Top 6 Rehab Centers That Accept Pennsylvania Medicaid

Pennsylvania Medicaid provides healthcare coverage for over 3.1 million state residents, making it one of the largest insurance providers in Pennsylvania.

People in Pennsylvania can use their Medicaid insurance plans to receive addiction care, as Medicaid provides coverage for behavioral health treatment programs.

There are a number of drug rehabilitation centers throughout Pennsylvania that accept Medicaid for addiction treatment.

List Of Drug And Alcohol Rehab Centers That Accept Medicaid In Pennsylvania

The following drug abuse treatment facilities were selected based on qualifications such as licensure status, earned accreditations, Google reviews, certifications, and other marks of quality.

1. Bowling Green Brandywine Treatment Center, Kennett Square, Pennsylvania

Bowling Green provides evidence-based treatment services such as co-occurring disorder care, detoxification, inpatient rehab programs, and partial hospitalization programs (PHP).

Insurance plans accepted here are:

• Medicaid
• Medicare
• private health insurance

This rehab facility is backed by Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation and the American Society of Addiction Medicine (ASAM).

2. CleanSlate, Port Richmond, Pennsylvania

This outpatient addiction recovery program provides medication-assisted treatment (MAT), telehealth services, dual diagnosis treatment for Pennsylvania residents, and aftercare.

Marks of quality care include:

• CARF accreditation
• certification from the Pennsylvania Department of Drug and Alcohol Programs
• positive testimonials from past clients

Here, clients can use Pennsylvania Medicaid to cover the cost of treatment.

3. Livengrin, Bethlehem, Pennsylvania

Livengrin is an addiction treatment center in Bethlehem, PA. Medicaid and private health insurance coverage are accepted here.

Drug and alcohol treatment services include:

• drug and alcohol detox
• inpatient treatment
• MAT
• dual diagnosis treatment

This facility features Joint Commission accreditation and National Association of Addiction Treatment Providers (NAATP) membership.

4. Mazzoni Center, Philadelphia, Pennsylvania

Mazzoni Center is a drug and alcohol treatment facility in Philadelphia, PA. Treatment services include group therapy, MAT, aftercare planning, and relapse prevention services.

Payment options include:

• PA Medicaid
• commercial insurance
• Medicare
• sliding fee scales based on income

This LGBTQ-friendly rehab center for Pennsylvania adults is backed by positive client testimonials and a 3.4-star Google rating.

5. Pinnacle Treatment Centers, Pittsburgh, Pennsylvania

This outpatient drug rehab program in Pittsburgh, PA, accepts Medicaid as well as out-of-network insurance plans.

Addiction treatment methods available here include cognitive behavioral therapy (CBT), MAT, holistic therapy, and group counseling.

Pinnacle Treatment Centers is accredited by CARF and features a 3.8-star Google rating.

6. Pyramid Healthcare, Catasauqua, Pennsylvania

Pyramid Healthcare provides a full continuum of drug treatment programs for teens and adults including medical detox, residential treatment, outpatient rehab programs, and aftercare.

Treatment options may include:

• methadone maintenance
• behavioral therapy
• holistic therapies

Pyramid Healthcare is accredited by CARF and accepts Medicaid insurance plans.

Addiction Recovery Services Covered By Pennsylvania Medicaid

Pennsylvania Medicaid plans pay for most substance abuse treatment services for eligible individuals.

Behavioral health services covered by Pennsylvania Medicaid include:

• dialectical behavior therapy (DBT)
• medically supervised detox
• outpatient treatment
• short-term or long-term residential treatment in Pennsylvania
• intensive outpatient programs (IOP)
• support groups for opioid drug addiction
• group therapy for adolescents
• mental health treatment
• MAT using buprenorphine
• 12-step programs for alcohol addiction
• case management services
• sober living homes

How To Use Medicaid To Cover The Cost Of Addiction Services In Pennsylvania

People who meet eligibility requirements for Medicaid can access addiction recovery services by enrolling in one of the state’s managed care plans.

Managed care plans are available through:

• Aetna Better Health
• AmeriHealth Caritas Northeast
• Gateway Health Plan
• Geisinger Health Plan
• Health Partners of Philadelphia
• UnitedHealthCare Community Plan

The managed care plans available to residents will depend largely on the region and county in which they reside.

People can use their plan to cover the cost of addiction treatment by contacting the rehab facility of their choice and asking whether they accept Medicaid insurance.

If they do take Medicaid, rehab center staff will then correspond with the insurance company and secure payment while the client begins their treatment plan.

Cost Of Drug Rehab Programs At A Treatment Facility That Accepts Pennsylvania Medicaid

Pennsylvania Medicaid policyholders with an income greater than 100% of the federal poverty level will be required to pay a small monthly premium to use their insurance.

Copayments may also be assessed for psychotherapy services, prescription drug refills, and hospital stays. Copays will range from $.50 to $21, depending on the service.

People will not be required to pay a copayment if they are pregnant, under the age of 19, or residents of a long-term care facility or other medical institution.

Eligibility Requirements For Pennsylvania Medicaid

Below are some of the eligibility requirements for Pennsylvania Medicaid insurance.

Residents may be eligible if they are:

• under the age of 19
• pregnant
• a parent or caretaker of children under 21
• over the age of 65
• blind or disabled

Pennsylvania residents will also have to submit information about their wages, spousal income, social security, and veteran benefits to ensure they are financially eligible for Medicaid coverage.

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Updated on March 28, 2023

Written by the Addiction Resource Editorial Staff