Illinois Medicaid, known as the Medical Assistance Program, covers multiple groups of people who live in the state of Illinois.
The program exists to provide access to quality healthcare for all Illinois residents regardless of income.
With the Medical Assistance Program, recovering individuals can participate in many addiction treatment programs.
Learn more about how to use Medicaid to pay for addiction treatment
Choosing A Managed Care Plan For Illinois Medicaid
In order 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.
Medicaid covers the following substance abuse programs:
- short-term inpatient drug rehab
- outpatient treatment
- medication-assisted treatment (MAT)
- individual, group, and family counseling
- therapy: behavioral, evidence-based, traditional
- withdrawal medication
- treatment for opioid abuse
- vocational services and transportation
- medication management
- medically supervised detoxification
Find additional Illinois detox and rehab centers
Top 5 Rehab Centers In Illinois That Accept Medicaid
We have selected five rehab centers in Illinois that take Medicaid based on certain qualifications.
A few of these include:
- accreditation
- memberships and verifications
- Google ratings
1. Anixter Center, Chicago, Illinois
This is an organization specifically designed to serve people with disabilities, behavioral health needs, and those who are deaf.
The substance abuse program is meant for people with mental health issues or physical disabilities who have co-occurring substance use disorders.
Anixter Center is supported by:
- accreditation from the Better Business Bureau (BBB)
- positive client reviews
Location and contact information:
6610 N Clark St.
Chicago, IL 60626
(773) 973-7900
2. Behavioral Services Center, Multiple Locations
Behavioral therapy and drug abuse treatment is available through this facility network in five Illinois locations.
Trusted features of their behavioral health services include:
- accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
- positive Google ratings and reviews
Drug and alcohol treatment includes telecounseling, opioid treatment, detox, and more.
Location and contact information:
8707 Skokie Blvd.
Skokie, IL 60077
(847) 673-8577
3. Breaking Free, Aurora, Illinois
Treatment is available for addiction to alcohol, marijuana, benzodiazepines, cocaine, hallucinogens, and more.
Some of the qualifying characteristics of Breaking Free are:
- CARF accreditation
- client testimonials
Location and contact information:
120 Gale St.
Aurora, IL 60506
(630) 897-1003
4. Gateway Foundation, Multiple Locations
Gateway Foundation has mental health services and drug rehab centers in 16 Illinois locations, including Aurora, Chicago, and Springfield.
Top qualifications of their rehabilitation services include:
- Joint Commission accreditation
- LegitScript certification
- membership in the National Association of Addiction Treatment Providers (NAATP)
Here, recovering individuals can choose one of over two dozen treatment programs, including:
- partial hospitalization program (PHP)
- residential treatment
- intensive outpatient treatment
Location and contact information:
55 E. Jackson Blvd.
Suite 1500
Chicago, IL 60604
(877) 352-9992
5. Hour House, Charleston, Illinois
Also known as Central East Alcoholism & Drug Council, Hour House offers Medicaid and private health insurance as payment options for substance abuse treatment.
Hour House is backed by the following:
- CARF accreditation
- client reviews
Here, programs include:
- men’s and women’s outpatient drug rehab
- men’s and women’s recovery homes (halfway houses)
- family services
Factors That Affect Illinois Medicaid Coverage For Addiction Treatment
Your Medicaid coverage may depend on several factors.
Copayments For Illinois Medicaid
There are copays required for many Medicaid services.
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
There may be longer waiting periods to get a spot at a Medicaid rehab center. Treatment facilities that take Illinois Medicaid are usually in higher demand, so you may need to wait longer.
What Are The Qualifications For Eligibility For Illinois Medicaid Drug Rehab?
Qualifying for Illinois Medicaid requires certain eligibility characteristics.
The following groups qualify for Illinois Medicaid:
- those 65 years and older
- adults between the ages of 19 and 64
- those who are disabled
- former foster care members
- immigrant seniors aged 65 or older
- pregnant women
Illinois Medicaid Income Eligibility Requirements
Income limits vary based on the group in which an individual falls.
Here are the general income limits:
- one-person household: $1,670 to $2,222
- two-person household: $2,257 to $3,003
- three-person household: $2,843 to $3,783
- four-person household: $3,429 to $4,563
- five-person household: $4,015 to $5,343
- six-person household: $4,601 to $6,124
- seven-person household: $5,187 to $6,904
- eight-person household: $5,773 to $7,684
- nine-person household: $6,360 to $8,465
- 10-person household: $6,946 to $9,245
Add $780 for each additional person in the household after 10.
How To Use Your Illinois Medicaid Plan For Drug Rehab
If you or a loved one are struggling with a drug or alcohol addiction and want to receive treatment, apply for Illinois Medicaid during open enrollment.
If accepted, you can then choose a rehab program and talk with the specialists at the facility to narrow down your options in treatment.
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 to some of the top asked questions about Illinois Medicaid rehab centers.
Do All Rehab Centers Accept Illinois Medicaid?
While there are many drug addiction programs that accept Medicaid, it’s not accepted everywhere.
Are There Other Financing Options For Drug Rehab Besides Illinois Medicaid?
If you are not eligible for Medicaid in Illinois or are denied coverage, there are other options available.
Many treatment centers offer options such as scholarships or sliding fee scales. You may also be able to obtain a state or federal grant to cover the cost of treatment.
Find A Medicaid Rehab Center In Illinois
To learn more about Medicaid coverage for addiction treatment in Illinois, just call our helpline. Our representatives are ready to take your call at any time.
Reach out today to get started and find a rehab center that accepts Medicaid.
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