Minnesota Medicaid is often referred to as Medical Assistance (MA). With Minnesota Medicaid, beneficiaries can get mental health and behavioral health treatment.
You or a loved one may be eligible to attend a Medicaid drug and alcohol addiction treatment facility. Read on to learn about four Medicaid addiction treatment centers in Minnesota.
What Addiction Treatment Services Are Covered By Medicaid In Minnesota?
Minnesota Medicaid covers a range of drug treatment programs for people struggling with substance use disorders (SUDs).
The following substance abuse treatment services are covered by Minnesota Medicaid:
- residential treatment
- inpatient treatment
- individualized treatment plans
- aftercare options, such as halfway houses
- opioid and alcohol treatment
- short-term options, such as partial hospitalization programs (PHP)
- mental health treatment
- medication-assisted treatment (MAT) using methadone
The following recovery services are not covered by Minnesota Medicaid:
- services that are not medically necessary
- medical detox
- other plan-specific limitations
Top 4 Drug And Alcohol Rehab Centers In Minnesota That Accept Medicaid
There are several outpatient rehab programs, inpatient drug rehab centers, and other chemical dependency programs that accept Medicaid as a form of payment in Minnesota.
We’ve chosen the top four Medicaid-accepting rehab centers in Minnesota for their:
- accreditation
- valued memberships and verifications
- Google ratings
- client testimonials
- use of evidence-based treatment
1. Hennepin Healthcare Foundation, Multiple Locations
Hennepin Healthcare Foundation is an integrated system of primary care clinics located in Minneapolis and across Hennepin County.
They have other locations in Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village.
Trusted features:
- Joint Commission accreditation
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
- state licensure
- licensed staff
Levels of care:
- outpatient treatment
- medication-assisted treatment (MAT)
Treatment services:
- methadone treatment
- buprenorphine treatment
- naltrexone treatment
- counseling
- relapse prevention
- medication management
Payment options:
- government funding
- TRICARE
- self-payment
- private health insurance
- Medicare
- Medicaid
Location and contact information:
914 S. 8th St.
Minneapolis, MN 55404
(612) 873-5500
2. Recovery Is Happening (RIH), Rochester, Minnesota
RIH is one of Minnesota’s leading full-service recovery community organizations.
Founded in 2011, RIH connects people impacted by drug dependency with personalized pathways to recovery and wellness.
Trusted features:
- state licensure
- licensed staff
- non-profit status
Levels of care:
- residential treatment
- partial hospitalization program (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
Treatment services:
- cognitive behavioral therapy (CBT)
- motivational interviewing (MI)
- counseling
- case management
- relapse prevention
Payment options:
- government funding
- Medicaid
- private health insurance
- self-payment
Location and contact information:
25 16th St. NE
Rochester, MN 55906
(507) 218-4773
3. Rogers Behavioral Health, Eden Prairie, Minnesota
For more than 115 years, Rogers Behavioral Health has been helping people rise above the challenges of mental health disorders, substance use, and addiction.
This organization has many locations across America, including in Illinois, Wisconsin, and Georgia, along with two locations in Minnesota: Minneapolis and St. Paul.
Trusted features:
- Joint Commission accreditation
- licensed staff
- non-profit status
Levels of care:
- partial hospitalization program (PHP)
Treatment services:
- family therapy
- group therapy
- dual diagnosis treatment
- dialectical behavior therapy (DBT)
- adolescent treatment
- cognitive behavioral therapy (CBT)
Payment options:
- Medicaid
- private health insurance
- self-payment
Location and contact information:
6442 City West Pkwy.
Ste. #200
Eden Prairie, MN 55344
(888) 927-2203
4. Wayside Recovery Center, St. Louis Park, Minnesota
Since its inception in 1954, Wayside Recovery Center has empowered more than 30,000 women facing addiction and 6,000 children.
The organization offers many locations in Minnesota, including St. Louis Park, Minneapolis, and St. Paul.
Trusted features:
- licensed staff
- non-profit status
Levels of care:
- residential treatment
- partial hospitalization program (PHP)
- medication-assisted treatment (MAT)
Treatment services:
- naltrexone treatment
- 12-step recovery groups
- case management
- individual therapy
- counseling
- relapse prevention
Payment options:
- Medicaid
- private health insurance
- self-payment
- government funding
Location and contact information:
3705 Park Center Blvd.
St. Louis Park, MN 55416
(651) 242-5540
View additional treatment options in Minnesota.
What Might Affect Minnesota Medicaid Coverage For Rehab?
There are a few factors that may affect Medicaid coverage for addiction treatment, such as copayments, premiums, and prior authorization.
Premiums And Copayments
Premiums are required for MinnesotaCare. The exact amount of a person’s premium payment depends on their income, family size, and the number of people covered.
Here are some of the addiction-related copays you can expect with Medical Assistance:
- prescriptions: $1 per generic drug, $3 per brand name drug (with a $12 limit on copayments per month)
- inpatient hospital stays: no copay
- emergency room visit (non-emergency): $3.50 per visit
Here are some of the addiction-related copays you can expect with MinnesotaCare:
- prescriptions: $7 per generic drug, $25 per brand name drug (with a $70 limit on copayments per month)
- inpatient hospital stays: $250 per admission
- emergency room visit (non-emergency): $75 per visit
Prior Authorization
Prior authorization (PA) may be needed for some addiction treatment prescription drugs and services. This is a process of determining whether a service is medically necessary.
Who Is Eligible For Minnesota Medicaid Drug Rehab?
State-funded, federally funded health insurance programs like Medicaid aim to help more people access healthcare services, so several groups qualify for Minnesota Medicaid.
You may qualify if you are:
- pregnant
- blind or disabled
- age 65 or older
- applying for a child with a disability
- a child
- a caretaker relative
Minnesota Medicaid Income Eligibility Requirements
Low-income people and families are eligible for Minnesota Medicaid or Medical Assistance. The income limits described below are based on the federal poverty level (FPL).
Here are recent monthly income limits for adults over the age of 18 applying for Medical Assistance:
- one-person household: $1,615
- two-person household: $2,185
- three-person household: $2,755
- four-person household: $3,325
- five-person household: $3,894
- six-person household: $4,464
- seven-person household: $5,034
- eight-person household: $5,603
For each additional person in your household, add $569.
Here are recent annual income limits for people applying for MinnesotaCare:
- one-person household: $29,160
- two-person household: $39,440
- three-person household: $49,720
- four-person household: $60,000
- five-person household: $70,280
- six-person household: $80,560
- seven-person household: $90,840
- eight-person household: $101,120
For each additional person in your household, add $10,280.
How To Use Your Minnesota Medicaid Plan For Drug Rehab
As with most Medicaid programs across the U.S., Minnesota uses a number of health plans to provide health coverage. These are known as managed care organizations (MCOs).
These are the MCOs offered under Minnesota Medicaid:
- Blue Plus
- HealthPartners
- Hennepin Health
- Itasca Medical Care (IMCare)
- Medica
- PrimeWest Health
- South Country Health Alliance (SCHA)
- UCare
First, enroll in one of the above health plans. Then, you can begin using your MCO plan to cover addiction treatment services.
Verify that the rehab facility you’ve selected accepts your specific health plan, then find a treatment approach that works under that plan.
Minnesota Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Here, you’ll find information on Medicaid coverage for addiction treatment facilities in the state of Minnesota.
What If I Need To Stay In Rehab For Longer Than Minnesota Medicaid Covers?
Minnesota Medicaid covers three hours of outpatient treatment per day, up to 10 hours of group outpatient treatment per day, and up to two comprehensive assessments every six months.
There are other rehab limitations specific to each plan. If you want to stay in rehab for longer than Medicaid covers, you can do so under your own financing.
Financing options for drug and alcohol rehab include:
- government grants, both state and federal
- scholarships from the rehab center
- self-payment
- sliding-fee scales
Medicare or TRICARE military insurance may be other payment options for people who qualify.
Does Minnesota Medicaid Cover All Addiction Treatment Programs?
Minnesota Medicaid covers many of the proven treatment methods for substance abuse, but not all.
Medicaid generally covers evidence-based practices (like behavioral therapies and medication-assisted treatment) but does not cover holistic or detoxification care.
What's The Difference Between Medical Assistance And MinnesotaCare?
Both MA and MinnesotaCare are government-funded health insurance programs. These programs have different income limits.
MinnesotaCare requires a monthly premium and has higher copayments. MinnesotaCare is for people who don’t qualify for MA, Medicare, or private health insurance.
Do Private Rehab Centers Accept Medicaid?
There may be some treatment providers in Minnesota that take Medicaid, but most private drug rehab centers do not take government-funded health insurance.
Find Drug Or Alcohol Addiction Treatment Today
Find more treatment options for substance abuse by visiting DetoxRehabs.net, or call us for free, confidential assistance.
Article Sources- American Society of Addiction Medicine—Minnesota
https://www.asam.org/advocacy/aaam/smr/minnesota - Minnesota Department of Human Services—MinnesotaCare Premiums
https://mn.gov/dhs/people-we-serve/adults/health-care/health-care-programs/programs-and-services/minnesotacare-premium.jsp - Minnesota Department of Human Services—Substance Use Disorder (SUD) Services
https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008949 - Minnesota Department of Human Services—Income Level Guidelines for Financial Help
https://www.mnsure.org/shop-compare/financial-help/income-guidelines/index.jsp