Illinois Medicaid, known as the Medical Assistance Program, covers multiple groups of Illinois residents in need of addiction treatment programs and services.
Quality substance abuse healthcare is available through Illinois Medicaid at the drug treatment facilities listed below. Read on to learn more.
Learn how to use Medicaid to pay for addiction treatment.
Choosing A Managed Care Plan For Illinois Medicaid
To receive coverage, you’ll need to select the right managed care plan. When you enroll in a managed care program, you’ll become a member of a health plan.
Options for managed care plans include:
- Blue Cross Blue Shield of Illinois
- CountyCare
- Harmony Health Plan
- IlliniCare Health Plan
- Meridian Health
- Molina Healthcare of Illinois
- NextLevel Health
What Addiction Treatment Services Are Covered By Illinois Medicaid?
Medicaid coverage is available for most necessary and evidence-based treatment services for substance use disorders (SUDs).
Medicaid covers the following substance abuse programs:
- short-term inpatient drug rehab
- outpatient drug rehab services, such as intensive outpatient treatment
- medication-assisted treatment (MAT) for opioid and alcohol addiction
- individual, group, and family counseling services
- medical detox
- family services
- aftercare options, such as halfway houses
Find additional Illinois detox and rehab centers.
Top 5 Drug And Alcohol Rehab Centers In Illinois That Accept Medicaid
We have selected five substance abuse recovery centers in Illinois that accept Medicaid based on indicators of quality care.
A few of these include:
- accreditation
- memberships and verifications
- Google ratings
1. Access Austin Family Health Center, Chicago, Illinois
The Access Austin Family Health Center is part of the Access organization, with 35 convenient locations throughout Cook and Dupage counties.
The client-centered care model at Access is supported through trained staff who partner with the client’s primary care doctor.
Trusted features:
- state licensure
- licensed staff
- non-profit status
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- buprenorphine treatment
- dual diagnosis treatment
- LGBTQ+ services
- trauma-informed therapy
- counseling
- case management
Payment options:
- sliding fee scale
- Medicaid
- Medicare
- private health insurance
- self-payment
Location and contact information:
4909 W. Division St.
Ste. #508
Chicago, IL 60651
(773) 364-4600
2. Behavioral Services Center, Skokie, Illinois
The Behavioral Services Center began in 2005 as a small psychotherapy/counseling group.
Today, the organization provides support and services annually to nearly 2,000 clients facing behavioral health issues, including drug abuse.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- state licensure
- licensed staff
- non-profit status
Levels of care:
- detoxification
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- buprenorphine treatment
- 12-step recovery groups
- adolescent treatment
- veterans treatment
- cognitive behavioral therapy (CBT)
- relapse prevention
Payment options:
- sliding fee scale
- Medicaid
- Medicare
- TRICARE
- private health insurance
- self-payment
- government funding
Location and contact information:
8707 Skokie Blvd.
Ste. #207
Skokie, IL 60077
(847) 673-8577
3. Central East Alcohol And Drug Council, Charleston, Illinois
Central East Alcohol and Drug Council (CEAD) was created in 1972, with its first facilities in Mattoon and Shelbyville.
Since 2002, CEAD began to use the name “Hour House” as a reflection of their philosophy that recovery is achieved “one hour at a time.”
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- state licensure
- licensed staff
- non-profit status
Levels of care:
- residential treatment
- detoxification
- partial hospitalization program (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
- aftercare
Treatment services:
- 12-step recovery groups
- deaf and hard-of-hearing services
- sober living
- counseling
- relapse prevention
- dual diagnosis treatment
Payment options:
- sliding fee scale
- self-payment
- TRICARE
- Medicaid
- private health insurance
- government funding
Location and contact information:
635 Division St.
Charleston, IL 61920
(217) 348-8108
4. Family Guidance Centers Inc., Aurora, Illinois
Family Guidance Centers has over 29 treatment programs, available through 11 locations, and helps approximately 4,500 clients every year.
This organization has helped residents of Illinois for over 35 years overcome mental health and substance use disorders (SUDs).
Trusted features:
- Joint Commission accreditation
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
- state licensure
- licensed staff
- non-profit status
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- case management
- individual therapy
- family therapy
- group therapy
- telehealth
- relapse prevention
- buprenorphine treatment
Payment options:
- payment assistance
- Medicaid
- self-payment
- sliding fee scale
- Medicare
- government funding
Location and contact information:
751 Aurora Ave.
Aurora, IL 60505
(630) 801-0017
5. Gateway Foundation, Chicago, Illinois
More than 1 million clients have graduated from the drug treatment programs offered at Gateway Foundation.
Started in 1968, Gateway Foundation has been helping clients for over 50 years achieve lasting sobriety.
Trusted features:
- Joint Commission accreditation
- state licensure
- non-profit status
Levels of care:
- partial hospitalization program (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- LGBTQ+ services
- case management
- individual therapy
- counseling
- 12-step recovery groups
- relapse prevention
Payment options:
- sliding fee scale
- private health insurance
- Medicaid
- government funding
Location and contact information:
415 N. Dearborn St.
Ste. #510
Chicago, IL 60654
(312) 464-9451
Factors That Affect Illinois Medicaid Coverage For Addiction Treatment
Your access to treatment through Illinois Medicaid may depend on several factors, including copayments and waitlists.
Copayments For Illinois Medicaid
There are copays required for many Medicaid services, including prescriptions, doctor appointments, and more.
Factor in the following costs:
- $3.90 per physician or clinic visit
- $3.90 per emergency room visit in a non-emergency
- $3.90 per brand-name prescription
- $2 per generic or prescribed over-the-counter medication
- $3.90 per day for an inpatient hospital visit
Waitlists
Drug and alcohol treatment facilities that take Illinois Medicaid are usually in higher demand, so you may need to wait longer for treatment availability.
What Are The Qualifications For Eligibility For Illinois Medicaid Drug Rehab?
With the expansion of Medicaid, qualifying for Illinois Medicaid involves being an Illinois resident and U.S. citizen, or having legal status, and being between the ages of 19 and 64 with a low income.
Illinois Medicaid Income Eligibility Requirements
Income limits for Medicaid eligibility in Illinois vary based on the size of a person’s household.
Here are recent income limits:
- one-person household: $20,121
- two-person household: $27,214
- three-person household: $34,307
- four-person household: $41,400
- five-person household: $48,494
- six-person household: $55,587
- seven-person household: $62,680
- eight-person household: $69,773
Add $7,093 for each additional person in the household.
How To Use Your Illinois Medicaid Plan For Drug And Alcohol Treatment
If you or a loved one is experiencing drug or alcohol addiction and concerned about treatment costs, apply for Illinois Medicaid during open enrollment.
If deemed eligible, you can choose an addiction treatment program that accepts Illinois Medicaid and talk with the specialists at the facility to narrow down your options.
Once you’ve chosen a treatment plan that’s covered by Medicaid at that rehab facility, you may begin treatment at any time.
Illinois Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Find answers below to some of the most frequently asked questions about Illinois Medicaid rehab facilities.
Do All Rehab Centers Accept Illinois Medicaid?
While many drug addiction programs accept Medicaid, it’s not accepted everywhere. Rehab centers that accept Medicaid often say so on their website, or you can call the facility to ask.
Are There Other Financing Options For Drug Rehab Besides Illinois Medicaid?
If you are not eligible for Medicaid in the state of Illinois or are denied coverage, there are other options available.
Many treatment centers offer options such as:
- scholarships
- sliding fee scales
- other payment assistance, such as payment plans
Addiction treatment centers that receive state or federal grants may also be able to offer free or low-cost services. Affordable care is also available through military insurance plans.
Find A Substance Abuse Treatment Provider Today
Visit DetoxRehabs.net to learn more about behavioral health services for you or a loved one, or call us today for free, confidential assistance.
Article Sources- Illinois Department of Human Services—PM 20-03-04-a: Customer Copays
https://www.dhs.state.il.us/page.aspx?item=17633 - State of Illinois—Medical Programs
https://www.illinois.gov/hfs/MedicalClients/Pages/medicalprograms.aspx