention, and motivational interviewing, among others. They also practice outreach to the wider community and offer trauma counseling.
White Bird Clinic has special programs for patients with a dual diagnosis. They offer case management and discharge planning, help patients obtain social services, and take patients who are already on opioid medication.
They have exclusive services for DWI patients and language services for patients who are hearing-impaired.
Location and contact information:
350 East 11th Ave.
Eugene, OR 97401
Oregon Health Plan FAQs
Many people seeking substance abuse may be concerned about what their Oregon Health Plan does and does not cover. Below are some of the most frequently asked questions about Oregon Medicaid.
❓ Does Oregon Medicaid Cover The Cost Of Inpatient Drug And Alcohol Treatment?
✔️ Oregon Medicaid does cover the cost of inpatient treatment for alcohol and drug abuse. During inpatient treatment, the patient actually lives at the rehab facility, most often for 30, 60 or 90 days.
❓ Does Oregon Medicaid Cover The Cost Of Outpatient Treatment?
✔️ Oregon Medicaid plans also cover outpatient treatment. A person in an outpatient program visits the treatment center for a few hours a week but lives at home.
❓ Does Oregon Medicaid Cover The Cost Of Partial Hospitalization Programs?
✔️ Partial hospitalization is described as at least 20 hours of treatment a week in an alcohol and drug rehab facility, and Oregon Health also covers this type of program.
❓ Does Oregon Medicaid Cover The Cost Of Intensive Outpatient Programs?
✔️ A person who is in an intensive outpatient program, or IOP, spends at least nine hours a week at a recovery center. Oregon Health Plan covers IOP programs for plan members who qualify.
❓ Does Oregon Health Plan Pay For Medication-Assisted Treatment?
✔️ Medication-assisted treatment (MAT) helps patients withdraw from their substance of abuse with less discomfort and little of the cravings that would put them in danger of relapse.
This is done by giving the patient medications such as buprenorphine and making sure they are supervised by the staff at the treatment facility. Oregon Health Plan covers MAT programs.
❓ Does Oregon Medicaid Cover The Cost Of Suboxone?
✔️ Oregon Health Plan covers the cost of Suboxone, buprenorphine tablets, and buprenorphine/naloxone tablets. They have to be authorized for use, and the patient has to be enrolled in a substance use disorder counseling program and have written proof of it.
The insurance plan covers Suboxone for as long as six months. After six months, the maximum dosage of buprenorphine is 24 milligrams a day.
❓ Does Oregon Health Plan Cover The Cost Of Methadone?
✔️ Oregon’s Medicaid plan pays for methadone under managed care and fee-for-service plans. Methadone is an opioid but is used to treat patients with opioid addiction.
As with buprenorphine, the patient must provide written proof that they are being counseled for substance use disorder.
Paying For Costs Not Covered By Oregon Health Plan
There are ways to pay for the addiction services that Oregon Health Plan doesn’t cover. Patients can ask to draw up a payment schedule with the drug rehab facility or find a treatment facility with a sliding scale program.
Other ways to pay for treatment are savings, loans, including home equity loans, and crowdfunding. Patients can also make use of state-financed insurance plans besides Medicaid and Access to Recovery, or ATR vouchers. There are also some drug and alcohol treatment facilities that are free.
Eligibility Requirements For Oregon Health Plan
An adult patient meets Medicaid eligibility requirements for Oregon Health Plan if they earn 138 percent of the federal poverty level. The plan is available to children aged 0 to 18 if their family earns 300 percent of the poverty level.
Children under 18 are also eligible despite their immigration status, including those with DACA. Pregnant women are also eligible.
OHP Plus supplemental insurance coverage is available for pregnant women over 21, and OPH with limited drugs are available for adult patients for both Medicaid and Medicare Part D. A person can apply at any time of year for the Oregon Health Plan.
Finding A Rehab Center That Accepts Oregon Health Plan
People who are in need of drug and alcohol addiction treatment and fear they won’t be able to pay for it should consider enrolling with the Oregon Health Plan, which is the state’s version of Medicaid. The Affordable Care Act’s Medicaid expansion made enrolling even easier.
For more information on the rehab facilities that may meet your needs, or those of a loved one with addiction, contact one of our treatment specialists today.
Published on September 29, 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.
- Health Insurance.org—Oregon Health Insurance
- Oregon.gov—OHP Data and Reports
- Oregon.gov—Addiction Services