Utah has a little over 190 drug rehab centers. Some are free, but most charge for treatment. Even if rates seem modest, the length of a successful addiction recovery program can make seeking treatment expensive.
Fortunately, Utah Medicaid health plans offer a way for more individuals with drug or alcohol addictions to get the help they need for recovery.
Utah Medicaid Insurance Coverage For Alcohol And Drug Addiction Treatment
Utah’s Medicaid system may be different from those found in other states. Utah Medicaid uses Accountable Care Organizations, or ACOs, to treat people who have enrolled in the Medicaid insurance program.
These ACOs are:
- Healthy Choice Utah
- Healthy U
- Molina Healthcare
- SelectHealth Community Care
Some people who have enrolled in Utah Medicaid need to have one of the above healthcare plans.
These people live in the counties of:
- Box Elder
- Salt Lake
People who don’t live in those counties can either enroll in a health plan or a fee-for-service network. The fee-for-service network is paid for by the state, and people who are enrolled in them have to use treatment providers who are partnered with Utah Medicaid.
People who use an ACO can change it within 90 days after they’ve been assigned to it or chosen it. The health insurance plan can also be changed between the middle of May and the middle of June, as this is the open enrollment period. The new plan starts on July 1.
In 2019, Utah Medicaid was expanded under the Affordable Care Act (ACA). It can now accept adults who don’t have dependent children and earn as much as 100 percent of the federal poverty level.
Drug And Alcohol Rehab Programs Often Covered By Utah Medicaid
Substance abuse treatment benefits are covered by the Prepaid Mental Health Plans, or PMHP.
These vary by individual need and Medicaid plan, but may include:
- dual diagnosis care
- inpatient programs
- mental health services
- drug testing
- outpatient programs
- intensive outpatient drug detox
- family counseling
Top 4 Rehab Centers That Accept Utah Medicaid
The following addiction treatment centers accept Utah Medicaid. They were chosen for the quality of their treatment, patient reviews, and accreditation.
1. Four Corners Community Behavioral Health MOAB Clinical Office, Moab, Utah
This treatment center offers people who wish to heal from alcohol or drug addiction medication-assisted detoxification.
In this treatment program, the patient is monitored while they go through withdrawal, and their withdrawal symptoms are eased through medications such as buprenorphine.
Four Corners is an outpatient drug rehab facility, but people can safely go through withdrawal even in an outpatient setting.
Other types of addiction treatment are:
- anger management
- cognitive behavioral therapy
- dialectical behavioral therapy
- relapse prevention
- motivational interviewing
- community outreach
- 12-step approach
Special treatment programs include those for people with a dual diagnosis, men, women, and adolescents, and people who’ve experienced trauma.
Four Corners also offers drug or alcohol screening, case management, discharge planning, and different forms of counseling. They have exclusive services for people with DWI charges.
Location and contact information:
198 East Center St.
Moab, UT 84532
(435) 259-6131 x422
Find a treatment program that accepts Utah Medicaid today.
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2. House Of Hope Provo, Provo, Utah
Founded in 1946, House of Hope helps children, adolescents, and adults conquer alcohol and drug abuse issues.
They promote the 12-step philosophy and practice addiction therapies such as relapse prevention, anger management, and motivational interviewing.
Special rehab programs at House of Hope include those for people with co-occurring disorders, people referred to treatment by the court, pregnant women, and women who have just given birth. House of Hope also offers counseling, peer support, and life skills.
Case management and discharge planning are also available, as is child care for the children of their patients
Location and contact information:
1726 South Buckley Ln.
Provo, UT 84606
3. McKay Dee Hospital Center Behavioral Health, Ogden, Utah
This hospital center is part of Intermountain Healthcare, which in turn is part of Intermountain Medical Group, which takes insurance plans from SelectHealth.
As a hospital, they offer mental health services as well as treatment for drug addiction. Some of their treatment approaches are individual, couples, family, and group therapy. They also help people through trauma therapy and activity therapy.
Other programs are education services, case management, and language services for hearing-impaired people. The age groups accepted at McKay Dee Hospital range from children to seniors. McKay also accepts Medicare.
Location and contact information:
4401 Harrison Blvd.
Ogden, UT 84403
4. Odyssey House, Salt Lake City, Utah
Odyssey House is another of the treatment facilities that offers medication-assisted detox for people with drug and alcohol addiction.
The staff helps people recover from substance use disorder through Vivitrol, an injectable form of naltrexone. As the patient is detoxing, they are exposed to such therapies as dialectical behavior therapy, the Matrix Model, and anger management. Other treatments include relapse prevention and motivational interviewing.
Odyssey House has special recovery programs for people with a dual diagnosis, members of the LGBT community, pregnant and postpartum women, and people with HIV/AIDS.
Other programs include:
- employment counseling
- housing services
- life skills
- childcare for residents’ children
- case management
- discharge planning
Location and contact information:
344 East 100 South
Salt Lake City, UT 84111
FAQs About Using Utah Medicaid To Pay For Addiction Treatment
Seeking affordable addiction treatment is a stressful process without having to worry about what your insurance will or will not cover. Below are some of the most frequently asked questions about what rehab programs Utah Medicaid will cover.
❓ Does Utah Medicaid Cover The Cost Of Inpatient Treatment?
✔️ Utah Medicaid insurance plans cover inpatient treatment, or residential treatment for drug and alcohol abuse. During inpatient drug rehab, the patient lives at the rehab facility. Foster children are automatically enrolled in Medicaid’s PMHP for inpatient treatment.
❓ Does Utah Medicaid Cover The Cost Of Outpatient Treatment Services?
✔️ Utah Medicaid covers outpatient treatment services, where the patient visits the rehabilitation center for a few hours a week before going home.
❓ Does Utah Medicaid Cover The Cost Of Partial Hospitalization Programs?
✔️ Utah Medicaid pays for partial hospitalization programs (PHP). During partial hospitalization, the patient typically spends at least 20 hours per week at their treatment facility but goes home in the evening.
❓ Does Utah Medicaid Cover The Cost Of Intensive Outpatient Programs?
✔️ Intensive outpatient programs, or IOP, are usually covered by Utah Medicaid. People in IOP programs go home after their treatment sessions as they would in an outpatient program, but they stay at the treatment facility longer. There are no copays or limits on services for IOP under Utah Medicaid.
❓ Does Utah Medicaid Pay For Medication-Assisted Treatment?
✔️ Medication-assisted treatment, or MAT, is also covered by Utah Medicaid. MAT helps people undergo detoxification from drugs in greater comfort and removes cravings that can lead to relapse.
❓ Does Utah Medicaid Cover The Cost Of Suboxone Therapy?
✔️ Suboxone and buprenorphine/naloxone tablets are covered under both Utah Medicaid’s fee-for-service and ACO plans.
The patient has to present proof that they are in substance abuse counseling. The medication can only be used for three years, and the daily dose should not exceed 24 milligrams a day.
❓ Does Utah Medicaid Cover The Cost Of Methadone Maintenance Therapy?
✔️ Like Suboxone, methadone is also covered under Utah Medicaid’s fee-for-service or ACO plans. The patient also needs to provide documentation that they are in counseling for their drug abuse.
Paying For Costs Not Covered By Utah Medicaid
If a treatment program isn’t covered by Utah Medicaid, there are many ways the person can pay and still access drug and alcohol treatment.
They can use private health insurance, military insurance, juvenile justice funds, child welfare, or Veterans Administration funds. IHS/Tribal/Urban, or ITU funds are accepted at some recovery centers.
Other ways to pay are with cash or self-payment. Treatment facilities sometimes have sliding fee scales for people, depending on their income level, while others set up payment schedules for those in treatment.
Utah Medicaid Eligibility Requirements
As with other Medicaid programs, a person who wants to enroll needs to be a citizen, permanent resident, or legal alien of the United States, must live in the state, and must be in need of health care.
They need to be considered low-income and must also be one of the following:
- responsible for a minor child
- 65 or older
- disabled or live with a disabled family member
A person needs to qualify every month if they want to continue their Medicaid coverage, and their monthly income must be between 55 percent and 133 percent of the federal poverty level.
Finding Rehab Facilities That Accept Utah Medicaid
There are a good number of treatment facilities in Utah that accept Medicaid and its various health plans. Most are open even during the pandemic and have taken steps to make sure that both their residents and staff are protected.
If you or your loved one want more information about treatment centers near you, contact one of our treatment specialists today.
Published on October 14, 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.
- Benefits.gov—Utah Medicaid
- Utah Department of Health—Accountable Care Organizations
- Utah Department of Health—Medicaid
- Utah Department of Health—Substance Use Disorder (SUD) Treatment