There are over 2 million Medicaid beneficiaries in the state of North Carolina. The North Carolina Medicaid program (NC Medicaid) covers many healthcare services.
Though not all addiction treatment centers in North Carolina accept Medicaid, several programs do accept the insurance program. Read on to learn more.
Learn more about how to use Medicaid to pay for addiction treatment.
Substance Abuse Services Covered By Medicaid In North Carolina
NC Medicaid covers a few essential substance abuse services, including in-facility services, outpatient rehab programs, and online services.
Addiction treatment options covered by NC Medicaid include:
- outpatient treatment
- dual diagnosis treatment
- inpatient treatment
- aftercare services
- short-term treatment options
- mental health treatments
- ambulatory detox
- non-hospital medical detox
- intensive outpatient treatment programs, such as partial hospitalization programs (PHP) and intensive outpatient programs (IOP)
- medically supervised and non-medically supervised residential treatment
- alcohol and drug abuse treatment center detox crisis stabilization
- medication-assisted treatment (MAT), including prescription drugs such as buprenorphine (Suboxone), methadone, and naltrexone (Vivitrol) for alcohol and opioid addiction
View a list of drug detox and rehab centers in North Carolina.
If a person needs more intensive behavioral health services that their plan does not cover, they can talk with their primary care provider (PCP) or call member services.
Top 5 Medicaid Drug Rehab Centers In North Carolina
Multiple drug addiction recovery centers in North Carolina accept NC Medicaid and offer high-quality substance abuse treatment services.
Five have been chosen for this list based on:
- accreditation
- verifications
- Google ratings
- client testimonials
1. Crossroads, Asheville, North Carolina
Since 2005, Crossroads has been at the forefront of treating people with opioid use disorder (OUD) in North Carolina.
Crossroads currently operates 110 clinics across nine states, including New Jersey, Tennessee, and Kansas.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
- state licensure
- licensed staff
Levels of care:
- detoxification
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- buprenorphine treatment
- relapse prevention
- telehealth
- counseling
- pregnant women’s addiction treatment
- case management
Payment options:
- Medicaid
- Medicare
- TRICARE
- private health insurance
- self-payment
Location and contact information:
6 Roberts Rd.
Ste. #103
Asheville, NC 28803
(800) 805-6989
2. Daymark Recovery Services, Multiple Locations
Daymark Recovery Services has been providing innovative addiction recovery services to clients across the state since December 2022.
Tailored care management (TCM), a brand-new community-based service, is one of the cornerstones of Daymark Recovery Services’ treatment offerings.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- state licensure
- licensed staff
- non-profit status
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- naltrexone treatment
- case management
- deaf and hard-of-hearing services
- adolescent treatment
- relapse prevention
- cognitive behavioral therapy (CBT)
Payment options:
- payment assistance
- self-payment
- Medicaid
- Medicare
- sliding fee scale
- private health insurance
- government funding
Location and contact information:
1650 Hwy. 18
South Sparta, NC 28675
(336) 372-4095
3. Nags Head Treatment Center, Nags Head, North Carolina
Nags Head Treatment Center offers a place for support and wellness-building for adults with substance use disorders (SUDs).
The facility offers a holistic approach provided by compassionate staff members who make clients feel safe and supported in their addiction recovery journey.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
- state licensure
- licensed staff
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- LGBTQ+ services
- dialectical behavior therapy (DBT)
- counseling
- relapse prevention
- methadone treatment
- pregnant women’s addiction treatment
Payment options:
- government funding
- Medicare
- Medicaid
- self-payment
Location and contact information:
2224-A S. Croatan Hwy.
Nags Head, NC 27959
(252) 715-6556
4. New Season, Charlotte, North Carolina
New Season is a treatment provider of specialized quality care, operating since 1986 with more than 80 addiction treatment centers in 20 states nationwide.
At New Season, addiction recovery programs use the latest science to create a comprehensive plan for clients.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
- state licensure
- licensed staff
Levels of care:
- detoxification
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- 12-step recovery groups
- methadone treatment
- group therapy
- family therapy
- case management
- medication management
Payment options:
- Medicare
- Medicaid
- self-payment
- private health insurance
Location and contact information:
3315 Wilkinson Blvd.
Charlotte, NC 28208
(704) 697-0044
5. Triad Therapy, Asheboro, North Carolina
Two agencies make up this organization: Triad Therapy, LLC, and Triad Therapy Mental Health Center, LLC.
This location in Asheboro, NC, offers people with low-severity drug and alcohol addictions many services.
Trusted features:
- state licensure
- licensed staff
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- adolescent treatment
- case management
- individual therapy
- telehealth
- buprenorphine treatment
- medication management
Payment options:
- government funding
- TRICARE
- Medicaid
Location and contact information:
350 N. Cox St.
Stes. #15 and 16
Asheboro, NC 27203
(336) 896-0904
Factors That Affect North Carolina Medicaid Coverage For Rehab
Consider the following factors when determining your out-of-pocket cost for addiction treatment.
Not All Services Are Covered Under NC Medicaid
One of the potential factors you’ll want to consider is which services are covered under the NC Medicaid insurance program.
The program only covers some treatment services for substance use disorders. You may need to cover out-of-pocket costs if the service you need is not covered.
Copayments For Some Services
NC Medicaid requires copays for some services, including treatment for mental health and behavioral health.
When assessing your final costs, factor in the following copays:
- outpatient services: $3 per visit
- generic and brand prescriptions: $3 per prescription
- non-emergency emergency department visits: $3 per visit
If you’re one of the following, you do not need to cover copays:
- under 21 years of age
- pregnant
- receiving hospice care
- an American Indian or Alaska Native
- a beneficiary of the North Carolina Breast and Cervical Cancer Control Program (NC BCCCP)
- a child in foster care
- living in an institution covered by insurance or Medicaid
Waitlists
Many people need financial assistance for their substance abuse treatment and medical care.
You might find longer waiting lists at Medicaid rehab centers versus private facilities because many people need low-cost treatment options.
Eligibility For North Carolina Medicaid
Those who qualify for Medicaid can use the medical assistance program to cover the cost of drug and alcohol rehab.
You may qualify for Medicaid if you are:
- over the age of 65
- blind or disabled
- eligible for Medicare
- pregnant
- a child in foster care or a low-income family
Income Eligibility Requirements For North Carolina Medicaid
Follow the guidelines below to verify whether you qualify for Medicaid based on your monthly income.
Here are recent general income limits for families and children:
- one-person household: $2,564
- two-person household: $3,468
- three-person household: $4,372
- four-person household: $4,329
- five-person household: $5,275
- six-person household: $6,179
For each additional person after 10 members in the household, add $742.
How To Use Your North Carolina Medicaid Plan For Drug Rehab
You can speak with Medicaid member services and the treatment specialists at the rehab center you’ve chosen to find a plan that’s right for you or your loved one.
If Medicaid covers the services you’re looking to receive, you can begin treatment at any time.
North Carolina Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Find answers to some of the top-asked questions about Medicaid coverage for drug and alcohol rehab in North Carolina.
What Are The Benefits Of North Carolina Medicaid Drug Rehab?
With NC Medicaid, beneficiaries can get free or very low-cost treatment services and rehab programs.
Another benefit is that Medicaid-accepting facilities most often use evidence-based practices, like medically managed detox, counseling, and group sessions.
Do Private Rehab Facilities Accept North Carolina Medicaid?
Some private rehab centers might accept NC Medicaid, but most will only take private health insurance or self-payment.
Other ways that people can cover drug treatment costs include:
- government grants
- payment assistance, such as a sliding fee scale
- scholarships
- vouchers
- TRICARE military insurance
Another option is attending a state-funded rehab center, which may not require any insurance plan.
Find Drug And Alcohol Treatment Today
Addiction treatment facilities are available for exploration at DetoxRehabs.net, or call us for free, confidential assistance finding the right treatment provider for you or your loved one.
Article Sources- American Society of Addiction Medicine—Medicaid Coverage of Medications for the Treatment of Opioid Use Disorder
https://www.asam.org/docs/default-source/advocacy/state-medicaid-reports/state-medicaid-reports_nc.pdf?sfvrsn=6#:~:text=North%20Carolina%20Medicaid%20covers%20methadone,Care%20(MC)%20plans%20only.&text=Methadone%20is%20covered%20as%20a,(NTPs)%20under%20MC%20plans. - NC.gov—BASIC MEDICAID ELIGIBILITY
https://files.nc.gov/ncdma/documents/files/Basic-Medicaid-Eligibility-Chart-2019_0.pdf - NC.gov—Medicaid and NC Health Choice
https://files.nc.gov/ncdma/ARCHIVED-SP-Model-Member-Handbook-Template-20190204-v1.0.pdf - North Carolina Department of Health and Human Services NCDHHS)—Enhanced Mental Health and Substance Abuse Services
https://medicaid.ncdhhs.gov/media/8698/open
