Top Rehab Centers That Accept Med-QUEST (HI Medicaid)

Rehab Centers That Accept Hawaii Medicaid (Med-QUEST)

Med-QUEST is Hawaii’s Medicaid program. The number of enrollees in Hawaii Medicaid and CHIP, the children’s financial assistance program, totals more than 351,000 people.

This is a government-funded health care program, which means any behavioral health services covered by Medicaid will be evidence-based, proven treatments.

Most experimental or holistic substance abuse and mental health treatments will not be covered by Medicaid.

Addiction Treatment Services Covered By Medicaid In Hawaii

Below you’ll find a list of drug abuse treatments that are covered by Med-QUEST. Keep in mind that Med-QUEST is made up of five health plans, which vary in covered services.

Currently, general drug and alcohol addiction services covered by Med-QUEST include:

prescription drugs, including methadone, Suboxone, buprenorphine/naloxone tablets, and buprenorphine tablets
assessment
hospital inpatient drug rehab
outpatient programs (OP)
intensive outpatient treatment (IOP)
day hospital/partial hospitalization programs (PHP)
medication management
medication-assisted treatment (MAT)
behavioral therapy
mental health services
detoxification
residential treatment facilities

Top 3 Rehab Centers In Hawaii That Accept Medicaid

We’ve chosen three Hawaii drug rehab centers that take Medicaid based on top qualifications to ensure you or your loved one gets the best care possible.

Qualifications include:

accreditation
Google ratings
client reviews
other important selection criteria

1. CARE Hawaii, Pearl City Office, Pearl City, Hawaii

Substance abuse rehab services here are covered by Medicaid. Available services include drug and alcohol treatment programs and IOP services.

Qualities of this rehab center include:

evidence-based treatments
accredited staff

Location and contact information:

803 Kamehameha HWY
Suite 407
Pearl City, HI 96782
(808) 791-6731

2. DSM Therapeutic and Wellness Center, Kapolei, Hawaii

Medicaid, Medicare, and private health insurance cover addiction treatment here. Telehealth appointments are also available for those who cannot receive in-person treatment.

This drug addiction program is supported by Psychology Today verification.

Location and contact information:

Kapolei, HI 96707
(808) 397-0600

3. Queens Medical Center Behavioral Health Center, Honolulu, Hawaii

This is a nonprofit hospital offering a range of services, including treatment for substance use disorders.

Trusted features of this drug rehab center include:

positive Google ratings and reviews
awards and recognitions for various medical services
evidence-based treatment

The hospital offers several services, including outpatient treatment programs and family therapy.

Location and contact information:

1301 Punchbowl St.
Honolulu, HI 96813
(808) 691-1000

Find additional Hawaii rehab centers near you

What Might Affect Rehab Coverage With Hawaii Medicaid?

The state of Hawaii provides nearly full-cost coverage for Medicaid beneficiaries. However, some factors could affect Medicaid coverage for drug rehab.

Copayments, Coinsurance, And Premiums

While there are no copays or coinsurance costs for some Hawaii Medicaid health plans, certain members will need to cover cost-sharing fees.

If certain financial eligibility conditions are not met, you’ll need to share the cost of insurance. Monthly cost-sharing fees may be necessary for some members.

Waitlists For Hawaii Medicaid Rehabs

There are only select options for drug treatment programs that allow Medicaid coverage.

This is because many treatment centers offer services that Medicaid does not reimburse, so accepting Medicaid is not an option.

Because fewer rehab facilities take Medicaid in Hawaii, there are usually extended waiting periods.

If you need treatment right away, it may be difficult to use Medicaid to cover expenses because of long waitlists.

What Are The Qualifications For Eligibility For Hawaii Medicaid Drug Rehab?

Citizens of the Compact of Free Association nations (COFA) — the Federated States of Micronesia, the Republic of Marshall Islands, and the Republic of Palau — may apply.

The following groups may be eligible for Medicaid:

children
pregnant women
parents and caretaker relatives
low-income adults
people aged 65 and older
the blind and disabled

Hawaii Medicaid Income Eligibility Requirements

Income limits are different for each eligible group, as well as Medicaid fee-for-service (FFS) versus Med-QUEST.

Below are the general income limits for the Med-QUEST program:

one-person household: $14,820
two-person household: $20,040
three-person household: $25,260
four-person household: $30,480
five-person household: $35,700
six-person household: $40,920
seven-person household: $46,140
eight-person household: $51,360

How To Use Your Hawaii Medicaid Plan For Drug Rehab

If you’re receiving medical care outside of a QUEST integrated plan, this is known as a fee-for-service plan.

To get addiction treatment with this plan, simply bring your Medicaid ID card and begin treatment. Under this plan, you may need to pay a fee for some treatment programs.

If you’re using a health plan, Medicaid is provided at no cost to you. There are five health plans available for Medicaid beneficiaries.

These are:

Aloha Care
HMSA
Kaiser Permanente
‘Ohana Health Plan
UnitedHealthcare Community Plan

Hawaii Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs

To help you in your search for a Medicaid rehab center for yourself or someone you love, we’ve answered some of the top questions about Hawaii Medicaid rehab programs.

Do All Rehab Centers In Hawaii Accept Medicaid?

Hawaii is home to a variety of addiction treatment approaches and programs, but they’re not all covered by Medicaid.

What Are Some Of The Different Types Of Treatment Available For Medicaid Clients?

Medicaid doesn’t cover all treatment options for addiction, but it does provide coverage for most of the necessary treatments.

For those who want 24-hour care, options include inpatient rehab, residential treatment, and detox.

Part-time treatment options covered by Hawaii Medicaid include outpatient programs, intensive outpatient programs, and partial hospitalization.

What If I Need To Stay In Rehab Longer Than Hawaii Medicaid Covers?

Hawaii Medicaid may only cover short-term treatment, depending on the circumstances of the individual and the treatment program.

If you or your loved one need to remain in treatment past Medicaid’s length of coverage, there are several options for financing.

Options include state and federal grants for substance abuse treatment, scholarships extended by the rehab facility, vouchers, and sliding fee payment scales.