As of 2020, there are over 57 accredited drug and alcohol treatment centers in Rhode Island. Some accept private insurance or self-payment only, and since drug and alcohol rehab treatment can be expensive, this is a problem for low-income people.
The good news is that many of these drug rehab centers also accept Medicaid, which was set up to cover health insurance costs for people below a certain percentage of the federal poverty level.
Rhode Island Medicaid Insurance Coverage For Addiction Treatment
Rhode Island Medicaid recipients do not have co-pays, which are fees paid to the health care provider at the time the patient is treated. There was a proposal to charge co-pays to Rhode Island Medicaid recipients in May of 2018, but it was removed.
Rhode Island expanded Medicaid under the Affordable Care Act in 2014.
Addiction treatment services are operated by the State of Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals. Its two programs are Prevention Services and Mental Health Services, and Substance Abuse Treatment.
Rhode Island Medicaid Managed Care plans include:
- Tufts Health Public Plan- RI Together
- United Healthcare Community Plan of Rhode Island
- Neighborhood Health Plan of Rhode Island- Medicaid Managed Care Plan
- United Healthcare-RIte Smiles
These plans have different goals, strategies, and requirements, so a person who is in need of substance abuse treatment needs to research the plans to see which one is right for them.
Drug And Alcohol Rehab Programs Often Covered By Rhode Island Medicaid
Treatment coverage through the Rhode Island insurance plan will depend on your individual plan and insurance provider.
The following are common addiction treatment services covered through the state’s Medicaid program:
- counseling for individuals, couples, groups, and families
- treatment for patients with dual diagnosis
- medication-assisted treatment, or MAT
- behavioral health services
- outpatient treatment
- inpatient rehab
- continuing care or aftercare
- peer support services
Top 4 Rehab Centers That Accept Rhode Island Medicaid
The following four rehab centers were chosen based on their accreditation, reviews from patients, and the quality of their treatment programs.
1. Discovery House Woonsocket, Woonsocket, Rhode Island
This outpatient drug rehab center is a SAMHSA-certified opioid treatment program, so all of its patients are in the program, even those who are not being treated for opioid use disorder.
Their treatment approaches include motivational interviewing, anger management, and relapse prevention.
They operate special rehab programs for:
- patients with dual diagnosis, or those who need mental health treatment as well as treatment for drug or alcohol abuse
- pregnant women or postpartum women
- adult women
- adult men
- patients who are on methadone
Discovery House, one of a network of 18 rehab facilities, also has language services for Spanish-speaking patients.
Location and contact information:
1625 Diamond Hill Rd.
Woonsocket, RI 02895
Find a treatment program that accepts Rhode Island Medical Assistance today.
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2. Gateway Healthcare, Mark S. Ferguson Center, Pawtucket, Rhode Island
This is one of a number of treatment facilities that use medication-assisted detoxification to help patients through withdrawal even as they attend other addiction therapies.
To do this, patients are given medications such as buprenorphine, Vivitrol, and naltrexone to help them overcome opioid addiction. They are prescribed Campral and Antabuse to help with recovery from alcohol abuse.
Gateway is an outpatient treatment center that offers therapies such as:
- cognitive behavioral therapy
- motivational interviewing
- relapse prevention
- 12-step approach
- trauma therapy
They also practice community outreach and brief interventions. Gateway Healthcare also accepts Medicare.
Location and contact information:
101-105 Bacon St.
Pawtucket, RI 02860
3. Newport County Community Mental Health Center, Middletown, Rhode Island
This drug rehab center practices ambulatory medicated detox through such medications as naltrexone and Antabuse.
It also offers outpatient treatment as well as drug addiction therapies such as cognitive and dialectical behavioral therapy. They also help patients through interventions, community outreach, and the 12-step philosophy.
The treatment center helps patients with co-occurring disorders and offers counseling for individuals, couples, families, and groups. It accepts patients who are already taking opioid medication and takes age groups from children to adults.
Location and contact information:
127 Johnny Cake Hill Rd.
Middletown, RI 02842
4. Phoenix House New England Women’s Residential Program, Providence, Rhode Island
This is one of the treatment providers in Rhode Island that focuses on helping young adult and adult women who are struggling with addiction through counseling and MAT.
They accept patients with dual diagnoses, LGBT patients, and pregnant and postpartum women. They also treat patients who have HIV/AIDs and have undergone trauma and domestic violence.
Other treatment options include:
- discharge planning
- case management
- family counseling
- individual counseling
- assistance with transportation, housing, and obtaining social services
Location and contact information:
205 Waterman St.
Providence, RI 02906
(401) 421-5255 x96402
Rhode Island Medical Assistance FAQs
Understanding what is covered by your Rhode Island Medical Assistance plan may make choosing the right addiction treatment program a little bit easier. Below are some of the most frequently asked and answered questions about what types of treatment Rhode Island Medicaid will cover.
❓ Does Rhode Island Medicaid Cover Inpatient Treatment For Alcohol And Drug Abuse?
✔️ Rhode Island Medicaid covers the cost of inpatient drug and alcohol treatment. However, the number of treatment providers that offer inpatient or residential treatment is limited, and the coverage may not be comprehensive.
Exceptions are children ordered into treatment by the Department of Children, Youth, and Families and children aged 13 to 17.
❓ Does Rhode Island Medicaid Cover The Cost Of Outpatient Treatment Services?
✔️ Rhode Island Medicaid covers the cost of outpatient treatment. In fact, many patients who are enrolled in Medicaid must enter an outpatient program first and try to recover from their substance use disorder while in the program.
Outpatient programs require the patient not to have more than three sessions a week, and a patient needs prior authorization, or PA, if the treatment exceeds 30 sessions a year.
❓ Does Rhode Island Medicaid Cover The Cost Of Partial Hospitalization Programs?
✔️ Rhode Island Medicaid can cover partial hospitalization, which means the patient visits the drug and alcohol rehab center for at least 20 hours of treatment a week.
❓ Does Rhode Island Medicaid Cover The Cost Of Intensive Outpatient Programs?
✔️ Rhode Island Medicaid covers the cost of intensive outpatient programs, though a patient needs PA if they have more than 60 sessions a year. There can be no more than three sessions a day that exceeds two hours or more.
❓ Does Rhode Island Medical Assistance Pay For Medication-Assisted Treatment?
✔️ Rhode Island Medicaid covers medication-assisted treatment. This approach uses various medications, such as buprenorphine, combined with addiction therapies to help a patient heal from addiction to drugs or alcohol.
❓ Does Rhode Island Medicaid Cover The Cost Of Suboxone?
✔️ Rhode Island Medicaid covers Suboxone, as well as buprenorphine and naloxone. To cover Suboxone, the patient must have documented proof that they are in substance use disorder counseling.
They don’t need to do this for other medications that have buprenorphine, but patients can’t have more than 24 milligrams a day of buprenorphine after six months.
❓ Does Rhode Island Medicaid Cover The Cost Of Methadone?
✔️ Rhode Island Medicaid does cover the cost of methadone under fee-for-service, or FFS plans. Methadone is an opioid that has been used to ease the discomfort of withdrawal from opioids of abuse.
How To Pay For Costs Not Covered By Rhode Island Medicaid
Patients can pay for drug and alcohol addiction service not covered by Rhode Island Medicaid through their own savings, loans, grants, a health care credit card, or crowdfunding. There are centers in Rhode Island that offer free service while others are amenable to setting up a payment plan with the patient. Others have a sliding scale of fees based on the patient’s income.
Eligibility Requirements For Rhode Island Medicaid
To be eligible for Rhode Island Medicaid, a patient must be a resident of the state, a citizen, a legal alien or permanent resident whose income is considered low or very low.
Medicaid eligibility for this state also requires members belong to at least one other category:
- responsible for a minor child
- disabled or have a disabled family member
- 65 or older
Finding A Rehab Center That Accepts Rhode Island Medicaid
There are a good number of substance abuse treatment facilities that accept Medicaid. They are open even during the COVID-19 pandemic.
Many have set up protocols to protect patients and staff and can help if you or a loved one are struggling with addiction.
For more information on these rehab facilities that accept Rhode Island Medicaid, or other recovery programs that may work for you, contact our helpline to speak to a specialist today.
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.
- Executive Office of Health & Human Services, State of Rhode Island—Rehabilitative Services Policy
- Providence Journal—Raimondo pulls Medicaid co-pays proposal from R.I. state budget
- State of Rhode Island BHDDH—Mental Health Services
- State of Rhode Island Department of Human Services—RI Medicaid State Plans