Rehab can be a large expense. Detox can cost about $500 to $1,000, outpatient rehab can be $5,000 to $10,000, and inpatient treatment can be more than $15,000.
The Idaho Medicaid program covers most if not all of the expenses associated with drug and alcohol treatment.
For low-income individuals, pregnant women, and other qualifying beneficiaries, rehab is possible with Medicaid coverage.
What Substance Abuse Services Are Covered By Medicaid In Idaho?
Idaho Medicaid offers three plans (basic, enhanced, and Medicaid-Medicare coordinated), and some services may vary by the level of healthcare you’re eligible for.
Behavioral health services are available for all plans, including treatment for substance use disorder.
Here are some of the treatment services your Idaho Medicaid plan may cover:
- assessment
- case management
- drug testing
- safe and sober housing
- child care
- behavioral therapy (individual, group, and family therapy)
- prescription drugs
- outpatient treatment
- intensive outpatient program (IOP)
- partial hospitalization program (PHP)
- detoxification
- inpatient drug rehab
- medication management
- residential treatment
Opioid Abuse Treatment Covered By Idaho Medicaid
Idaho Medicaid covers some opioid addiction treatment medications.
The program covers naltrexone (Vivitrol), Suboxone, buprenorphine/naloxone tablets, and buprenorphine tablets.
Idaho Medicaid does not cover methadone.
Top 5 Rehab Centers In Idaho That Accept Medicaid
There are several rehab centers in the state of Idaho that accept Medicaid, and five have been selected for the list below.
Rehab centers were chosen based on:
- accreditation
- special qualifications, such as partnerships, recognitions, and memberships
- Google ratings and client reviews
1. The Allumbaugh House, Boise, Idaho
The Allumbaugh House is under Terry Reilly, a community health center. The Allumbaugh House provides mental health services and detoxification.
Walk-ins are welcome at this treatment center.
A few of the top qualities of this detox center are:
- partnership with United Way
- a 4.4-star Google rating
- Joint Commission accreditation
- recognition from the National Committee for Quality Assurance (NCQA)
Location and contact information:
400 N. Allumbaugh
Boise, ID 83704
(208) 377-9669
2. Brick House Recovery, Multiple Locations
Treatment facilities are available in Boise and Idaho Falls. Brick House Recovery is a faith-based treatment center that focuses on a personal connection to a higher power.
Trusted Features of Brick House Recovery are:
- a 5-star Google rating
- LegitScript certification
Drug rehab centers offer IOP, PHP, aftercare, and other specialized services.
Location and contact information:
3663 N. Lakeharbor Ln.
Boise, ID 83703
(208) 650-7359
3. Moonlight Mountain Recovery, Multiple Locations
Addiction treatment centers are located in Nampa and Pocatello, Idaho.
This drug abuse treatment program is:
- accredited by the Joint Commission
- accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)
- LegitScript-certified
- rated 5 stars on Google
Here, Medicaid covers treatment approaches like medical detox, rehab, and recovery treatments.
Location and contact information:
412 Center St.
Suite 300
Pocatello, ID 83204
(208) 476-6586
4. Riverside Recovery, Lewiston, Idaho
Several substance abuse services are offered here, including outpatient rehab, IOP, and recovery support.
Addiction services are backed by:
- evidence-based methods
- a 4.3-star Google rating
Location and contact information:
1720 18th Ave.
Lewiston, ID 83501
(208) 746-4097
5. St. Luke’s Canyon View Behavioral Health Services, Twin Falls, Idaho
This is an inpatient treatment center that offers substance abuse and mental health treatment services.
The program is backed by:
- Joint Commission accreditation
- CARF accreditation
Location and contact information:
228 Shoup Ave.
W. Twin Falls, ID 83301
(208) 814-7900
Find additional treatment options in Idaho
Factors That Affect Idaho Medicaid Coverage For Addiction Treatment
Idaho Medicaid covers nearly the full cost of substance abuse treatment. However, there are a couple of factors to keep in mind when assessing your final costs.
Copayments For Idaho Medicaid
A copayment, or copay, is a small fee Medicaid charges for certain services as a cost-sharing measure.
Copays are usually charged for emergency room visits in non-emergencies, using emergency medical transportation in a non-emergency, and doctor visits.
Premiums For Idaho Medicaid
Idaho also charges premiums, a small monthly bill, for the use of Medicaid services. This cost ranges between $0 and $15.
Not all Medicaid enrollees are required to pay a premium.
How To Qualify For Idaho Medicaid
Idaho Medicaid provides health coverage for different groups of Idaho residents.
The financial assistance program is available to:
- adults with income under 138 percent of the federal poverty level (FPL)
- pregnant women with income under 138 percent of FPL
- women diagnosed with breast or cervical cancer with income under 200 percent of FPL
- those aged 65 or older
- those who are blind or disabled
- those enrolled in the Medicare savings program
- Idaho Medicaid Income Eligibility Requirements
Income requirements vary based on the demographic.
Here are the monthly income limits for adults:
- one-person household: $1,482
- two-person household: $2,004
- three-person household: $2,526
- four-person household: $3,048
- five-person household: $3,570
- six-person household: $4,092
- seven-person household: $4,614
- eight-person household: $5,136
For each additional member of your household, add $523.
Using Your Idaho Medicaid Plan For Drug Rehab
Idaho offers three levels of healthcare coverage for Medicaid beneficiaries.
Here is a quick rundown on each plan:
- Basic Plan: For adults who do not have special health needs. The plan covers annual physicals, immunizations, most prescriptions, doctor and hospital visits, and more.
- Enhanced Plan: For those with disabilities or special health needs. The plan includes the same benefits as the Basic Plan plus additional benefits.
- Medicare-Medicaid Coordinated Plan: For those who are eligible and enrolled in both Medicare and Medicaid. The plan includes the benefits of the Enhanced Plan, with the added benefit of the option to enroll in a managed care plan.
Idaho Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
To help you narrow down your search for a Medicaid rehab program in Idaho, we’ve answered frequently asked questions on the topic.
What Kind Of Rehab Does Idaho Medicaid Offer?
Rehab programs covered by Idaho Medicaid include outpatient services, inpatient rehab, partial hospitalization programs, detox, and more.
What If I Need To Stay In Rehab Longer Than Idaho Medicaid Covers?
Medicaid pays for rehab, but your stay will be limited to a certain number of days. You will be required to finance the remaining days of your rehab visit if you want to stay longer.
Personal financing options for rehab include:
- grants
- scholarships
- loans
- personal savings
- sliding fee payment scales
Can I Get Treatment From Someone Who Is Not An Idaho Medicaid Provider?
You can get treatment in-state or out-of-state, but the provider must be an Idaho Medicaid provider. The service will not be covered if the provider is not an Idaho Medicaid provider.
Find Medicaid Rehab In Idaho Today
To learn more about treatment options at rehab facilities that accept Idaho Medicaid, call our helpline and speak with one of our trained specialists.
We’re here to help you or your loved one find affordable, quality treatment. Reach out today to begin the process and find a drug addiction program.
Article Sources- Idaho Department of Health and Welfare—About Medicaid for Adults
https://healthandwelfare.idaho.gov/services-programs/medicaid-health/about-medicaid-adults#:~:text=The%20Idaho%20NEMT%20program%20covers,covered%20under%20the%20Medicaid%20program. - Idaho Department of Health and Welfare—Medicaid Income Limits
https://healthandwelfare.idaho.gov/medicaid-income-limits - Idaho Department of Health and Welfare—IDAHO MEDICAID HEALTH PLAN BOOKLET 2020
https://healthandwelfare.idaho.gov/sites/default/files/2020-08/Idaho%20Health%20Plan%20English.pdf