The Delaware Medicaid program may also be called the Diamond State Health Plan (DSHP).
DSHP has been providing medical assistance to low-income individuals and families in the state of Delaware since 2005.
While addiction treatments like residential rehab and detox can be costly, Medicaid offers nearly full coverage to individuals in need of treatment.
Substance Abuse Treatment Services Are Covered By Delaware Medicaid
Covered drug abuse services may vary based on your managed care organization, or MCO. MCOs are health insurance providers that Medicaid uses to provide health care services.
Here are some of the addiction treatment programs covered under Delaware Medicaid:
- short-term hospital inpatient drug rehab (up to 90 days)
- outpatient drug rehab
- prescription drugs
- intensive outpatient program (IOP)
- residential treatment
- individual and group therapy
- detoxification/withdrawal management
- partial hospitalization/day treatment
Top 4 Rehab Centers In Delaware That Accept Medicaid
There are dozens of rehab facilities across the state of Delaware, but not all of them accept Medicaid insurance plans.
We researched to find the top four best Medicaid rehabs in the state.
The substance abuse treatment centers below were chosen for:
- Google ratings
- client reviews
- accreditation
- verifications
1. Banyan Treatment Centers, Milford, Delaware
This is a network of treatment facilities with multiple locations across the U.S.
At the Delaware treatment center, recovering individuals can participate in detox and residential treatment.
Notable features of the Delaware Banyan Treatment Center include:
- a 4.6-star Google rating
- Joint Commission accreditation
Location and contact information:
Milford, DE
(302) 291-1821
2. LifeStance Health, Multiple Locations
Behavioral therapy, peer support, and medication-assisted treatment (MAT) services are offered here.
Treatment centers are located in Newark and Wilmington.
This addiction treatment center is backed by:
- verification from Psychology Today
- evidence-based treatment
Location and contact information:
3521 Silverside Rd.
Suite 2F1
Quillen Bldg.
Wilmington, DE 19810
(302) 224-1400
3. Meadow Wood Behavioral Health Hospital, New Castle, Delaware
This is a residential treatment center that provides treatment for all ages, from adolescents to seniors.
A few of the top qualities of this rehab center are:
- evidence-based practices
- recognition as a Top Performer on Key Quality Measures
- client testimonials
Location and contact information:
575 S Dupont Hwy.
New Castle, DE 19720
(302) 328-3330
4. Savida Health, Multiple Locations
Medicaid, Medicare, and commercial health insurance are accepted forms of payment at treatment facilities in Dover and Newark.
This is a medication-assisted treatment center that uses Suboxone. The clinic offers dual diagnosis treatment for co-occurring disorders.
Trusted features of Savida Health include:
- evidence-based treatment
- 4.9- and 5-star Google ratings for each facility
- client success stories
Location and contact information:
4923 Ogletown-Stanton Rd.
Suite 110
Newark, DE 19713
(302) 894-8628
Find more Delaware rehab centers near you
Do Delaware Medicaid Health Plans Charge Premiums And Copays?
Premiums, or monthly fees for medical services, are not required for Delaware Medicaid.
There are, however, some copays for services such as prescriptions. Most other services have a $0 copay, meaning you’ll pay nothing out of pocket for the service.
The following substance abuse and mental health treatment services have a $0 copay:
- inpatient treatment
- outpatient treatment
- therapy
- hospital mental health services
- naloxone products
What Are The Qualifications For Delaware Medicaid?
Groups who may qualify for Medicaid include low-income:
- adults
- pregnant women
- those aged 65 years and older
- the blind and disabled
Delaware Medicaid Income Eligibility Requirements
To qualify for Medicaid, Delaware residents must meet the income requirements.
What’s Included In My Income?
Medicaid takes into account several factors for income.
These include:
- salary
- Social Security checks
- unemployment benefits
- child support
- retirement benefits
Income Limits By Demographic
The government sets different income limits for each eligible group. These limits are based on the federal poverty level, or the FPL.
Here are the maximum yearly income levels for those 100% of the FPL:
- one-person household: $12,880
- two-person household: $17,420
- three-person household: $21,960
- four-person household: $26,500
- five-person household: $30,040
- six-person household: $35,580
- seven-person household: $40,120
- eight-person household: $44,660
- nine-person household: $49,200
- 10-person household: $53,740
How To Use Your Delaware Medicaid Plan For Drug Rehab
The first step is to select a managed care organization through which you’ll receive health services.
If you’re recognized as eligible for medical assistance from Medicaid, you should receive a packet of information in the mail about the MCOs.
Delaware works with two MCOs:
- UnitedHealthCare Community Plan
- Highmark Health Options
These health care providers may offer different mental health or substance abuse services.
Look over the list of the covered services for each plan, then choose the provider that includes the specific services you need.
After you’re enrolled in a plan, you’re ready to begin drug or alcohol treatment at a drug rehab center.
Delaware Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Below you can find more information on rehab program coverage under Delaware Medicaid.
Do Any Private Rehabs Accept Delaware Medicaid?
More often than not, private rehabs do not accept government-funded programs like Medicaid.
To finance a private treatment facility, you’ll need to use private health insurance or self-payment.
These treatment centers sometimes offer payment assistance options such as sliding fee scales.
How Many Days Of Rehab Does Delaware Medicaid Cover?
The UnitedHealthcare Community Plan covers up to 90 days of inpatient hospital treatment.
The Highmark Health Options plan covers unlimited medically necessary treatment for drug and alcohol dependencies.
Services with unlimited treatment include residential treatment, IOP, and inpatient withdrawal.
Does Delaware Medicaid Cover Opioid Abuse Treatment?
Delaware Medicaid covers methadone maintenance, Suboxone, buprenorphine/naloxone tablets, buprenorphine tablets, and naltrexone (Vivitrol).
Find Drug And Alcohol Addiction Treatment Today
Medicaid makes drug addiction treatment accessible to anyone who’s low-income and needs help overcoming substance abuse.
To learn more about Medicaid coverage for rehab in Delaware, call our helpline to speak with a treatment specialist.
Article Sources- 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_de.pdf?sfvrsn=2#:~:text=Delaware%20Medicaid%20covers%20methadone%20under,use%20disorder%20(SUD)%20counseling. - Delaware Health and Social Services (DHSS) — What are the income limits for applying for DMMA programs?
https://dhss.delaware.gov/dhss/dmma/fpl.html - Delaware Health and Social Services (DHSS) — Division of Substance Abuse and Mental Health
https://dhss.delaware.gov/dsamh/