Top 4 Rehab Centers That Accept Green Mountain Care (Vermont Medicaid)

Medicaid is a federal and state-funded insurance program designed to help disabled people, pregnant women, children, and people with limited financial resources get healthcare. There are several addiction recovery centers in the state of Vermont that accept Medicaid insurance to help people who couldn’t otherwise afford treatment.

People who use Medicaid for addiction treatment will typically have access to evidence-based services such as medication-assisted treatment (MAT), detoxification, and behavioral therapy.

List Of Drug Rehabilitation Centers That Accept Vermont Medicaid

The rehab centers listed below were selected based on marks of quality such as accreditation status, licensure, Google reviews, and positive client testimonials.

1. BAART Programs, Berlin, Vermont

BAART Programs provides outpatient opioid addiction treatment near Montpelier, VT, using MAT, counseling, and other supportive recovery services.

Insurance plans accepted here:

• Medicaid
• Medicare Part B
• private health insurance plans

BAART Programs feature accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF) and LegitScript certification.

2. Brattleboro Retreat, Brattleboro, Vermont

Brattleboro Retreat offers multiple levels of care for drug and alcohol addiction recovery in Brattleboro, VT.

Substance abuse treatments may include:

• inpatient treatment programs for adults and adolescents
  intensive outpatient programs (IOP)
• specialized addiction treatment services for LGBTQ people in Vermont

This rehab facility is accredited by the Joint Commission and accepts people covered by Medicaid insurance.

3. SaVida Health, Springfield, Vermont

SaVida Health provides an outpatient drug treatment program in Springfield, VT. Medicaid insurance plans are accepted at this facility.

Treatment options include:

• MAT
• co-occurring disorder care
• family counseling

SaVida is backed by a 4.5-star Google rating.

4. Valley Vista, Bradford, Vermont

Valley Vista offers addiction recovery services such as gender-specific inpatient drug and alcohol treatment for Vermont men and women, behavioral therapy, and 12-step programs.

This rehab center accepts Vermont Medicaid and is backed by CARF accreditation.

What To Look For When Choosing Medicaid Rehab Programs In Vermont

Finding Medicaid treatment in Vermont means understanding Green Mountain Care coverage and locating facilities that accept Vermont Medicaid. Knowing what to evaluate helps you use your benefits for addiction care.

1. Vermont Medicaid Provider Enrollment Status

• Confirm the facility is an enrolled provider with Vermont’s Department of Vermont Health Access.
• Check they can bill Vermont Medicaid directly rather than requiring you to pay and seek reimbursement.
• Verify they’re currently accepting new Medicaid patients, as some providers have stopped taking new enrollees.

2. Coverage Under Different Vermont Medicaid Programs

• Vermont has different Medicaid programs including standard Medicaid and Medicaid for Working Adults.
• Ask if they accept your specific Vermont Medicaid program type, not just Medicaid generally.
• Understand that coverage rules may differ depending on which Vermont program you qualify for.

3. Prior Authorization and Medical Necessity Requirements

• Vermont Medicaid often requires approval before certain addiction services, especially residential treatment.
• Ask if the facility handles getting prior authorization or if you need to do it yourself.
• Find out typical approval timeframes so you know how long before treatment can start.

4. Travel Distance in Rural Vermont

• Vermont is rural with treatment facilities spread far apart across the state.
• Consider how far you’ll need to travel from home, especially for outpatient appointments later.
• Ask about facilities in your region – Northeast Kingdom, Central Vermont, or Southern Vermont.

5. Medication-Assisted Treatment Coverage

• Vermont Medicaid covers medications like buprenorphine and methadone for opioid addiction.
• Ask if they provide MAT and whether Vermont Medicaid covers the medications at their facility.
• Verify there are no unexpected copays or costs for addiction medications.

6. Hub and Spoke System Integration

• Vermont uses a hub and spoke model with regional hubs and local spoke providers.
• Ask how the facility fits into Vermont’s treatment system and coordinates with other providers.
• Find out if they work with hub sites for medication management and spoke sites for ongoing support.

7. Duration Limits and Treatment Extensions

• Vermont Medicaid may limit how many days of residential treatment are initially authorized.
• Ask about typical approved lengths of stay and the process for getting extensions.
• Understand what happens if you need more time than Medicaid initially approves.

8. Blueprint for Health Connections

• Vermont’s Blueprint for Health coordinates services including addiction treatment and primary care.
• Ask if they participate in Blueprint and help coordinate all your healthcare needs.
• Look for facilities that connect addiction treatment with your other medical care through Blueprint.

Addiction Treatment Services Covered By Vermont Medicaid

There are many alcohol and drug abuse services covered through Vermont Medicaid.

Some of the behavioral health services available through Medicaid include:

• cognitive behavioral therapy (CBT)
• detox
• inpatient treatment
• outpatient treatment for prescription drug addiction
• mental health treatment
• family support services
• long-term or short-term residential treatment
• partial hospitalization programs (PHP)
• dual diagnosis treatment for Vermont adults
• case management and wellness services
• group therapy
• support groups
• sober living homes
• aftercare
• relapse prevention services

How To Use Vermont Medicaid To Cover The Cost Of Addiction Care

Vermont uses a hub and spoke model when treating clients who are addicted to opioids and are being treated using MAT. In this system, each client has a medical home, a prescriber for medications such as buprenorphine or methadone, a pharmacy home, and access to community health teams.

To use Vermont Medicaid, a person can call the drug rehab center of their choice and ask whether they accept Medicaid. If the treatment facility does accept Medicaid, staff will coordinate with your insurance program to verify the level of coverage and ensure that the client’s costs are covered.

Cost Of Treatment At Utah Rehab Center That Accepts Medicaid

While there are an array of addiction recovery services covered entirely by Vermont Medicaid, copayments may be assessed under some circumstances. Copays for most services cost between $1 and $50. People in long-term care facilities, pregnant women, and people under the age of 21 are not subject to copayments under Medicaid.

If someone doesn’t qualify for Medicaid, payment options such as payment assistance plans or a sliding fee scale based on income may help make their treatment plan more affordable.

Eligibility Requirement For Vermont Medicaid

Below are some of the people that may be eligible for Vermont Medicaid insurance.

Medicaid coverage may apply to:

• blind or disabled people
• people 65 years of age or older
• adults responsible for a child who is 18 years of age or younger
• pregnant women
• people whose income is below a certain percentage of the federal poverty level

Written by the Addiction Resource Editorial Staff