Arizona Medicaid is known as Arizona Health Care Cost Containment System (AHCCCS), which covers over 1.7 million people.
In July 2016, the Arizona Department of Health Services, Division of Behavioral Health Services (ADHS/DBHS), and the Arizona Health Care Cost Containment System (AHCCCS) merged.
The merger served to implement federally funded behavioral and physical care services.
This move made substance abuse and mental health services available to all Arizona Medicaid enrollees.
Drug And Alcohol Rehab Programs Often Covered By Arizona Medicaid
AHCCCS covers a range of evidence-based approaches to substance abuse treatment.
If you or a loved one need affordable rehab in Arizona and qualify for Medicaid, there are many options available.
Some of the addiction services covered by AHCCCS include:
- behavioral therapy
- individual, family, and group therapy
- intensive outpatient programs (IOP)
- activity therapies
- rehabilitation
- case management
- supported housing
- residential treatment
- day treatment
- inpatient treatment
- detoxification
- medication-assisted treatment (MAT)
- outpatient treatment
- opioid abuse treatment
- treatment for co-occurring mental and substance use disorders
Opioid Abuse Treatment Medications Covered By Medicaid
Arizona Medicaid covers medications for opioid use disorders under both fee-for-service (FFS) and managed care plans (MCP).
The following medications are available to AHCCCS enrollees:
- methadone
- buprenorphine/naloxone film (Suboxone, generic)
- buprenorphine/naloxone tablets (Zubsolv, generic)
- naltrexone (Vivitrol)
Top 5 Rehab Centers In Arizona That Accept Medicaid
There are dozens of alcohol and drug rehab centers in the state of Arizona that accept Medicaid, and five have been selected for this list.
We’ve based our selections on:
- accreditation
- use of evidence-based methods
- Google ratings and client reviews
- other important selection criteria
1. America’s Rehab Campuses, Tucson, Arizona
Here, programs include partial hospitalization programs (PHP), detox, outpatient programs (OP), and IOP.
This recovery center is supported by:
- Joint Commission accreditation
- positive client reviews and Google ratings
Location and contact information:
6944 E Tanque Verde Rd.
Tucson, AZ 85715
(833) 272-7342
2. A Better Today Recovery Services, Multiple Locations
This is a drug and alcohol rehab center that accepts Medicaid and private health insurance.
Rehab centers are available in Phoenix, Scottsdale, and 14 other locations.
This drug and alcohol treatment center is backed by:
- a 4.3-star Google rating
- the use of evidence-based addiction treatments
- client testimonials
Some of the treatment programs provided here are:
- 30-, 60-, and 90-day inpatient rehab programs
- short-term and long-term treatment
- detox
- PHP
- outpatient services
- residential treatment
Location and contact information:
4801 E McDowell Rd.
Phoenix, AZ 85008
(888) 906-0952
3. CleanSlate, Multiple Locations
CleanSlate has treatment facilities in multiple states across the U.S., with three Arizona locations in Gilbert and Phoenix.
Trusted features of CleanSlate treatment programs are:
- Google ratings above 4 stars for Arizona locations
- positive client testimonials
- evidence-based treatment
Location and contact information:
2451 East Baseline Rd.
Suite 430
Gilbert, AZ 85234
(602) 313-4391
4. Intensive Treatment Systems, Multiple Locations
Addiction treatment covered by Medicaid is available in San Tan Valley, Phoenix, and Mesa, Arizona.
Many treatment options are offered here, including MAT, outpatient programs, and therapy.
Intensive Treatment Systems has:
- CARF accreditation
- a 5-star Google rating
Location and contact information:
651 W Coolidge St.
Phoenix, AZ 85013
(602) 248-0550
5. 2nd Chance Treatment Center, Multiple Locations
Here, those seeking recovery can choose between many options in addiction and mental health treatment, including treatment for opioid abuse and co-occurring disorders.
2nd Chance Treatment Center is backed by the following:
- a 4.2-star Google rating
- positive client testimonials
- the use of evidence-based methods
Location and contact information:
16620 N 40th St.
Suite E 1
Phoenix, AZ 85032
(602) 464-9576
Find additional Arizona rehab centers near you
Factors That Affect Arizona Medicaid Coverage For Addiction Treatment
There are several payments for Arizona Medicaid to factor into your final cost. Consider copays, premiums, and prior authorization when determining what Medicaid will cover in terms of cost.
Arizona Medicaid Copayments
For many Arizona Medicaid beneficiaries, copayments are necessary for several services.
When looking at your cost for addiction treatment, consider the following copays for adults over 106% of the federal poverty level (FPL):
- prescription drugs: $4 per drug
- office visits: $5 or $10 per visit
- outpatient therapy: $2 to $5 per visit
- inpatient hospital stays: $75 per stay
- non-emergency use of the emergency room: $8.00 per visit
The following are some of the groups that do not need to cover copays:
- children under the age of 19
- pregnant women
- those who are seriously mentally ill (SMI)
- people enrolled in the Arizona long-term care system
- those who qualify for Medicare
- people who receive hospice care
Copays are also not necessary for services paid on a fee-for-service basis.
The total amount for copays cannot exceed 5% of the family’s total income during a calendar quarter. So, if you reach 5%, you won’t be charged any more copays for that quarter.
Arizona Medicaid Premiums
Arizona Medicaid requires monthly premiums to be paid for the service. These premiums vary based on the group getting coverage.
Here are some of the monthly premiums for different groups:
- KidsCare (children under 19): $10 to $70
- Freedom to Work (those who are disabled): $0 to $35
Prior Authorization With Arizona Medicaid
You may also be required to get prior authorization (PA) when obtaining certain services or medications.
This means your health care physician must get authorization before starting you in a new program or on medication to determine if it’s medically necessary.
How To Qualify For Arizona Medicaid
For any Medicaid program, enrollees must be a member of the state.
Arizona residents may apply for Medicaid if they’re in one of the following groups:
- adults
- caretaker relatives
- children
- those who are 65 or older
- those who are blind or have a disability
- those in a nursing home or in-home care
- those with developmental disabilities who need long-term care
- pregnant women
- women who need screening for breast or cervical cancer
Other groups may also qualify for Arizona Medicaid.
Arizona Medicaid Income Eligibility Requirements
Once you’ve determined whether you’re in one of the qualifying groups for Medicaid, you need to look at your income.
Here are the monthly income maximums for adults who are 133% FPL:
- one-person household: $1,428
- two-person household: $1,931
- three-person household: $2,434
- four-person household: $2,938
Add another $504 per additional person in the household.
How To Use Your Arizona Medicaid Plan For Drug Rehab
Like most Medicaid programs in the U.S., AHCCCS provides low-cost health care coverage through the use of health plans.
To use Medicaid to cover drug and alcohol rehab, enroll in Medicaid and choose a health plan.
These health plans are currently offered through Arizona Medicaid:
- American Indian Health Program
- Arizona Complete Health – Complete Care Plan (formerly Health Net Access)
- Banner-University Family Care
- Care1st Health Plan
- Molina Complete Care
- Mercy Care
- Health Choice Arizona
- UnitedHealthcare Community Plan
Make sure your selected health plan covers the services you need, as each plan varies in its list of services.
After you have a health plan chosen and a rehab center selected that takes Arizona Medicaid, you can begin treatment at any point.
Arizona Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
To choose the best rehab program, you need to find one that accepts your insurance provider.
Here, we’ve answered a few questions about Arizona Medicaid coverage so you can narrow down your search.
Does Arizona Medicaid Cover Both Inpatient And Outpatient Rehab?
Arizona Medicaid covers inpatient and outpatient rehab. Medicaid covers a range of care for inpatient and outpatient treatment, including OP, IOP, and day treatment.
Do All Rehab Centers In Arizona Take Medicaid?
Not all rehab centers will accept Medicaid, but there are plenty of treatment centers that do.
What If I Need To Stay In Rehab For Longer Than Arizona Medicaid Covers?
Arizona Medicaid may only cover part of your rehab stay if you and the addiction treatment specialists at your rehab center decide you need further treatment.
There are other ways to finance extra days in a rehab facility, including:
- self-pay from personal savings
- scholarships
- federal and state grants
- rehab centers that offer free, government-funded services
- loans
Finding Addiction Treatment Covered By Arizona Medicaid
There are many options in addiction treatment covered by Arizona Medicaid. If you or someone you love wants to begin treatment, we’re here to help.
By calling our helpline, you can get information on Medicaid, Arizona rehab centers, other financing options, treatment currently available, and more.
Reach out to us today to learn more about your choices in rehab centers covered by Medicaid.
Article Sources- Arizona Health Care Cost Containment System (AHCCCS)—AHCCCS ELIGIBILITY REQUIREMENTS February 1, 2021
https://www.azahcccs.gov/Members/Downloads/EligibilityRequirements.pdf - Arizona Health Care Cost Containment System (AHCCCS)—UNIFORM APPLICATION FY 2018/2019 - STATE BEHAVIORAL HEALTH ASSESSMENT AND PLAN SUBSTANCE ABUSE PREVENTION AND TREATMENT and COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT
https://www.azahcccs.gov/Resources/Downloads/Grants/SABG/2018-2019CombinedBehavioralHealthAssessmentAndPlan.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_az.pdf?sfvrsn=2#:~:text=Arizona%20Medicaid%20covers%20methadone%20under,use%20disorder%20(SUD)%20counseling. - Arizona Health Care Cost Containment System (AHCCCS)—AHCCCS Copayments
https://www.azahcccs.gov/PlansProviders/RatesAndBilling/copayments.html