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 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 addiction treatment 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 programs
- day treatment
- inpatient treatment programs
- detoxification (medical detox)
- medication-assisted treatment (MAT)
- outpatient treatment
- opioid abuse treatment
- treatment for co-occurring mental and substance use disorders (dual diagnosis)
- aftercare
Opioid Abuse Treatment Medications Covered By Medicaid
AHCCCS insurance covers medications for opioid use disorders under both fee-for-service (FFS) and managed care plans (MCP).
The following medications are covered for 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
At America’s Rehab Campuses, programs include partial hospitalization programs (PHP), detox, outpatient programs (OP), and IOP.
Trusted features:
- Joint Commission accreditation
- 4-star Google rating
Levels of care:
- medical detox
- inpatient program
- partial hospitalization program (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
Treatment services:
- individual therapy
- group therapy
- family therapy
- support groups
Payment options:
- Medicaid
- military health insurance
- commercial health insurance
- self-pay
Location and contact information:
6944 E. Tanque Verde Rd.
Tucson, AZ 85715
(833) 272-7342
2. A Better Today Recovery Services, Multiple Locations
This drug and alcohol addiction center accepts Medicaid and private health insurance.
Addiction programs are available in Phoenix, Scottsdale, and 14 other locations.
Trusted features:
- Joint Commission accreditation
- LegitScript certification
- 4-star Google rating
Levels of care:
- medical detox
- inpatient program
- residential program
- partial hospitalization program (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
- aftercare
Treatment services:
- individual therapy
- group therapy
- family therapy
- support groups
- dual diagnosis treatment
- specialty programs
- recreational therapy
Payment options:
- Medicaid
- commercial health insurance
- self-pay
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:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- Arizona Department of Health Services (ADHS) certification
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- individual therapy
- group therapy
- care coordination
- specialized services
- dual diagnosis treatment
Payment options:
- Medicaid
- Medicare
- military health insurance
- other state-financed health insurance
- commercial health insurance
- self-pay
Location and contact information:
2451 E. Baseline Rd.
Ste. #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.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- 5-star Google rating
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
- aftercare
Treatment services:
- individual therapy
- group therapy
- family therapy
- specialty programs
- dual diagnosis treatment
Payment options:
- Medicaid
- military health insurance
- commercial health insurance
- self-pay
Location and contact information:
651 W. Coolidge St.
Phoenix, AZ 85013
(602) 248-0550
5. 2nd Chance Treatment Center, Multiple Locations
At 2nd Chance Treatment Center, people seeking recovery can choose between many mental health treatment options.
These include but aren’t limited to treatment for opioid abuse and co-occurring disorders.
Trusted features:
- 4.2-star Google rating
- client testimonials
- evidence-based methods
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- individual therapy
- group therapy
- support groups
- referrals
- dual diagnosis treatment
Payment options:
- Medicaid
- Medicare
- commercial health insurance
- self-pay
Location and contact information:
16620 N. 40th St.
Ste. E1
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 with incomes 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 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.
Examples include $10 to $70 for KidsCare (children under 19) and $0 to $35 for Freedom to Work (people with disabilities).
Prior Authorization With Arizona Medicaid
You may also be required to get prior authorization (PA) when obtaining certain services or medications.
This means that your health care physician must determine medical necessity for a medication or program before prescribing or recommending it.
How To Qualify For Arizona Medicaid
For any Medicaid program, enrollees must be a resident of the state in which they receive coverage.
Arizona residents may apply for Medicaid if they’re in one of the following groups:
- adults
- caretaker relatives
- children
- those who are age 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% of the FPL:
- one-person household: $1,616
- two-person household: $2,186
- three-person household: $2,756
- four-person household: $3,325
Add another $5570 per additional person in the household.
How To Use Your Arizona Medicaid Plan For Drug Rehab Services
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 addiction care 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 rehab and outpatient addiction treatment. 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 addiction programs 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 stay if you and the addiction treatment specialists decide you need further treatment.
There are other ways to finance extra days in a treatment facility, including:
- self-pay from personal savings
- scholarships
- federal and state grants
- treatment centers that offer free, government-funded services
- loans
Find Addiction Treatment Today
If you or a loved one are ready to begin addiction treatment, contact Detox Rehabs today to learn more about treatment options.
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