List Of Drug And Alcohol Rehab Centers That Accept Texas Medicaid
Out of 27.7 million residents living in Texas, 1 in 12 adults is covered by Texas Medicaid benefits. Since Medicaid is becoming one of the largest-paying insurance coverage providers for addiction treatment, policyholders can access quality care made possible by their Medicaid plans.
Medicaid is a national health insurance benefit program for low-income individuals who meet eligibility requirements. The program is funded by both federal and state grants, so Texas Medicaid is subject to both state and federal regulations.
This means Medicaid has very specific guidelines for what addiction treatment services are covered in Texas, the amount of coverage, and any requirements which must be met to receive coverage.
Finding a rehab center that accepts an individual’s Medicaid plan before selecting a treatment program can help ensure that treatment is covered, easing the financial burden of entering recovery. With less worry over cost, individuals entering addiction recovery can channel all their energy into improving their health.
Texas Medicaid Insurance Coverage For Addiction Treatment
Medicaid is a full-coverage insurance plan, so a Texas Medicaid plan will cover all costs of pre-approved addiction treatment in most cases.
Any costs not covered by a Texas Medicaid plan will be the result of services not approved for coverage by Medicaid.
The Medicaid program in Texas has highly regulated guidelines for what’s covered under its plans. An individual can easily find out which addiction treatment services are covered under their plan by speaking to an addiction treatment specialist and select a rehab center which complies with their plan.
Before entering any form of addiction treatment program, Medicaid policyholders must first undergo a clinical assessment to show medical need for treatment. This assessment will also reveal which treatment services may best help an individual in recovery.
While individual plans and coverage may vary, these addiction treatment services are generally covered by Texas Medicaid plans:
- behavioral therapy, such as cognitive behavioral therapy
- individual, group, and family counseling
- inpatient and residential treatment
- outpatient programs
- medication-assisted treatment programs
- medication management
Top 5 Rehab Centers That Accept Texas Medicaid
In Texas, more than 130 alcohol and drug rehab centers accept Medicaid for addiction treatment services and programs.
Here is a list of the top five rehab centers that accept Texas Medicaid. Facilities were selected based on positive reviews, professional accreditations, and levels of services and treatments offered.
1. Phoenix House, Multiple Locations
Phoenix House offers a range of CARF-accredited addiction treatment programs for Texas residents in four locations: Austin, Dallas, Houston, and Round Rock. Programs include residential and outpatient programs and prevention and assessment services.
Both teens and adults can access treatment in specialized programs at Phoenix House. In addition to evidence-based treatments, individuals at this facility can access a number of services, including education and housing support.
2. Texas Health, Multiple Locations
Texas Health is a network of 25 hospitals in the state of Texas which provides comprehensive addiction treatment programs for individuals in need. Types of treatment found at Texas Health centers include residential, outpatient, gender-specific, and specialized programs for adolescents and young adults.
Texas Health incorporates a number of services into its programs to ensure a holistic approach to recovery. These include:
- 12-step recovery principles
- individual and group counseling
- relapse prevention planning
- skill-building and life skills training
- communication training
- customized treatment plans
3. Cenikor, Multiple Locations
Cenikor provides both inpatient and outpatient addiction treatment at multiple rehab facilities in Texas and one in Louisiana.
Locations for Cenikor treatment in Texas include:
- Fort Worth
- San Marcos
Cenikor offers a full spectrum of care for substance abuse treatment including:
- long-term inpatient care
- outpatient treatment
- medically supervised detox
- short-term residential care
- prevention services
- specialized programs for adults and adolescents
4. Serving Children And Adults In Need (SCAN), South Texas And Laredo
Serving Children and Adults in Need (SCAN) is a residential addiction treatment center with four live-in treatment centers for recovering individuals in Texas. ‘
Each of these four locations offers specialized addiction treatment services:
- Serenidad Men’s Recovery Home provides men-only addiction treatment for males 18 and older.
- Serenidad Women’s Recovery Home offers the same level of treatment for women over age 18.
- Youth Recovery Homes (two locations) service young males ages 13 to 17, while Esperanza
- Recovery Home services adolescent females, including pregnant teens.
Treatment in the homes includes a holistic “whole-body” approach and incorporates prevention and intervention services as needed. SCAN also focuses on helping individuals recover from any traumatic events which may contribute to addiction issues.
5. Land Manor, Southeast Texas
Land Manor is a residential treatment organization with three facilities serving Jefferson, Hardin, and Orange Counties, as well as Southeast Texas. Each of Land Manor’s facilities offers specialized substance abuse programs for a particular group.
Franklin House North is a highly structured residential treatment center for pregnant/postpartum women and women with children. In addition to intensive addiction treatment and detox services, Franklin House provides a number of services which aid women in building parenting skills, self-esteem, and self-confidence.
Franklin House South services only women referred to residential treatment through the Texas Department of Criminal Justice. Services here include behavioral modification and outpatient treatment as well. The Melton Center provides residential treatment and detox for adult women.
Paying For Inpatient Addiction Treatment With Texas Medicaid
For the Texas Medicaid Basic state plan, all approved inpatient services are completely covered, meaning policyholders are not required to pay copays, premiums, or other fees for treatment when covered by Medicaid.
Inpatient addiction treatment services covered by Texas Medicaid include the following:
- medication-assisted treatment
- medically supervised detox
- mental health disorder treatment
- co-occurring disorder treatment
- evaluation and prevention services
- relapse prevention planning
- behavioral therapy, such as motivational interviewing
- individual, family, and group counseling
- addiction education
wAll programs and medications must be facilitated by licensed professionals in order to be approved for Medicaid coverage. Programs must be certified through the state.
Inpatient treatment for individuals using Texas Medicaid is covered only when shown medically necessary, so getting a clinical evaluation is crucial to receiving coverage.
Paying For Outpatient Addiction Treatment With Texas Medicaid
Outpatient addiction treatment is covered by Texas Medicaid insurance plans at the same level as inpatient treatment.
Outpatient rehab programs are covered as long as an individual shows medical need for the treatment and the program is facilitated by a professional who meets the requirements in the state of Texas for that type of treatment.
Medication management is a long-term, outpatient treatment for continued care of individuals with a chemical dependence to a highly addictive drug. Medication management is covered only if the individual shows need for continued medication-assisted treatment. It must be paired with counseling or other forms of therapy to ensure a comprehensive approach to recovery in order to receive coverage through Texas Medicaid.
Paying For Medication-Assisted Treatment With Texas Medicaid
Medication-assisted treatment (MAT) is covered by Texas Medicaid. As with other forms of addiction treatment, an evaluation is necessary to determine a client’s need for medication.
Typically, individuals with a chemical dependence, or who experience harrowing withdrawal symptoms when not abusing certain drugs, are those who will need medication assistance.
Medications have different functions, but all work to alleviate cravings and other withdrawal symptoms during detoxification and recovery. The goal of MAT is to remove the negative physical side effects and psychological cravings of withdrawal to allow an individual to focus more fully on recovery.
The following medications are most often covered by Texas Medicaid for individuals with chemical dependencies to substances such as opioids.
Methadone is an opioid antagonist which works to block the effects of opioids from reaching the brain, preventing the instant rush an individual usually experiences when abusing the drug. Methadone can be very effective at treating opioid dependence and is often used in medication-assisted treatment programs.
Methadone is available both during inpatient treatment, administered by medical professionals, and for daily dosage after an individual leaves treatment. Daily dosing may only be approved for Texas Medicaid coverage if an individual has already received methadone under medical care during inpatient treatment.
Buprenorphine is an opioid agonist, which works to produce effects similar to that of addictive opioids. This replaces the effects of opioid drugs without producing the rush of effects which is so addictive.
Suboxone is available for inpatient treatment under medical supervision and was recently approved for daily dosage after completion of treatment. Medicaid plans in Texas may cover buprenorphine (Suboxone) management if an individual shows medical need.
Locating A Rehab Center That Accepts Medicaid In Texas
More than 4 million low-income residents receive Medicaid in Texas, yet only a portion of these seek the treatment they need for substance abuse and addiction issues.
Texas Medicaid plans provide a way for individuals to seek and receive the addiction treatment they need, without having to worry about how to pay for it. The state of Texas boasts more than 100 alcohol and drug rehab centers which accept Medicaid, so finding one can be relatively easy.
If you need help selecting a rehab center that accepts Medicaid in Texas, allow us to help. Contact one of our treatment specialists today for more information.
Published on December 4, 2018
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- Texas Health and Human Services — About Medicaid,
- Texas Health and Human Services — Medicaid and Chip State Plan Attachments