Michigan’s Medicaid program is called Medical Assistance (MA). There are several health plans that vary by county in which a person can enroll.
Medicaid covers low-income individuals and families to receive services including behavioral health treatment, mental health treatment, primary care, and dental care.
Find out more about using Medicaid to pay for addiction treatment
Choosing A Michigan Medicaid Plan For Drug Rehab
As with many state Medicaid programs, Michigan works with several health care providers to ensure all members are getting quality care.
The plans currently offered (depending on the county) are:
- Aetna Better Health of Michigan
- Blue Cross Complete of Michigan
- HAP Empowered
- McLaren Health Plan
- Meridian Health Plan of Michigan
- Molina Healthcare of Michigan
- Priority Health Choice
- Total Health Care
- UnitedHealthcare Community Plan
- Upper Peninsula Health Plan
It’s important to note that not all health plans cover substance abuse treatment. Be sure to select a program that covers your needed services.
What Addiction Treatment Services Are Covered By Michigan Medicaid?
Medical Assistance provides a range of behavioral and mental health services for all beneficiaries.
Each health plan covers a specific set of substance abuse services. Your covered services may depend on which plan you select.
Depending on your plan, substance abuse treatment programs may include:
- inpatient treatment
- outpatient treatment
- behavioral therapy
- intensive outpatient programs (IOP)
- opioid disorder treatment
- individual, group, and family therapy
- drug testing
- prescription drugs
- detoxification
- assessment
- medication-assisted treatment (MAT), including methadone, buprenorphine (Suboxone, Zubsolv), and naltrexone (Vivitrol)
- partial hospitalization program (PHP)
For more treatment options, view our list of detox and rehab centers in Michigan
Top 5 Rehab Centers In Michigan That Accept Medicaid
Michigan is home to several Medicaid-accepting rehab centers.
Five drug rehab centers were selected for:
- accreditation
- client reviews
- Google ratings
- verifications
1. Great Lakes Recovery Centers, Multiple Locations
There are over a dozen locations available with Great Lakes Recovery Centers offering many programs.
Great Lakes Recovery Centers are backed by the following:
- accreditation from the Commission on the Accreditation of Rehabilitation Facilities (CARF)
- membership with United Way
Treatment centers with Great Lakes Recovery include the following programs and treatment services:
- outpatient services
- individual and group therapy
- residential treatment
- preventive services
Location and contact information:
2500 7th Avenue South
Suite 202
Escanaba, MI 49829
(906) 789-3528
2. Harbor Hall, Multiple Locations
Addiction treatment services are available in Petoskey, East Jordan, and Cheboygan, Michigan.
Harbor Hall is supported by several top qualities, such as:
- CARF accreditation
- a 4.5-star Google rating
- membership in the National Association of Addiction Treatment Providers (NAATP)
Included services are outpatient treatment, residential rehab, withdrawal management, and transitional living.
Location and contact information:
2236 E. Mitchell Rd.
Suite 5
Petoskey, MI 49770
(231) 347-9880
3. Harbor Oaks Hospital, New Baltimore, Michigan
This is an addiction and mental health facility near Detroit, Michigan.
Trusted features of this drug addiction center include:
- Joint Commission accreditation
- Psychology Today verification
- client testimonials
Drug and alcohol addiction treatment options include:
- detox
- inpatient treatment
- continuing care
Location and contact information:
35031 23 Mile Rd.
New Baltimore, MI 48047
(844) 359-5285
4. Henry Ford Health System, Multiple Locations
Addiction treatment services are available in multiple locations across the state.
Qualifying features of this alcohol and drug abuse program include:
- positive Google ratings
- recipient of the John M. Eisenberg Patient Safety and Quality Award
The treatment facility offers:
- outpatient treatment
- intensive outpatient program
- residential treatment
Location and contact information:
215 North Ave.
Mount Clemens, MI 48043
(586) 466-9300
5. Home Of New Vision, Ann Arbor, Michigan
Home of New Vision is a nonprofit that provides gender-specific programs for those struggling with addiction.
Medicaid, Medicare, and private health insurance cover substance abuse programs here.
Marks of quality care include:
- a 4.5-star Google rating
- CARF accreditation
A few of the programs offered are supportive housing, detox, and outpatient treatment.
Location and contact information:
3115 Professional Dr.
Ann Arbor, MI 48104
(734) 975-1602
Factors That Affect The Cost Of Using Michigan Medicaid For Rehab
A few factors can affect the cost of addiction treatment through Medical Assistance coverage.
Copayments For Medical Services
Services are almost fully covered, but there are copays needed for several services related to substance abuse treatment.
Here are the copayments you’ll need to cover for different services:
- $2 per physician office visit
- $2 per outpatient hospital visit
- $2 per urgent care center visit
- $3 per emergency room visit for non-emergency services
- $50 for an inpatient hospital stay
- prescriptions: $1 for each preferred drug, $3 for each non-preferred drug
You May Need Prior Authorization
Prior authorization (PA) is something Medicaid uses to determine whether a prescription or service is medically necessary.
For some services, you may need to get PA before getting your medication or enrolling in a program. If it’s deemed not medically necessary, you may not be able to receive that service through Medicaid.
What Are The Qualifications For Eligibility For Michigan Medicaid Drug Rehab?
You can apply for Medical Assistance in Michigan if you’re in a qualifying group.
The following demographics are eligible for Michigan Medicaid:
- children
- low-income adults who are aged 19 to 64
- pregnant women
- the aged, blind, and disabled
- low-income families
Michigan Medicaid Income Eligibility Requirements
You must also meet the income eligibility requirements for Michigan Medicaid. These income limits are based on the federal poverty level (FPL).
Individuals are eligible for Michigan Medicaid if they have income at or below 133% of the FPL. That’s $16,000 for a single person or $33,000 for a family of four.
How To Use Your Michigan Medicaid Plan For Drug Rehab
To use Medical Assistance to cover drug or alcohol treatment, there are a few steps to go through.
Follow these steps to get Medicaid coverage:
- determine whether you’re eligible based on if you’re in a qualifying group and meet income requirements
- apply for Medicaid
- if accepted into the program, choose a health plan that covers substance use disorder treatment
- choose a rehab program that accepts Medicaid
- start using your benefits, and begin treatment at any time
Michigan Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
We’ve gathered answers to some of the most common questions about Medicaid coverage for rehab in the state of Michigan.
What Are My Options To Cover Drug Rehab If I Don’t Have Michigan Medicaid?
Many rehab facilities offer payment assistance programs, such as a sliding fee scale or scholarships from their donors.
Are There Outpatient Rehab Centers In Michigan That Take Medicaid?
Several outpatient programs take Medicaid, though not all will.
Do Medicaid Rehab Centers In Michigan Take Private Insurance?
Addiction rehab centers usually accept several different insurance plans. This usually includes private health insurance, and sometimes includes Medicaid and Medicare.
Find A Medicaid Rehab Center In Michigan
If you or a loved one are ready to begin the process of finding a rehab center in Michigan, call our helpline.
Our representatives are ready to take your call and discuss your options in Medicaid coverage.
Article Sources- HAP Empowered Medicaid—2021 HAP Empowered Medicaid Member Handbook
https://www.hap.org/-/media/hap-empowered/2021-medicaid-handbook.pdf?la=en&hash=CC37BC0B6B04A53FF9A95B00B7D39A3B - Michigan Complete Health—Michigan Complete Health (Medicare-Medicaid Plan)Member Handbook
https://mmp.michigancompletehealth.com/content/dam/centene/michigan-complete-health/pdfs/2021-MI-EOC-H9487-001-MMP.pdf - Michigan Department of Health and Human Services (MDHHS)—Medicaid
https://www.michigan.gov/mdhhs/0,5885,7-339-71547_4860_78446_78447_78454-407318--,00.html - Michigan Department of Health and Human Services (MDHHS)—Michigan Medicaid Health Plan Listing by County
https://www.michigan.gov/documents/mdch/MHP_Service_Area_Listing_326102_7.pdf - Michigan Department of Health and Human Services (MDHHS)—BENEFICIARY CO-PAYMENT REQUIREMENTS
https://www.michigan.gov/documents/mdch/WebCo-PayTable_11-02-06_182172_7.pdf