Top 5 Rehab Centers That Accept New York Medicaid

New York Medicaid, known by its state name as Medicaid Managed Care (MMC), covers a range of addiction treatment services.

Statewide, there are more than 1.9 million New Yorkers with substance abuse problems. Because of this, Medicaid coverage extends across most substance abuse treatment services.

With about 24% of residents enrolled in Medicaid, New York has one of the largest Medicaid programs in the U.S.

Learn more about using Medicaid to pay for alcohol and drug rehab

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

To provide behavioral health services, MMC plans and Medicaid providers work with Medicaid enrollees to create a person-centered service system focused on physical and mental health.

Health insurance providers in New York, including Medicaid, must cover necessary mental health services and treatment for substance use disorders (SUD).

This includes inpatient and outpatient treatment. However, these programs can be limited by the types of providers and facilities.

The following are some of the substance abuse programs and other services covered by Medicaid Managed Care:

• medically managed detoxification (for all enrollees)
• medically supervised inpatient withdrawal (for all enrollees)
• medically supervised outpatient withdrawal (for all enrollees)
• chemical dependency inpatient rehabilitation (only for non-SSI, Supplemental Security Income, enrollees)
• family support and training
• counseling
• medication-assisted treatment (MAT), including buprenorphine, naloxone, and methadone maintenance
• peer support services
• non-medical transportation
• pre-vocational services

Services not covered by Managed Care include:

• opioid treatment
• chemical dependency outpatient clinic programs
• chemical dependency outpatient programs for youth

Find additional Florida detox and drug rehab centers

Top 5 Rehab Centers In New York That Accept Medicaid

There are several rehab centers in the state of New York that accept Medicaid.

Five addiction treatment facilities have been selected for this list based on Medicaid coverage, range of treatment, and other qualifying factors.

1. Addiction Care Interventions (ACI), Multiple Locations

ACI has locations in Brooklyn and New York City (NYC) to assist those with substance use disorders to address the underlying sources behind their addictions.

They accept Medicaid as well as private health insurance, but not Medicare.

Top qualities of ACI include:

• accreditation from the Joint Commission
• support from the NYS Office of Alcoholism and Substance Abuse Services (OASAS)

Addiction treatment services include:

• outpatient chemical dependency
• outpatient detox
• inpatient detox
• inpatient residential treatment</li.
• addiction medicine
• specialty tracks

Location and contact information:

589 Rockaway Ave.
Brooklyn, NY 11212
(212) 293-3000

2. Addiction Institute Of Mount Sinai, Multiple Locations

Here, Medicaid covers inpatient, outpatient, MAT, and youth and adolescent programs.

The Addiction Institute of Mount Sinai has:

• Magnet accreditation
• recognition with “Honor Roll” status in U.S. News & World Report 2020-21 “Best Hospitals”

Location and contact information:

1000 10th Ave.
8th Floor
New York, NY 10019
(212) 523-6491

3. Bleuler Psychotherapy Center, Multiple Locations

This is a not-for-profit outpatient facility offering programs for those in Queens and the greater NYC area.

They accept both Medicaid and Medicare, as well as most private health insurance providers.

Trusted features of Bleuler Psychotherapy Center include:

• positive client testimonials
• a multilingual staff, including Spanish-speaking staff
• membership in the Federation of Mental Health Services

BPC offers services such as:

• medication management
• MAT that uses buprenorphine, naltrexone, Suboxone, Vivitrol, and nicotine replacement therapy
• individual and group counseling
• referral to recovery support services

Location and contact information:

104-70 Queens Blvd.
Suite 200
Forest Hills, NY 11375
(212) 420-2966

4. New York-Presbyterian Hospital, Multiple Locations

New York-Presbyterian Hospital has medical centers in multiple locations across New York. This hospital accepts New York Medicaid and specializes in older adults.

The following addiction treatment services are offered here:

• daytime and evening outpatient programs
• inpatient treatment
• dual diagnosis and treatment for co-occurring mental health conditions
• partial hospitalization program
• continuing day treatment program

New York-Presbyterian Hospital is supported by:

• high Google ratings
• recognition from U.S. News & World Report as the #4 hospital in the nation for psychiatry and other services
• recognition for excellence in nursing from the American Nurses Credentialing Center’s (ANCC) Magnet Recognition Program

Location and contact information:

21 Bloomingdale Rd.
White Plains, NY 10605
(888) 694-5700

5. Sun River Health, Multiple Locations

Sun River Health offers addiction treatment in locations across the Hudson Valley, NYC, and Long Island.

Trusted features of this treatment center are:

• positive client testimonials
• Joint Commission accreditation
• accreditation from the National Committee for Quality Assurance (NCQA)

Here, recovery services include overdose prevention, MAT, outpatient treatment, peer support groups, and counseling.

Location and contact information:

2400 Linden Blvd.
Brooklyn, NY 11208
(718) 257-5800

Factors That Affect New York Medicaid Coverage For Addiction Treatment

If you’d like to use MMC to cover alcohol and drug abuse services, there are several factors to consider.

Copays

Medicaid Managed Care usually covers the full cost of addiction treatment programs. But a person may need to cover the cost of extra fees, such as copays, to be paid directly to the rehab provider at the time of service.

Prior Authorization (PA)

You may need to receive PA before being accepted into an addiction treatment program or getting coverage for certain medications.

Availability

Rehab centers that accept Medicaid or Medicare may have longer waiting lists.

What Are The Qualifications For Eligibility For New York Medicaid Drug Rehab?

To be eligible for New York Medicaid, a person must meet one of the following criteria:

• pregnant
• responsible for a child 18 years of age or younger
• blind
• have a disability or a family member in their household with a disability
• 65 years of age or older

New York Medicaid Income Eligibility Requirements

Residents of New York who fall under one of the above categories may be eligible for Medicaid depending on their financial status.

Income eligibility requirements depend on the size of the household.

The following is a list of annual Medicaid income levels for single people and couples without children:

• one-person household: maximum of $17,775
• two-person household: maximum of $24,040
• three-person household: maximum of $30,305
• four-person household: maximum of $36,570
• five-person household: maximum of $42,836

Net income rates are lower for families and individuals who are blind, disabled, or aged 65 and up.

For those who fall under one of these groups, the net annual income is:

• one-person household: maximum of $10,600
• two-person household: maximum of $15,600
• three-person household: maximum of $17,940
• four-person household: maximum of $20,280
• five-person household: maximum of $22,620

If you make more than the maximum annual income listed above, you may still qualify for Medicaid Managed Care. This is often done on a case-by-case basis.

How To Use Your New York Medicaid Plan For Drug Rehab

To use your Medicaid plan to cover alcohol and drug use treatment services, you’ll need to cover a few bases.

To use Medicaid Managed Care, complete the following:

• apply for New York Medicaid Managed Care
• ensure that the addiction treatment center you’ve selected accepts Medicaid
• ensure the program you’re interested in is covered by Medicaid
• work with a treatment specialist at the treatment facility or your Medicaid provider to decide the best treatment plan
• cover any final costs, such as a copay

Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs

Here you can find answers to a few of the top-asked questions about Medicaid coverage for addiction rehab in New York.

What Are The Benefits Of New York Medicaid Drug Rehab?

The biggest benefit of using New York Medicaid to cover drug and alcohol rehab is the low cost for services such as outpatient and inpatient rehab, supportive living, detox, and more.

Using Medicaid will ensure a cost-effective way to receive addiction treatment.

How Many People Are On The Waiting List For New York Medicaid Drug Rehab?

This depends on the rehab facility. Some addiction treatment centers may have higher waiting lists and could take weeks or months to secure a spot.

What Short-Term Treatment Options Are Covered By New York Medicaid?

Short-term treatment options include medically assisted detox, intensive outpatient programs, counseling, and support groups.

These recovery programs can run long-term if a person chooses. It all depends on the specific program each person in recovery needs.

Find New York Drug Rehab Centers That Accept Medicaid

If you or a loved one would like more information on how to use Medicaid to cover drug and alcohol addiction treatment in New York, call our helpline.

We can assist you in locating rehab programs that are right for you or your loved one. Call us today to learn more.