Iowa Medicaid, which may also be called IA Health Link, is a medical assistance program for residents of the state of Iowa.
Behavioral health services including addiction recovery services are available in Iowa drug treatment facilities that accept Medicaid. Read on to learn more about these facilities.
Iowa Medicaid Coverage Groups
Iowa offers Medicaid health insurance plans for many residents in need of substance use disorder (SUD) treatment.
Iowa Medicaid provides healthcare through three main coverage groups:
- IA Health Link
- Medicaid fee-for-service (FFS)
- Hawki
IA Health Link
Most Iowa Medicaid beneficiaries get coverage through IA Health Link, a managed care program that provides health services through the use of managed care organizations (MCOs).
Medicaid FFS
Medicaid FFS is a program in which Medicaid pays doctors directly for their services.
Some addiction treatment services are only offered with FFS, such as buprenorphine (Suboxone) and naltrexone (Vivitrol) treatment for opioid abuse.
Hawki/CHIP
Hawki is Medicaid’s children’s healthcare program, or CHIP program, which provides children’s health services. It stands for Healthy and Well Kids in Iowa.
What Addiction Treatment Services Are Covered By Medicaid In Iowa?
Iowa Medicaid covers a range of drug addiction treatment programs and other services for people with substance abuse issues.
The program currently covers the following drug abuse and alcohol addiction programs:
- outpatient treatment, including intensive outpatient rehab programs
- recovery programs based on the 12-step model
- short-term treatment
- detox
- community mental health services
- dual diagnosis treatment and other mental health treatment
- individual and group counseling
Top 5 Drug Rehab Centers In Iowa That Accept Medicaid
Multiple treatment centers in the state of Iowa accept Medicaid, and five have been selected for this list.
We’ve chosen the top five rehab centers below based on:
- accreditation
- the use of evidence-based treatment methods
- Google ratings
- client reviews
- other criteria indicating quality care
1. Center For Alcohol And Drug Services, Davenport, Iowa
The Center for Alcohol and Drug Services strives to create a community-driven approach to addiction recovery that produces a vibrant and healthy lifestyle.
This organization offers locations throughout Iowa, including Fairmount, Country Oaks, and Rock Island in addition to Davenport.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- state licensure
- licensed staff
- non-profit status
Levels of care:
- residential treatment
- inpatient treatment
- detoxification
- partial hospitalization program (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
- aftercare
Treatment services:
- sober living
- case management
- 12-step recovery groups
- cognitive behavioral therapy (CBT)
- counseling
- family counseling
Payment options:
- sliding fee scale
- self-payment
- private health insurance
- Medicaid
- government funding
Location and contact information:
1200 University
Ste. #106
Des Moines, IA 50314
(515) 244-9500
2. MercyOne House Of Mercy, Des Moines, Iowa
MercyOne House is one of central Iowa’s most comprehensive providers of vital behavioral health services.
This facility is part of the House of Mercy organization, one of the state’s largest programs for parenting women with children.
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:
- sober living
- buprenorphine treatment
- relapse prevention
- 12-step recovery groups
- case management
- individual therapy
Payment options:
- sliding fee scale
- self-payment
- Medicaid
- Medicare
- TRICARE
- private health insurance
- payment assistance
- government funding
Location and contact information:
1409 Clark St.
Des Moines, IA 50314
(515) 643-6500
3. Pathways, Multiple Locations
Pathways centers are available in Waterloo, Waverly, Independence, Allison, and Fredericksburg.
Helping children, adolescents, and adults of all ages, Pathways’ customized behavioral health services can restore people experiencing drug or alcohol addiction.
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)
Treatment services:
- telehealth
- deaf and hard-of-hearing services
- adolescent treatment
- pregnant women’s addiction treatment
- individual counseling
- case management
Payment options:
- sliding fee scale
- TRICARE
- Medicaid
- Medicare
- self-payment
- government funding
- private health insurance
Location and contact information:
3362 University Ave.
Waterloo, IA 50701
(319) 235-6571
4. Recovery Center, Manning, Iowa
The Recovery Center at Manning Regional Healthcare Center is a 16-bed co-ed chemical dependency facility located in western Iowa.
This treatment provider adheres to state-mandated guidelines to provide clinically managed and medically monitored services.
Trusted features:
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
- state licensure
- licensed staff
- non-profit status
Levels of care:
- residential treatment
- inpatient treatment
- detoxification
- partial hospitalization program (PHP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- LGBTQ+ services
- case management
- 12-step recovery groups
- relapse prevention
- individual therapy
- counseling
Payment options:
- TRICARE
- Medicaid
- Medicare
- private health insurance
Location and contact information:
1550 6th St.
Manning, IA 51455
(712) 655-2300
5. Rosecrance Jackson Centers, Sioux City, Iowa
At Rosecrance Jackson Centers, each client is cared for by a team of specialists who have committed their careers to addressing substance use disorders.
The treatment programs at Rosecrance are grounded in the 12-step principles and focus on helping both adolescents and adults.
Trusted features:
- Joint Commission accreditation
- state licensure
- licensed staff
- non-profit status
Levels of care:
- residential treatment
- detoxification
- medication-assisted treatment (MAT)
Treatment services:
- adolescent treatment
- case management
- medication management
- counseling
- individual therapy
- group therapy
Payment options:
- government funding
- self-payment
- Medicaid
- private health insurance
Location and contact information:
3500 W. 4th St.
Sioux City, IA 51103
(712) 234-2300
Find more treatment options in Iowa near you.
How To Use Your Iowa Medicaid Plan For Drug Rehab
Before you can use Medicaid to cover drug rehab, you need to apply for the program. If you’re accepted, you’ll be able to choose a health plan.
Iowa Medicaid offers two health plans:
- Amerigroup Iowa, Inc.
- Iowa Total Care
Choose one of the above plans, then begin treatment as soon as you’ve received all of the necessary information for treatment, such as your member ID card.
Factors That Affect Iowa Medicaid Coverage For Addiction Treatment
Certain factors like copayments and prior authorization will affect the final cost of treatment.
Copayments For Iowa Medicaid
Copayments will apply for some services, while other services may not require any payment.
Here are the copays required for both Iowa Total Care and Amerigroup Iowa:
- copays apply for brand-name drugs when generic drugs could be used
- $8 per ER visit for non-emergencies
You may need to get prior authorization for certain medications and services, such as non-preferred drugs.
Medicaid uses prior authorization to evaluate whether a service is medically necessary before extending coverage.
Waitlists For Iowa Medicaid Rehab Programs
You should expect to see longer waitlists for rehab centers that accept Medicaid. These programs are usually in higher demand and have fewer spots available for Medicaid applicants.
Qualifying For Iowa Medicaid
Eligibility requirements determine whether a person can enroll in Medicaid. This includes factors such as demographics, income, age, and more.
The following people may qualify for Medicaid if they meet income requirements:
- children
- adults aged 19 through 64
- people who are blind or disabled
- pregnant women
- a parent living with a child under the age of 18
- those in need of treatment for breast or cervical cancer
Iowa Medicaid Income Eligibility Requirements
To be eligible for the Iowa Health and Wellness Plan (under the IA Health Link program) as an adult aged 19 through 64, there are certain income limits.
Eligible individuals cannot have incomes that exceed 133% of the federal poverty level (FPL).
Recent income limits per household size:
- $12,880 for an individual
- $17,420 for a household of two
- $21,960 for a household of three
- $26,500 for a household of four
- $31,040 for a household of five
- $35,580 for a household of six
- $40,120 for a household of seven
- $44,660 for a household of eight
Iowa Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Find information on some of the frequently asked questions about Iowa Medicaid rehab facilities.
Do Private Rehab Centers Accept Iowa Medicaid?
Some private rehab centers might take Medicaid, but most private facilities do not. The majority of these rehab centers will only take private health insurance or self-pay.
What Level Of Residential Treatment Does Iowa Medicaid Cover?
For low-intensity residential treatment, Iowa Medicaid covers at least five hours of treatment per week plus the structured recovery environment.
What If I Need To Stay In Rehab Longer Than Iowa Medicaid Covers?
For those who need to remain in treatment longer than Medicaid covers, there are financing options available.
You can:
- apply for scholarships and grants
- obtain a loan
- use a sliding fee payment scale
- utilize military insurance, if applicable
Find An Addiction Treatment Center Today
If you or a loved one wants more information on mental health and substance abuse treatment centers, visit DetoxRehabs.net.
Article Sources- American Society of Addiction Medicine—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_ia.pdf - Iowa Department of Human Services (DHS)—IOWA HEALTH & WELLNESS PLAN
https://dhs.iowa.gov/ihawp/who-qualifies - Iowa Department of Human Services (DHS)—Mental Health and Substance Abuse Services
https://dhs.iowa.gov/sites/default/files/B-3_Mental_Health_and_SubstanceAbuse_Services_0.pdf?071620211548 - Iowa Department of Human Services (DHS)—Who Receives Medicaid?
https://dhs.iowa.gov/ime/members/who-receives-medicaid