Indiana Medicaid consists of the Indiana Health Coverage Programs (IHCP). These programs each serve different populations, such as pregnant women, the aged, and the disabled.
At the start of 2018, IHCP expanded its coverage of substance use treatment across all programs.
This expansion brought new coverage for inpatient treatment, residential treatment, and established a new provider type and specialty for residential treatment.
Addiction Services Covered By Medicaid In Indiana
While Medicaid provides coverage for most of the basic addiction and mental health services, it may not cover everything.
Here are some substance use disorder treatment services covered under Indiana Medicaid:
- inpatient treatment
- outpatient program (OP)
- intensive outpatient program (IOP)
- partial hospitalization program (PHP)
- residential treatment
- detoxification
- individual and group therapy
- case management
- drug testing
- peer support groups
- opioid treatment (methadone, buprenorphine/Suboxone, naltrexone/Vivitrol)
Top 5 Rehab Centers In Indiana That Accept Medicaid
Many rehab programs accept Indiana Medicaid as a form of payment for behavioral health services.
Five treatment centers were selected for this list based on the following top credentials:
- accreditation
- valued associations, memberships, and certifications
- Google ratings and client testimonials
- other selection criteria
1. Community Health Network, Indianapolis, Indiana
This is a substance abuse treatment center offering services such as inpatient drug rehab, outpatient services, residential treatment, and more.
Community Health Network accepts a range of insurance options, including Medicaid, Medicare, Tricare, and other private insurance options.
Trusted features of the drug rehab center include:
- positive Google rating and client reviews
- evidence-based treatment methods
Location and contact information:
8102 Clearvista Pkwy.
Indianapolis, IN 46256
(800) 225-4673
2. Hickory Treatment Centers, Multiple Locations
Residential treatment, IOP, dual diagnosis, and therapy are available in five Indiana locations.
Marks of quality care include:
- a 4.7-star Google rating
- evidence-based methods
Location and contact information:
315 Country Club Rd. SE
Corydon, IN 47112
1 (800) 604-2117
3. Journey Road Treatment Centers, Indianapolis, Indiana
There are two Indianapolis treatment centers, both of which accept Medicaid, Medicare, private insurance, and private pay options.
A few of the top credentials of this treatment center are:
- accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
- association with the American Society of Addiction Medicine (ASAM)
- association with the American Board of Addiction Medicine (ABAM)
The rehab center offers family services, residential treatment, buprenorphine and Vivitrol treatment, and more.
Location and contact information:
1201 N Post Rd.
Suite 4
Indianapolis, IN 46219
(317) 405-8833
4. Praxis by Landmark Recovery, Carmel, Indiana
Landmark Recovery has locations in multiple states, and Medicaid coverage is available at their Carmel, Indiana location.
The program offers several options in addiction treatment, such as detox and behavioral therapy.
Qualifying factors of Praxis by Landmark Recovery are:
- Joint Commission accreditation
- LegitScript certification
- recognition as an NAADAC Approved Education Provider Program
Location and contact information:
13590 North Meridian St.
Carmel, IN 46032
(317) 458-9955
5. Recovery Works Merrillville, Merrillville, Indiana
Recovery Works is a drug and alcohol addiction treatment center under the umbrella of Pinnacle Treatment Centers.
Here, those in recovery can get addiction treatment services backed by:
- CARF accreditation
- LegitScript certification
- association with the National Association of Addiction Treatment Providers (NAATP)
- association with the National Association for Behavioral Healthcare (NABH)
Levels of alcohol and drug treatment include:
- IOP
- residential treatment
- aftercare
- medically supervised detox
Location and contact information:
201 West 89th Ave.
Merrillville, IN 46410
1 (844) 696-4372
Learn more about Indiana detox and inpatient rehab centers near you
Using Your Indiana Medicaid Plan For Drug Rehab
If a person decides to use Indiana Medicaid to cover the cost of substance abuse or mental health treatment, they must first enroll in one of the Medicaid programs available.
Indiana Medicaid offers a few different health plans:
- Hoosier Healthwise
- Hoosier Care Connect
- Traditional Medicaid
- Healthy Indiana Plan (HIP)
- Children’s Health Insurance Program (CHIP)
- MED Works
Once a person has selected a health plan, they can begin treatment at any time.
Not all services at the rehab may be covered under Medicaid, so it’s important to choose a program that is covered by the health plan.
Factors That Affect Indiana Medicaid Coverage For Rehab
Medicaid covers the majority of treatment costs, but beneficiaries will need to cover some additional costs such as copays.
Other factors, like prior authorization and waitlists, may also affect Medicaid coverage.
Indiana Medicaid Copayments By Service
As you factor in your costs for substance abuse treatment, be sure to include copayments.
The following copays are needed for Traditional Medicaid enrollees:
- non-emergency transportation: $0.50 to $2
- prescription drugs: $3 per prescription, generic and brand name
The list of copayments above will depend on the health plan and demographic you’re in. Some people do not need to cover copays, and not all plans have the same copay amount.
Prior Authorization
Most Medicaid plans across the nation require prior authorization (PA). That is, getting approval before beginning treatment or medication that may not be medically necessary.
PA is required for all inpatient stays, as well as other services depending on your health plan.
Waitlists for Medicaid Rehab Centers
Medicaid coverage may be affected by waitlists at treatment facilities that accept Medicaid.
Because this is a low-cost option, many people seek addiction treatment at Medicaid facilities. This can increase the wait times by weeks and in many cases months.
How Do I Qualify For Indiana Medicaid?
Indiana Medicaid eligibility depends on your demographic, income, family size, and other factors.
These groups may qualify for Indiana Medicaid:
- pregnant women
- children
- adults
- the aged, blind, and disabled
Indiana Medicaid Income Eligibility Requirements
Income limitations take into account earned income, such as wages from a job, and unearned income, such as Social Security Disability payments.
These limits fluctuate based on a person’s demographic.
Here are the monthly income limits for adults over 19:
- one-person household: $1,482
- two-person household: $2,004
- three-person household: $2,526
- four-person household: $3,049
- five-person household: $3,570
FAQs For Indiana Medicaid Rehab Centers
Here, you’ll find answers to some of the most commonly asked questions about Medicaid coverage for drug and alcohol rehab in the state of Indiana.
What If I Need To Stay In Rehab Longer Than Indiana Medicaid Covers?
Indiana Medicaid covers up to 15 days of inpatient rehab per calendar month, up to three days of observation, and 30 days of residential treatment.
If you require a longer stay at rehab, a hospital, or some other addiction treatment facility, you may not be able to use Medicaid.
Other financing options include self-pay, sliding fee scales, loans, scholarships offered by the rehab center, and state and federal grants.
What’s The Average Length Of Residential Rehab Stay With Indiana Medicaid?
The average residential stay is 30 days for Medicaid members.
Indiana Medicaid beneficiaries will be covered for this time but may need to seek further financial assistance after that.
Find A Medicaid Rehab Center In Indiana
If you or a loved one are ready to find a treatment program that’s right for you, call our helpline. Our representatives can assist you in finding a rehab center that accepts Indiana Medicaid.
Don’t wait to start recovery, reach out to us today to learn more about your options.
Article Sources- American Society of Addiction Medicine (ASAM)—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_in.pdf?sfvrsn=6 - Indiana Family & Social Services Administration—Indiana Levels of Care: for substance use disorder treatment
https://www.in.gov/fssa/dmha/files/Indiana_Levels_of_Care_presentation_02.pdf - Indiana Family & Social Services Administration—Medical Policy Manual
https://www.in.gov/medicaid/files/medical%20policy%20manual.pdf - IN.gov—Eligibility Guide
https://www.in.gov/medicaid/members/59.htm - IN.gov—Substance Use Disorder Treatment
https://www.in.gov/medicaid/providers/1020.htm