Over one million Alabama residents were enrolled in Medicaid as of 2020, which is about one in every four residents of the state.
Alabama Medicaid is funded through the state and federal government and covers children, low-income adults, and people who qualify for Medicare.
What Addiction Treatment Services Are Covered By Medicaid In Alabama?
Most of the primary addiction treatment programs are covered with Alabama Medicaid.
Some of the covered substance abuse services include:
- evaluation, screening, and assessment
- crisis intervention
- individual, family, and group therapy
- medication-assisted treatment (MAT)
- partial hospitalization program
- intensive day treatment
- opioid use disorder treatment (methadone, buprenorphine, naltrexone/Vivitrol)
- prescription drugs
- rehabilitation services
- peer support services
- family support services
- outpatient treatment
- inpatient treatment
- detoxification
Top 5 Rehab Centers In Alabama That Accept Medicaid
Out of the treatment centers that accept Alabama Medicaid, we’ve chosen five based on accreditation, partnerships, certifications, Google ratings, and other important selection criteria.
1. AltaPointe Health Systems, Multiple Locations
AltaPointe Health Systems provides a range of medical programs in multiple locations, including substance use disorder treatment in West Mobile.
Trusted features of AltaPointe Health Systems include:
- Joint Commission accreditation
- partnership with United Way
- accreditation from the Better Business Bureau (BBB)
- recognition as a National Health Service Corps (NHSC) site
Drug addiction programs include intensive outpatient programs (IOP), MAT, and dual diagnosis treatment for co-occurring disorders.
Location and contact information:
4211 Government Blvd.
Mobile, AL 36693
(251) 450-2211
2. Family Life Center, Multiple Locations
This nonprofit treatment program has been serving its community for over 28 years.
Substance abuse treatment centers are located in several cities across the state, including Fort Payne, Guntersville, Huntsville, and Scottsboro.
Top qualities of Family Life Center include:
- a 4.8-star Google rating
- the use of evidence-based methods
Rehab programs include MAT, residential treatment, and outpatient programs.
Faith-based counseling is also an option for those who want to incorporate faith into their recovery plan.
Location and contact information:
432 Gunter Ave.
Guntersville, AL 35976
(256) 582-1471
3. The Treatment Centers, Multiple Locations
This is a methadone treatment center with facilities located in Gadsden and Shoals.
Top qualities of the methadone maintenance program include:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- 4- and 4.8-star Google ratings
Location and contact information:
1107 West Meighan Blvd.
Gadsden, AL 35901
(256) 549-0807
4. MedMark Treatment Centers, Multiple Locations
Drug abuse treatment facilities are located in Dothan and Oxford, Alabama. Both locations are methadone treatment centers specializing in opioid abuse.
MedMark features accreditation from CARF and positive client testimonials.
Here, Medicaid and private health insurance cover:
- methadone
- individual, group, and family therapy
- pregnancy treatment programs
- relapse prevention
Location and contact information:
118 E. Choccolocco St.
Oxford, AL 36203
(256) 831-4601
5. Pathway Healthcare, Multiple Locations
At Pathway Healthcare, Medicaid and Medicare cover mental health treatment, treatment for alcohol addiction, opioid dependency, and more.
A few of the notable features of this recovery center include:
- Google ratings above 4 stars
- LegitScript certification
Treatment options include Suboxone and Vivitrol treatment, outpatient treatment, behavioral therapy, and more.
Location and contact information:
1000 Urban Center Dr.
Suite 600
Birmingham, AL 35242
1 (844) 728-4929
Find additional treatment options in Alabama
Does Alabama Medicaid Require Copayments?
Alabama Medicaid does require copayments for many services, but there are no copays for mental health and substance abuse services.
These services are fully covered and have no additional cost. Copayments are also not necessary for emergencies and case management services.
Pregnant women, children under 18, those receiving pregnancy- or family planning-related services, and Native American Indians do not need to cover copayments.
Prior Authorization For Alabama Medicaid Services
Your Medicaid coverage may be dependent on prior authorization (PA), a process of assuring that only medically necessary services are provided in a cost-effective manner.
Your treatment specialist may need to get approval from Alabama Medicaid before administering a new medication or service.
If you’re approved, you can begin treatment. However, if the request is denied, Medicaid won’t cover that service.
You can appeal the decision and try again if you feel the decision was not right.
Alabama Medicaid Eligibility Requirements
Alabama Medicaid extends coverage to several categories of Alabama residents.
These groups may qualify for Medicaid if they meet income requirements:
- parents and caretaker relatives
- children
- low-income adults
- pregnant women
- those who are living in a nursing home
- the blind and disabled
- those in the breast and cervical cancer program
Alabama Medicaid Income Eligibility Requirements
Medicaid takes into account various forms of resources, such as cash, money in bank accounts, loans, bonds, and other sources of revenue.
Alabama Medicaid income limits are different for each demographic.
For the elderly, blind, and disabled, income cannot exceed $814 per month for one person or $1,211 per couple.
For individuals, income cannot exceed $2,000 per month for one person or $3,000 per couple.
How To Use Your Alabama Medicaid Plan For Drug Rehab
Alabama Medicaid provides health care services through regional care organizations (RCOs).
First, choose an RCO based on where you live:
- Alabama Community Care
- Alabama Healthcare Advantage
- Alabama Healthcare Advantage North
- Alabama Healthcare Advantage West
- Alabama Healthcare Advantage East
- Care Network of Alabama
- My Care Alabama
- Alabama Care Plan
Then, you can work with the rehab facility of your choice to create an individualized treatment plan covered by your RCO.
You’ll need your Medicaid card when you arrive at the rehab center, which should take about a week to come in after being approved for Alabama Medicaid.
Alabama Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Here, you’ll find more information on what to expect when using Medicaid to cover drug and alcohol treatment in Alabama.
What Addiction Treatment Does Alabama Medicaid Not Cover?
Medicaid programs usually adhere to evidence-based, proven treatment methods. Medicaid won’t cover experimental treatments, supplies, or drugs.
What Are The Waitlists Like For Alabama Medicaid Drug Rehab Centers?
You may find longer waitlists at rehab facilities that accept Medicaid. This is usually because cost-effective programs are in high demand, so more people are applying for those spots.
If you’re planning on using Medicaid to cover your drug rehab expenses, expect to wait a few weeks or months to get into the treatment center.
What If I Need To Stay In Rehab Longer Than Alabama Medicaid Covers?
Because Medicaid is a government-funded program that provides coverage for a bulk of the Alabama population, it’s not going to cover an extended stay in rehab.
If you need to stay in rehab longer, you can finance the rest of your stay with private insurance, sliding fee scale payment plans, grants, scholarships, and other methods.
Find A Medicaid Rehab Center In Alabama
If you or a loved one are ready to take the next step toward addiction recovery, we’re here to help.
Call our helpline today to speak to a representative about your options in addiction treatment facilities that accept Medicaid.
Article Sources- Alabama Medicaid—Alabama MedicaidRegional Care Organizations
https://medicaid.alabama.gov/documents/2.0_Newsroom/2.5_Media_Library/2.5.1_Slide_Presentations/2.5.1_Budget/2.5.1_Legislative_Presentation_RCO_6-22-16_Final.pdf - Alabama Medicaid—Co-Payments for Medicaid Services
https://medicaid.alabama.gov/documents/4.0_Programs/4.1_Covered_Services/4.1_Co_Payments_Handout_Revised_1-4-18.pdf - Alabama Medicaid—Medicaid Income Limits for 2021
https://medicaid.alabama.gov/documents/3.0_Apply/3.2_Qualifying_Medicaid/3.2_Medicaid_Income_Limits_2021.pdf - Alabama Medicaid—Rehabilitative Services
https://medicaid.alabama.gov/content/Gated/7.6.1G_Provider_Manuals/7.6.1.1G_Jan2021/Jan21_105.pdf - American Society of Addiction Medicine—Medicaid Coverage of Medications for the Treatment of Opioid Use Disorder
https://www.asam.org/docs/default-source/advocacy/state-medicaid-reports/state-medicaid-reports_al.pdf?sfvrsn=2#:~:text=Alabama%20Medicaid%20covers%20methadone%20under,use%20disorder%20(SUD)%20counseling.