Top 5 Rehab Centers That Accept New York Medicaid

New York Medicaid, known as Medicaid Managed Care (MMC), is a comprehensive healthcare program that covers a wide 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.

Five of the top rehab facilities that accept Medicaid are identified in this list.

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).

Treatment for mental health and substance abuse 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:

• 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 program (IOP)
• dual diagnosis treatment
• medication-assisted treatment (MAT)
• medication management
• aftercare services
• counseling and/or psychotherapy services
• individual therapy
• family therapy
• group therapy
• peer support​

Services that are not covered by Managed Care include:

• opioid treatment
• chemical dependency outpatient clinic programs
• chemical dependency outpatient programs for young people

Instead of using traditional medications for the treatment of opioid use disorder, such as methadone and buprenorphine, alternative medications may be used.

Top 5 Rehab Facilities In New York That Accept Medicaid

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

Indicators of excellence in regard to the following treatment providers include:

• accreditation
• certification
• positive Google reviews
• client testimonials

1. Addiction Care Interventions (ACI), Multiple Locations

ACI is an addiction treatment provider that provides support for chemical dependency issues. The facility uses a client-centered, trauma-informed approach to treatment.

ACI provides a range of treatment services, spanning inpatient and outpatient detox, inpatient and outpatient rehab, and medication-assisted treatment. It has locations in Brooklyn and New York City.

Trusted features:

• accredited by The Joint Commission
• state licensure
• evidence-based treatment

Levels of care:

• inpatient detox
• outpatient detox
• inpatient rehabilitation
• outpatient program (OP)
• medication-assisted treatment (MAT)

Treatment services:

• individualized treatment
• individual therapy
• group therapy
• family therapy
• couples therapy
• cognitive behavioral therapy (CBT)
• rational emotive behavior therapy (REBT)
• dialectical behavior therapy (DBT)
• gender-specific groups
• medication management
• case management
• 12-step groups
• adolescent program

Payment options:

• Medicaid
• private health insurance
• self-payment options, i.e., self-pay: credit cards, checks, or cash

2. Addiction Institute Of Mount Sinai, Multiple Locations

The Addiction Institute of Mount Sinai provides clients with addiction treatment services for drug and/or alcohol addiction, as well as behavioral addictions such as gambling.

The treatment center operates clinics throughout New York City at Mount Sinai Morningside, Mount Sinai West, Mount Sinai Beth Israel, and The Mount Sinai Hospital.

The facility provides a full spectrum of care, from detox to transitional halfway housing. Medication-assisted treatment (MAT) uses naltrexone or buprenorphine.

Trusted features:

• Magnet accreditation
• evidence-based treatment

Levels of care:

• detox
• inpatient treatment
• partial hospitalization program (PHP)
• outpatient treatment
• medication-assisted treatment (MAT)
• aftercare

Treatment services:

• individualized treatment
• cognitive behavioral therapy (CBT)
• individual therapy
• group therapy
• family therapy
• couples therapy
• motivational interviewing (MI)
• relapse prevention
• dual diagnosis treatment
• motivational enhancement
• psychiatric evaluation and treatment
• adolescent treatment
• discharge planning

Payment options:

• Medicaid
• Medicare
• private health insurance
• sliding fee scale
• self-payment options, i.e., self-pay: credit cards, checks, or cash

3. Bleuler Psychotherapy Center, Multiple Locations

Bleuler Psychotherapy Center is a non-profit outpatient facility that provides mental health and substance abuse treatment programs for children, adolescents, adults, and families.

The facility is a licensed provider of The Seven Challenges program, a holistic counseling program with a goal of making positive changes for adolescents and young adults with substance use disorder.

The treatment program operates facilities in Queens and Long Island. Its MAT services use buprenorphine, naltrexone, Suboxone, and Vivitrol.

Trusted features:

• verified by Psychology Today
• state licensure
• evidence-based treatment

Levels of care:

• outpatient treatment
• medication-assisted treatment (MAT)

Treatment services:

• individual therapy
• group therapy
• family therapy
• psychiatry
• psychotherapy
• dual diagnosis treatment
• treatment referrals

Payment options:

• Medicaid
• Medicare
• private health insurance
• sliding fee scale
• self-payment options, i.e., self-pay: credit cards, checks, or cash

4. New York-Presbyterian Hospital, Multiple Locations

New York-Presbyterian Hospital has medical centers across New York state and offers a range of health services for medical, behavioral, and psychiatric needs.

The facility operates a range of substance abuse treatment services at its various locations throughout the state. It also maintains a specialized program for older adults.

Trusted features:

• state licensure
• evidence-based treatment

Levels of care:

• inpatient treatment
• partial hospitalization program (PHP)
• outpatient treatment

Treatment services:

• individualized treatment
• individual therapy
• group therapy
• family therapy
• dual diagnosis treatment
• cognitive behavioral therapy (CBT)
• medication management

Payment options:

• Medicaid
• Medicare
• private health insurance
• self-payment options, i.e., self-pay: credit cards, checks, or cash

5. Sun River Health, Multiple Locations

Sun River Health offers outpatient addiction treatment programs, which include therapy groups and medication-assisted treatment (MAT).

The treatment provider operates clinics across the Hudson Valley, Long Island, and New York City. It also has licensed outpatient addiction treatment centers in Brooklyn and Staten Island.

Trusted features:

• Joint Commission accreditation
• National Committee for Quality Assurance (NCQA) recognized practice
• evidence-based treatment

Levels of care:

• outpatient treatment
• medication-assisted treatment (MAT)

Treatment services:

• individual therapy
• group therapy
• support groups
• peer counseling services

Payment options:

• Medicaid
• Medicare
• private health insurance
• self-payment options, i.e., self-pay: credit cards, checks, or cash

Factors That Affect New York Medicaid Coverage For Addiction Treatment

If you would like to use Medicaid Managed Care to cover the cost of an alcohol and drug abuse treatment program, there are several factors to consider.

Copays

Medicaid Managed Care usually covers the full cost of addiction recovery center services.

However, you may need to pay extra fees, such as copays, to be paid directly to the rehab program at the time of service.

Prior Authorization (PA)

Prior authorization (PA) in conjunction with Medicaid insurance, requires a member to be approved before receiving a particular treatment.

PA decides whether a treatment is medically necessary, which determines whether Medicaid will cover the cost.

Depending on your insurance coverage, you may need to receive PA before being accepted into a drug and alcohol rehab center or receiving coverage for certain medications.

If you are approved, then Medicaid should cover the costs. If you are not approved, then you may be required to pay an out-of-pocket fee.

Waitlist Times

Rehab centers that accept Medicaid or Medicare may have longer waiting lists. The longer wait lists are due to the higher number of people who are seeking Medicaid-accepting facilities.

Treatment facilities that have onsite detox and inpatient rehab may have longer wait times. To determine the wait times associated with a rehab center of your choosing, contact the facility directly.

Keep in mind that if one facility has a longer-than-desired wait time, there are other drug rehab centers that accept Medicaid that you may need to consider.

Qualifications For New York Medicaid Coverage Eligibility

People in New York must meet financial need requirements to be deemed eligible for New York Medicaid. These requirements vary by demographic.

Specific demographics eligible for New York Medicaid include:

• pregnant women
• adults responsible for a child age 18 or younger
• people who are blind
• people with a disability or a family member in their household with a disability
• adults age 65 or older

New York Medicaid Income Eligibility Requirements

Income eligibility requirements depend on the size of the household and/or the demographic.

To be eligible for Medicaid, an individual must be up to 138% below the federal poverty level (FPL).

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

• one-person household: maximum of $20,121
• two-person household: maximum of $27,214
• three-person household: maximum of $34,307
• four-person household: maximum of $41,400
• five-person household: maximum of $48,494
• six-person household: $55,587
• seven-person household: $62,680
• eight-person household: $69,773
• nine-person household: $76,866
• 10-person household: $83,960

For each additional family member in the household, add $7,094 annually.

If you earn 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 An Addiction Treatment Plan

To use your Medicaid plan to cover the cost of treatment at a substance abuse recovery center, you will 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 have selected accepts Medicaid
• ensure the specific program of interest is covered by Medicaid
• work with a treatment specialist at the treatment facility or your Medicaid provider to discuss and determine the best treatment options
• cover any final costs, such as a copay

It can be difficult to locate a treatment facility that accepts Medicaid, but fortunately, there are many facilities in New York state that accept this plan.

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