There are over two million Medicaid beneficiaries in the state of North Carolina. The North Carolina Medicaid program may also be called NC Medicaid.
In 2020, the program reached its 50th anniversary, providing medical services for low-income people across the state.
Though not all treatment centers in North Carolina accept Medicaid, there are several programs that take the insurance program so individuals of all backgrounds can receive the addiction treatment they need.
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.
The substance abuse services covered by NC Medicaid are:
- outpatient opioid treatment
- outpatient treatment program
- ambulatory detox
- family services
- non-hospital medical detox
- partial hospitalization program (PHP)
- intensive outpatient program (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, naltrexone (Vivitrol)
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 Rehab Centers In North Carolina
Multiple drug rehab centers in North Carolina take NC Medicaid.
Five have been chosen for this list based on:
- accreditation
- verifications
- Google ratings
- client testimonials
1. Crossroads, Multiple Locations
This is an outpatient MAT program specializing in helping those who struggle with dependence on heroin, pain medication, and other opiates.
Their opioid abuse recovery services are backed by:
- LegitScript certification
- high Google ratings
Crossroads is available in Asheville, Greensboro, Shelby, and Weaverville, North Carolina.
Location and contact information:
6 Roberts Rd.
Suite 103
Asheville, NC 28803
(800) 805-6989
2. Daymark Recovery Services, Multiple Locations
Rehab facilities are located in several cities across North Carolina.
Daymark Recovery Services boasts qualifications such as:
- accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
- high Google ratings
Some of the addiction treatment services offered here include:
- day treatment
- outpatient programs
- intensive outpatient treatment
- residential treatment
Location and contact information:
1650 Highway 18
South Sparta, NC 28675
(336) 372-4095
3. New Season, Multiple Locations
New Season is an opioid addiction treatment organization with locations in multiple states across the U.S., including several North Carolina locations.
Top qualities of New Season include:
- CARF accreditation
- positive Google ratings and client reviews
- partnership with the Substance Abuse and Mental Health Services Administration (SAMHSA)
Location and contact information:
3315 Wilkinson Blvd.
Charlotte, NC 28208
(704) 697-0044
4. Right Path Addiction Centers, Nags Head, North Carolina
This rehab center has locations in Virginia and North Carolina.
Trusted features of this addiction treatment provider are:
- membership in the American Society of Addiction Medicine (ASAM)
- an A+ rating from the Better Business Bureau (BBB)
- a 4-star Google rating
Here, recovering individuals can participate in the following rehab programs:
- medication-assisted treatment (MAT): Vivitrol, Suboxone, naltrexone
- counseling
- art therapy
Location and contact information:
106 W. Wood Hill Dr.
Nags Head, NC 27959
(252) 986-3100
5. Triad Therapy, Multiple Locations
Treatment facilities are available in Mount Airy, North Wilkesboro, Winston Salem, and Asheboro, North Carolina.
Triad Therapy is accredited by the Council on Quality and Leadership (CQL) and offers:
- MAT
- IOP
- OP
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 NC Medicaid.
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 by NC Medicaid.
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
- 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.
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 the general income limits for families and children:
- one-person household: $2,104
- two-person household: $2,846
- three-person household: $3,587
- four-person household: $4,329
- five-person household: $5,070
- six-person household: $5,812
- seven-person household: $6,553
- eight-person household: $7,285
- nine-person household: $8,027
- 10-person household: $8,768
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.
Another benefit is that Medicaid-accepting facilities most often use evidence-based practices, like medically managed detox, counseling, and group sessions.
Do Private Rehab Centers Accept North Carolina Medicaid?
Some rehab centers might accept NC Medicaid, but most will only take private health insurance or self-payment.
Learn More About North Carolina Medicaid Coverage For Rehab
Our helpline is available to take your call at any time. Reach out with questions about what rehab involves, using NC Medicaid, covered services, and more.
Don’t wait, find help for yourself or a loved one today.
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