If you live in New Jersey and receive Medicaid, and you are interested in receiving treatment for a substance use disorder, you can receive treatment at a facility that accepts Medicaid.
There are several addiction treatment facilities in New Jersey that accept Medicaid, known as NJ FamilyCare. Five of these treatment centers were selected for this list based on top qualities.
NJ FamilyCare covers many different addiction treatment programs in the state of New Jersey.
What Addiction Services Are Covered By New Jersey Medicaid Insurance?
The behavioral health coverage of NJ FamilyCare depends on the plan, which is largely determined by individual and/or household income level.
Depending on the health insurance provider, the following services are covered under NJ FamilyCare:
- substance use disorder assessment
- detoxification
- short-term residential treatment
- long-term residential treatment
- partial hospitalization programs (PHP)
- adult day treatment
- inpatient treatment
- outpatient programs (OP)
- intensive outpatient programs (IOP)
- dual diagnosis treatment
- medication-assisted treatment (MAT)
- medication management
- aftercare services
- counseling and/or psychotherapy services
- individual, group, and family therapy
- peer support
View a list of New Jersey detox and inpatient rehab centers for more treatment options
New Jersey Medicaid Plans
All 21 counties in New Jersey offer three to five healthcare plans to choose from.
Enrollees must choose a managed care organization (MCO) or health plan to start receiving access to services.
NJ FamilyCare choices include:
- Aetna Better Health of New Jersey
- AMERIGROUP New Jersey
- Horizon NJ Health
- UnitedHealthCare Community Plan
- WellCare
Top 5 Rehab Facilities In New Jersey That Accept Medicaid
Many rehab programs accept NJ FamilyCare, and we selected five based on their indicators of quality addiction care.
Indicators of excellence in regard to addiction treatment include:
- accreditation
- certifications
- high Google ratings
- client testimonials
1. Bergen New Bridge Medical Center (BNBMC), Paramus, New Jersey
BNBMC is a non-profit facility that provides a range of medical services, including substance abuse treatment services. BNBMC is a clinical affiliate of Rutgers University.
Some clients may begin their addiction recovery journey in the hospital-based medical detox, where they will receive withdrawal management services.
The facility manages a short-term inpatient treatment program that ranges from 10 to 21 days. Medication-assisted treatment services involve the use of Vivitrol and buprenorphine.
Trusted features:
- licensed by NJ Department of Mental Health and Addiction Services
Levels of care:
- detox
- short-term residential treatment
- intensive outpatient program (IOP)
- outpatient treatment
- medication-assisted treatment (MAT)
- aftercare
Treatment services:
- individual therapy
- group therapy
- individualized treatment
- peer recovery support
Payment options:
- Medicaid
- Medicare parts A and B
- private health insurance
- self-payment options, i.e. self-pay: credit cards, checks, or cash
Location and contact information:
230 E. Ridgewood Ave.
Paramus, NJ 07652
(201) 967-4000
2. Rescue Mission Of Trenton, Trenton, New Jersey
The Rescue Mission of Trenton is a facility that provides a range of support services for people experiencing homelessness and/or drug or alcohol addiction.
The facility has a state-licensed addiction treatment center that provides long-term treatment, halfway housing, and ambulatory services. No client is turned away based on the inability to pay.
The facility also manages the New Direction Program, a nine-week experience for people in recovery to learn their true potential.
Trusted features:
- licensed by NJ Department of Mental Health and Addiction Services
Levels of care:
- residential treatment
- intensive outpatient program (IOP)
- outpatient treatment
Treatment services:
- behavioral health counseling
- individual therapy
- group therapy
- referrals
- educational support
- vocational services
Payment options:
- Medicaid
- Medicare
- self-payment options, i.e. self-pay: credit cards, checks, or cash
Location and contact information:
98 Carroll St.
P.O. Box 790
Trenton, NJ 08605-0790
(609) 695-1436
3. Summit Oaks Hospital, Summit, New Jersey
Summit Oaks Hospital is a substance abuse and mental health treatment facility that provides care for children, adolescents, and adults.
It is one of the longest-standing treatment providers of addiction and mental health services in New Jersey.
Trusted features:
- evidence-based treatment
- accredited by The Joint Commission
Levels of care:
- detox
- short-term inpatient treatment
- aftercare
Treatment services:
- substance use assessment
- treatment for co-occurring disorders
- medication management
- individual therapy
- group therapy
- crisis intervention
- cognitive behavioral therapy (CBT)
- relapse prevention
- 12-step group meetings
- holistic therapy
- case management
Payment options:
- Medicaid
- Medicare
- TRICARE military insurance
- private health insurance
- self-payment options, i.e. self-pay: credit cards, checks, or cash
Location and contact information:
19 Prospect St.
Summit, NJ 07902
(908) 522-7000
4. Team Management 2000, Hackensack, New Jersey
Team Management is a non-profit provider of behavioral health services that include drug and alcohol rehab and mental health treatment. The facility also provides LGBTQ-friendly and HIV/AIDS services.
In addition to these services, the treatment facility also provides addiction prevention services for young people.
Trusted features:
- state licensure
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
Levels of care:
- intensive outpatient program (IOP)
- outpatient treatment
Treatment services:
- individual therapy
- group therapy
- family therapy
- holistic treatment
- mental health treatment
- case management
- LGBTQ+ services
- psychiatric assessments
- treatment for co-occurring disorders
- medication management
- relapse prevention
Payment options:
- Medicaid
- Medicare
- private health insurance
- sliding fee scale
- self-payment options, i.e. self-pay: credit cards, checks, or cash
Location and contact information:
19 Prospect St.
Hackensack, NJ 07902
(201) 487-4700
5. Turning Point, Multiple Locations
Turning Point is a non-profit provider of drug and alcohol treatment services.
The recovery center runs a treatment program rooted in the 12-step principles. Addiction treatment programs here adhere to criteria based on the American Society of Addiction Medicine (ASAM).
The treatment provider has facilities in Paterson, Whitehouse Station, Pompton Plains, and West Caldwell.
Trusted features:
- accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)
- state licensure
- evidence-based treatment
Levels of care:
- detox
- long-term residential treatment
- short-term residential treatment
- intensive outpatient program (IOP)
- outpatient treatment
Treatment services:
- alcohol and drug assessment
- drug testing
- individual therapy
- group therapy
- family therapy
- relapse prevention
- early intervention
- women’s addiction treatment
Payment options:
- Medicaid
- Medicare
- private health insurance
- sliding fee scale
- self-payment options, i.e. self-pay: credit cards, checks, or cash
Location and contact information:
680 Broadway
Ste. #104
Paterson, NJ 07514
(973) 239-9400
Factors That May Affect New Jersey Medicaid Coverage For Addiction Treatment
There are several factors that can affect Medicaid insurance coverage of treatment for alcohol and/or drug abuse and mental health services.
Keep reading to learn more about some of the factors that may affect NJ FamilyCare insurance plans.
Medicaid Fee-For-Service Vs. Health Plans
Some substance abuse treatment services are covered by NJ FamilyCare, while other treatment options are covered directly by Medicaid fee-for-service (FFS).
Your coverage and the final cost may depend on which provider covers the substance use disorder treatment service.
Copays
You may need to pay a copay for certain addiction treatment services. NJ FamilyCare C and D members will have a copay of up to 5% for the cost-share amount.
Longer Waitlists
Compared to private, for-profit treatment facilities, programs that accept government-funded insurance like Medicaid will often have longer wait times for admission.
To determine the wait time of a particular facility, you can contact the facility’s direct helpline. Depending on the wait time, you may decide to seek treatment at a different facility.
Eligibility Qualifications For New Jersey Medicaid Drug Rehab
Individuals are required to meet several qualifications in order to be eligible for NJ FamilyCare coverage.
NJ FamilyCare extends across the following groups:
- pregnant women
- children ages 18 and under
- parents/caretaker relatives
- adults ages 19 to 64 without dependent children who fall within the necessary income bracket
- adults ages 65 and older
- those who are blind
- those who are disabled
New Jersey Medicaid Income Eligibility Requirements
As of January 2023, New Jersey has updated the income eligibility requirements for those seeking to use NJ FamilyCare.
To qualify for New Jersey Medicaid, adults ages 19 to 64 must earn an income that is up to 138% of the federal poverty level (FPL).
Here are the maximum monthly income cutoffs for adults ages 19 to 64:
- one-person household: $1,677
- two-person household: $2,268
- three-person household: $2,859
- four-person household: $3,450
- five-person household: $4,042
- six-person household: $4,633
For each additional household member, add another $592.
The following are the maximum monthly income cutoffs for family planning and pregnant women of any age:
- one-person household: $2,491
- two-person household: $3,369
- three-person household: $4,247
- four-person household: $5,125
- five-person household: $6,004
- six-person household: $6,882
For each additional household member, add another $879.
Using Your New Jersey Medicaid Plan For Drug Addiction Rehab
Once eligible individuals select one of the available health plans, they can use Medicaid to cover the cost of drug and alcohol rehab.
If you have questions, you can speak with treatment specialists at the rehab facility and your Medicaid representative to determine your coverage for addiction treatment.
New Jersey Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
To further help your search, we provided answers to some of the most commonly asked questions regarding NJ FamilyCare coverage and addiction treatment plans in New Jersey.
Is Behavioral Therapy Covered By Medicaid In New Jersey?
Yes, behavioral therapies are covered by NJ FamilyCare.
What Are The Different Types Of Medicaid Drug Rehab In New Jersey?
Medicaid covers many different drug rehab programs, and each program offers unique services.
In New Jersey, a person using NJ FamilyCare can find coverage for inpatient rehab, outpatient rehab, medication-assisted treatment, counseling, and other services.
How Do I Cover The Cost Of Drug Rehab Without Medicaid?
Many drug rehab centers accept private insurance. If you don’t have health insurance, there are often options such as a sliding fee scale to help with the cost of addiction treatment.
Some treatment facilities also utilize grants to pay for the cost of a client’s treatment. You may contact a facility directly to determine whether it offers grant-funded treatment and if you qualify.
Find Addiction Treatment Today
If you or a loved one is ready to take the next step in your journey of addiction recovery, call DetoxRehabs.net today for free, confidential assistance finding a treatment provider.
Article Sources- Aetna Better Health of New Jersey—Covered Services
https://www.aetnabetterhealth.com/newjersey/assets/pdf/members/Covered-Services-Eng.pdf - AMERIGROUP New Jersey—Member Handbook
https://www.myamerigroup.com/nj/njnj_caid_mhb_eng.pdf - NJ Family Care—Choosing a Health Plan
http://www.njfamilycare.org/choos.aspx - NJ Family Care—Income Eligibility and Cost
http://www.njfamilycare.org/income.aspx - NJ Family Care—Who is Eligible?
http://www.njfamilycare.org/q_and_a.aspx