Top 6 Rehab Centers That Accept Pennsylvania Medicaid

Pennsylvania Medicaid covers approximately 3 million people who live in every county in the Commonwealth. This makes it one of the largest health insurance programs in Pennsylvania. The state expanded Medicaid in 2015, and about 750,000 Pennsylvanians get health care because of Medicaid Expansion.

People in Pennsylvania can use their Medicaid coverage to get addiction treatment and other behavioral health services. The program covers both inpatient and outpatient substance use disorder treatment. 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

It’s important to check with the rehab facility of your choice to insure your Medicaid plan covers the specific services you need.

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

People who qualify for Pennsylvania Medicaid can get addiction recovery services through one of the state’s managed care plans. These plans include Aetna Better Health, AmeriHealth Caritas Northeast, Gateway Health Plan, Geisinger Health Plan, Health Partners of Philadelphia, and UnitedHealthCare Community Plan. Which plans are available depends on where you live in the state.

To use your Medicaid plan for addiction treatment, contact the rehab center you want to attend and ask if they accept your specific Medicaid plan. If they do, the treatment center will work directly with your insurance company to get approval and payment for your care. This means you can start treatment while the facility handles the insurance paperwork behind the scenes.

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

Some Pennsylvania Medicaid members may need to pay small monthly premiums if their income is above 100% of the federal poverty level. You might also have copayments for certain services like therapy sessions, prescription medications, and hospital stays. These copays typically range from 50 cents to $21, depending on what type of care you receive.

However, you won’t have to pay copayments if you’re pregnant, under 19 years old, or living in a long-term care facility. Most addiction treatment services are covered with little to no out-of-pocket costs, making rehab affordable for people who qualify for Medicaid coverage.

Eligibility Requirements For Pennsylvania Medicaid

Pennsylvania residents may qualify for Medicaid coverage if they meet certain requirements. You must be a state resident and fall into one of the groups listed below.

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

You’ll also need to provide financial information during the application process. This includes details about your wages, spousal income, Social Security benefits, and veteran benefits to show you meet the income limits for Medicaid coverage.

How To Apply For Pennsylvania Medicaid

Applying for Pennsylvania Medicaid is straightforward and can be completed in several ways. The fastest option is to apply online through the COMPASS portal at compass.state.pa.us, where you can submit an application and track its status from home. You can also apply by phone through the statewide call center, by mail, or in person at your local County Assistance Office.

Have the following information ready when applying:

• proof of identity such as a driver’s license, state ID, or birth certificate
• proof of Pennsylvania residency such as a utility bill, lease agreement, or bank statement
• proof of income such as recent pay stubs, tax returns, or documentation of Social Security or veteran benefits
• Social Security numbers for all household members applying for coverage
• information about any existing health insurance you or your household members currently have

Most applications are processed within 45 days, though decisions for applicants with disabilities may take longer. If you are seeking addiction treatment and need coverage quickly, contact your preferred treatment center directly, as many facilities have admissions specialists who can help expedite the insurance verification process. For additional assistance with your application, contact your local County Assistance Office or call the Pennsylvania Medicaid helpline for guidance.

Browse our directory on AddictionResource.net or contact the Substance Abuse and Mental Health Services Administration (SAMHSA) and take the first step toward lasting sobriety.

Written by the Addiction Resource Editorial Staff