The Delaware Medicaid program may also be called the Diamond State Health Plan (DSHP).
DSHP has been providing healthcare to low-income individuals and families in the state of Delaware since 2005. Read on to learn about rehab facilities that accept Delaware Medicaid.
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.
Drug addiction treatment programs and services covered by Delaware Medicaid include:
- short-term hospital inpatient drug rehab (up to 90 days)
- outpatient drug rehab
- prescription drugs
- intensive outpatient program (IOP)
- residential treatment
- cognitive behavioral therapy (CBT)
- individual and group therapy
- detoxification/withdrawal management
- partial hospitalization/day treatment
- holistic interventions
- individualized treatment plans
- treatment for children and young adults
- aftercare options
Top 4 Drug 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 four best Medicaid rehab centers in the state based on their quality of care.
The substance abuse treatment centers below were chosen for:
- Google ratings
- client reviews
- accreditation
- verifications
- other trusted marks of quality
1. Banyan Treatment Centers, Milford, Delaware
Community and collaboration are the core principles at every addiction treatment facility under the Banyan Treatment Centers organization.
The staff at Banyan Treatment Centers is composed of doctors, nurses, therapists, and behavioral health technicians committed to quality care.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- Joint Commission accreditation
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification )
- state licensure
- licensed staff
Levels of care:
- residential treatment
- inpatient treatment
- detoxification
- partial hospitalization program (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- individual therapy
- 12-step recovery groups
- telehealth
- relapse prevention
- trauma-informed therapy
- counseling
Payment options:
- government funding
- Medicaid
- TRICARE
- private health insurance
- self-payment
Location and contact information:
21 W. Clarke Ave.
Ste. #4001
Milford, DE 19963
(800) 547-4615
2. Brandywine Medical Associates, Wilmington, Delaware
Brandywine Medical Associates provides an ongoing, personal patient-physician relationship focused on integrated care.
Research proves that people who have an ongoing relationship with a primary care doctor have better overall health.
Trusted features:
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification )
- licensed staff
- evidence-based treatment
Levels of care:
- detoxification
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- buprenorphine treatment
- medication management
- naltrexone treatment
- treatment referrals
- tobacco cessation
Payment options:
- Medicaid
- Medicare
- private health insurance
- self-payment
Location and contact information:
1815 W. 13th St.
Ste. #1
Wilmington, DE 19806
(302) 652-4705
3. MeadowWood Behavioral Health Hospital, New Castle, Delaware
The MeadowWood Behavioral Health System services all of northern Delaware, including Wilmington, as well as part of New Jersey and Maryland.
All MeadowWood locations, including this one in New Castle, offer tailored programs to meet the individual needs of every client.
Trusted features:
- client testimonials
- licensed staff
Levels of care:
- inpatient treatment
- partial hospitalization program (PHP)
Treatment services:
- dual diagnosis treatment
- adolescent treatment
- deaf and hard-of-hearing services
- case management
- LGBTQ+ services
- group therapy
Payment options:
- Medicare
- Medicaid
- TRICARE
- private health insurance
- self-payment
Location and contact information:
575 S. Dupont Hwy.
New Castle, DE 19720
(302) 328-3330
4. Savida Health, Newark, Delaware
Savida Health aims to treat the whole client, not just their addiction, by utilizing many different methods of interventions.
Many states are home to Savida drug treatment centers, including Virginia, Vermont, Tennessee, and Delaware.
Trusted features:
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
- state licensure
- licensed staff
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- LGBTQ+ services
- buprenorphine treatment
- dual diagnosis treatment
- telehealth
- trauma-informed therapy
- relapse prevention
Payment options:
- sliding fee scale
- self-payment
- Medicaid
- Medicare
- TRICARE
- private health insurance
Location and contact information:
4923 Ogletown-Stanton Rd.
Ste. #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?
The state’s Medicaid health insurance program strives to make substance abuse treatment accessible for all residents of Delaware.
Groups who may qualify for Medicaid include low-income:
- adults
- pregnant women
- older adults, aged 65 years and older
- people who are blind or disabled
Delaware Medicaid Income Eligibility Requirements
To qualify for Medicaid, Delaware residents must meet certain income requirements based on the size of their household.
The government sets different income limits for each eligible group. These limits are based on the federal poverty level, or the FPL, and typically change each year.
Here are the maximum yearly income levels for those 100% of the FPL in 2023:
- one-person household: $14,580
- two-person household: $19,720
- three-person household: $24,860
- four-person household: $30,000
- five-person household: $35,140
- six-person household: $40,280
- seven-person household: $45,420
- eight-person household: $50,560
- nine-person household: $55,700
- 10-person household: $60,840
How To Use Your Delaware Medicaid Plan For Drug Rehab
The first step is to select a managed care organization (MCO) 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 Rehab Centers Accept Delaware Medicaid?
More often than not, private rehab centers 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. You may also be able to use military insurance at some rehab facilities.
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
- inpatient detox
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
If you or a loved one needs substance use disorder treatment, visit DetoxRehabs.net to explore further treatment options, or call us for free, confidential assistance.
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/