5 Rehab Centers That Accept NJ FamilyCare (New Jersey Medicaid)

New Jersey Medicaid, or NJ FamilyCare, covers many different addiction treatment programs in the state of New Jersey.

Learn more about using Medicaid to pay for addiction treatment

What Addiction Treatment Services Are Covered By Medicaid In New Jersey?

NJ FamilyCare’s behavioral health coverage depends on the plan and potential restrictions depending on income levels.

Depending on the health insurance provider, the following services are covered under NJ FamilyCare:

• withdrawal management
• detoxification
• non-medical detox and withdrawal management
• opioid treatment
• intensive outpatient program (IOP)
• outpatient services
• inpatient medical detox
• long-term residential
• short-term residential
• partial hospitalization program (PHP)
• office-based services, such as counseling

View a list of New Jersey detox and inpatient rehab centers for more treatment options

New Jersey Medicaid Plans

Each county in New Jersey has three to five health plans to choose from.

Enrollees must choose a managed care organization (MCO) or health plan to start getting health services.

Choices include:

• Aetna Better Health of New Jersey
• AMERIGROUP New Jersey
• Horizon NJ Health
• UnitedHealthCare Community Plan
• WellCare

Top 5 Rehab Centers In New Jersey That Accept Medicaid

Many rehab centers accept NJ FamilyCare, and five have been highlighted in this list.

These alcohol and drug rehab centers have qualities such as accreditation, high Google ratings, and client testimonials.

1. Bergen New Bridge Medical Center, Paramus, New Jersey

Treatment for substance use disorders is covered by Medicaid as well as other private insurance providers at this medical center.

This treatment center has Joint Commission accreditation and offers:

• inpatient treatment
• medical detox
• Suboxone support group
• Vivitrol support group
• dual diagnosis PHP
• IOP

Location and contact information:

230 E Ridgewood Ave.
Paramus, NJ 07652
(800) 730-2762

2. Rescue Mission Of Trenton, Trenton, New Jersey

The Rescue Mission provides housing, drug addiction services, group counseling, vocational development, and other services.

Top qualities of Rescue Mission of Trenton include:

• recognition as a 4-star charity
• a 3.6-star Google rating

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

This is a mental health and substance use treatment facility serving youths and adults in Summit, New Jersey. They accept most insurance plans, including Medicaid and Medicare.

Summit Oaks Hospital has been selected for:

• Joint Commission accreditation
• Blue Distinction Center certification
• recognition as an Aetna Institute of Quality

Here, a person can choose one of the following recovery programs:

• detox
• rehabilitation program
• co-occurring disorder treatment
• outpatient programs
• partial hospitalization program
• intensive outpatient program

Location and contact information:

19 Prospect St.
Summit, NJ 07902
(800) 753-5223

4. Team Management 2000, Hackensack, New Jersey

This organization assists at-risk families and individuals with primary and mental healthcare, substance abuse recovery services, and other supports.

Team Management 2000 has positive client testimonials and offers:

• mental health treatment
• OP
• IOP
• individual, group, and family therapy
• treatment for co-occurring disorders
• rapid HIV/AIDS and Hepatitis C testing

5. Turning Point, Multiple Locations

Turning Point has rehab centers located in West Caldwell, Whitehouse Station, and Paterson, New Jersey.

Trusted features of this rehab facility include:

• accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
• positive client testimonials

Addiction treatment options include the following:

• drug and alcohol detox
• short-term residential programs
• long-term residential programs
• outpatient treatment
• halfway house (for women)
• transitional or sober living (for women)

Location and contact information:

860 Bloomfield Ave.
West Caldwell, NJ 07006
(973) 228-3000

Factors That May Affect New Jersey Medicaid Coverage For Addiction Treatment

There are several factors that can affect NJ FamilyCare’s coverage of substance abuse and mental health services.

Medicaid Fee-For-Service Vs Health Plans

Some substance abuse treatment services are covered by the health insurance company, while others are covered directly by Medicaid fee-for-service (FFS).

Your coverage and the final cost may be dependent on which provider is covering the addiction services.

Copays

You may need to cover a copay with certain addiction treatment services. NJ FamilyCare C and D members will have a copay of up to five percent for the cost-share amount.

Longer Waitlists

Often, when choosing a program that accepts government-funded insurance like Medicaid, there will be longer waiting times. Especially with detox centers and smaller rehab facilities, the waitlist may be longer.

Eligibility Qualifications For New Jersey Medicaid Drug Rehab

Several factors can qualify a person to get NJ FamilyCare coverage.

NJ FamilyCare extends across the following groups:

• pregnant women
• children 18 and under
• parents/caretaker relatives
• adults aged 19 to 64 without dependent children who fall within the necessary income bracket
• adults aged 65 and older
• those who are blind
• those who are disabled

New Jersey Medicaid Income Eligibility Requirements

As of January 2021, New Jersey has updated the income eligibility requirements for those seeking to use NJ FamilyCare.

Here are the maximum monthly income cutoffs for adults aged 19 to 64:

• one-person household: $1,482
• two-person household: $2,004
• three-person household: $2,526
• four-person household: $3,048
• five-person household: $3,570
• six-person household: $4,092

For each additional person, add another $523.

The following are the maximum monthly income cutoffs for family planning and pregnant women of any age:

• one-person household: $2,201 (N/A for pregnant women)
• two-person household: $2,976
• three-person household: $3,752
• four-person household: $4,528
• five-person household: $5,303
• six-person household: $6,079

For each additional person, add another $776.

Using Your New Jersey Medicaid Plan For Drug Rehab

Once a person chooses one of the available health plans, they can use the insurance provider to cover the cost of drug and alcohol rehab.

Work with the treatment specialists at the rehab facility and your Medicaid representative to determine what your health plan will cover for addiction treatment.

New Jersey Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs

Find answers to some of the most commonly asked questions about NJ FamilyCare coverage for drug abuse and alcohol addiction in New Jersey.

Is Behavioral Therapy Covered By Medicaid In New Jersey?

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 has 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 In New Jersey Without Medicaid?

Many drug rehab centers accept private insurance. And if a person doesn’t have health insurance, there are often options such as a sliding scale to help with the cost of addiction treatment.

Find Drug Rehab Coverage With New Jersey Medicaid

If you or a loved one are ready to take the next step in seeking help for an addiction, call our helpline today.

Many affordable drug rehab centers accept Medicaid, Medicare, and other private health insurance companies.
To learn more, reach out to us and ask our specialists about rehab centers available now.