Medicaid covers over 2.6 million Ohio residents. The Ohio Medicaid program, which is called Medical Assistance, provides affordable services for low-income children, families, and adults.
Those in addiction recovery can choose between a range of evidence-based substance abuse programs. Not all rehab centers in Ohio take Medicaid, but several programs do.
Learn more about using Medicaid to pay for addiction treatment
Ohio Medicaid Managed Care Organizations
Most people will receive coverage through a Medicaid Managed Care Organization (MCO).
An MCO is a private health insurance company that provides other services in addition to the traditional Medicaid program.
The following MCOs are currently being offered:
- UnitedHealthcare Community Plan of Ohio
- Humana Health Plan of Ohio
- Molina Healthcare of Ohio
- AmeriHealth Caritas Ohio
- Anthem Blue Cross and Blue Shield
- CareSource Ohio
What Substance Abuse Services Are Covered By Ohio Medicaid?
Ohio Medicaid covers several mental and behavioral health services for the treatment of substance use disorders (SUD).
Some of the covered services include:
- day treatment
- assessment
- comprehensive addiction treatment services
- crisis intervention
- individual, family, and group counseling
- treatment for opioid addiction
- peer support
- case management
- drug screening
- partial hospitalization programs (PHP)
- intensive outpatient programs (IOP)
- outpatient treatment
- withdrawal management/detox
- residential treatment
- medication-assisted treatment
Find additional detox and rehab centers in Ohio
Top 5 Ohio Rehab Centers That Take Medicaid
Many drug and alcohol rehab centers in Ohio accept Medicaid as a form of payment for addiction services.
Five have been selected for this list of top rehab centers based on:
- accreditation
- Google ratings
- certifications
1. BrightView, Multiple Locations
This is a comprehensive addiction treatment center with 32 Ohio locations.
BrightView is backed by the following:
- Joint Commission accreditation
- LegitScript certification
- a 4.9-star Google rating
Services include MAT, therapy, and social support.
Location and contact information:
4660 Roberts Rd.
Columbus, OH 43228
(833) 510-4357
2. Freedom Recovery, Columbus, Ohio
Outpatient addiction treatment is available here.
Freedom recovery is backed by:
- accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
- LegitScript certification
- a 5-star Google rating
Location and contact information:
4998 West Broad St.
Suite 104
Columbus, OH 43228
(614) 754-8051
3. New Day Recovery, Multiple Locations
Multiple alcohol and drug addiction treatment programs are offered in Boardman, Rogers, and Newton Falls, Ohio.
Respected features of this treatment facility include:
- LegitScript certification
- accreditation from the Better Business Bureau (BBB)
- a 4.8-star Google rating
- CARF accreditation
Drug and alcohol addiction programs include:
- detox
- residential treatment
- outpatient treatment
- dual diagnosis
Location and contact information:
920 Boardman-Canfield Rd.
Youngstown, OH 44512
(330) 953-3300
4. Ohio Treatment Center, Toledo, Ohio
The Ohio Treatment Center offers several programs in addiction treatment and behavioral therapy.
Trusted qualifications of this drug abuse treatment center include:
- CARF accreditation
- BBB accreditation
- membership in the National Association of Addiction Treatment Providers (NAATP)
Here, a person can participate in the following:
- MAT: buprenorphine and naloxone (Suboxone), Vivitrol
- IOP
- outpatient programs
- aftercare
- treatment for co-occurring disorders
Location and contact information:
4747 Monroe St.
Toledo, OH43623
(833) 692-9135
5. Pinnacle Treatment Centers, Multiple Locations
Pinnacle Treatment Centers offers a range of alcohol and substance use disorder treatment services in 21 Ohio locations.
Support for this rehab center includes:
- CARF accreditation
- LegitScript certification
- membership in the National Association of Addiction Treatment Providers (NAATP)
The rehab program provides:
- MAT: methadone, buprenorphine (Suboxone), and Vivitrol
- individual and group therapy
- community-based programs
Telehealth is available for counseling sessions and buprenorphine patients.
Location and contact information:
1590 Coal Run Rd.
Zanesville, OH 43701
(740) 297-4417
Factoring In Additional Costs For Ohio Medicaid
You may need to factor in the following costs to determine what your Medicaid coverage will look like for addiction treatment services.
Copays For Addiction Treatment And Prescriptions
You might be charged a copayment for some addiction treatment services.
Plan for the following copays:
- non-emergency hospital or emergency room visits: $3 per visit
- most brand name (non-generic) medications: $2 per prescription drug refill
- medications that require prior authorization: $3 per prescription drug or refill
Not everyone is required to cover copays, as some groups are exempt from payment.
These groups include:
- those under 21
- pregnant women
- those living in a nursing home/intermediate care facility for developmentally challenged
- those getting emergency services
- those receiving family planning-related services
- a person in hospice care
- a person in a managed care plan (MVP) that does not charge copayments
Prior Authorization For Some Services
If you’re enrolled in a managed care plan, you might need to receive prior authorization for some services.
MCPs cover the same services that are covered by Medicaid fee-for-service (FFS), but they might require prior approval.
To find out what services require prior authorization, refer to the member handbook of the MCP you’ve selected.
How To Qualify For Ohio Medicaid
Those applying to Medicaid have to be residents of Ohio with U.S. citizenship or meet Medicaid non-citizen requirements.
Non-U.S. citizens might be eligible for Alien Emergency Medical Assistance or Refugee Medical Assistance.
Eligible Medicaid enrollees include:
- low-income individuals
- pregnant women, infants, and children
- older adults
- people with disabilities
Income Eligibility Requirements For Ohio Medicaid
To be considered low-income, a person must have a total household income below certain limits. Each qualifying group has differing income limits.
Here are the income limits for low-income families:
- one-person household: $1,610
- two-person household: $2,178
- three-person household: $2,745
- four-person household: $3,313
- five-person household: $3,880
- six-person household: $4,448
- seven-person household: $5,015
- eight-person household: $5,583
- nine-person household: $6,150
- 10-person household: $6,718
How To Pay For Costs Not Covered By Ohio Medicaid
Ohio Medicaid covers all of the services listed above, including inpatient and outpatient drug rehab. Aside from copayments, these services should be nearly fully covered.
However, there is a limit to the number of days a person can stay in a rehab center and receive Medicaid coverage.
For those who need to stay in a rehab facility for longer than the allotted time, some programs can help to cover additional costs.
You might use one of the following methods:
- sliding-fee scales offered by the rehab center
- grants, both federal and state
- scholarships offered by the rehab center
FAQs About Ohio Medicaid And Drug Rehabilitation
Find answers to some of the most common questions about using Ohio Medicaid to cover drug and alcohol rehab.
What Is The Average Cost Of A 30-Day Program In Ohio Without Medicaid?
Without Medicaid coverage, a 30-day outpatient rehab program can cost anywhere from $1,000 to $10,000.
For a 30-day inpatient treatment program, the average cost is around $20,000. Some programs are closer to $15,000, while others can be upwards of $30,000.
What Is The Average Cost Of A Day In An Ohio Medicaid Drug Rehab Center?
With Medicaid coverage, a day of treatment is usually free. There may be a copay of $2 to $3 depending on the service.
Do Private Drug Rehab Centers Take Medicaid?
Some private rehab programs accept Medicaid, but most only accept private health insurance.
Find Drug And Alcohol Rehab Covered By Ohio Medicaid
If you or a loved one are ready to take the next step toward addiction recovery, call our helpline.
We’ll assist you in locating a rehab center that accepts Ohio Medicaid. Call us today to get started.
Article Sources- Medicaid Behavioral Health—For Individuals
https://bh.medicaid.ohio.gov/Individuals#4294-whats-new - Ohio Department of Medicaid—MEDICAID BEHAVIORAL HEALTH STATE PLAN SERVICES
https://bh.medicaid.ohio.gov/Portals/0/Providers/Manual/3-18-2021%20BH%20Manual%20FV%201_18.pdf?ver=EmqgN9-ey80hc-TV8QY3iQ%3d%3d - Ohio Department of Medicaid—Medicaid Copays
https://medicaid.ohio.gov/wps/portal/gov/medicaid/families-and-individuals/coverage/already-covered/benefits/medicaid-copays - Ohio Department of Medicaid—Medicaid Managed Care FAQ
https://www.ohiomh.com/resources/medicaidfaq - Ohio Department of Medicaid—Services
https://medicaid.ohio.gov/wps/portal/gov/medicaid/families-and-individuals/srvcs/services - Ohio Department of Medicaid—Who Qualifies
https://medicaid.ohio.gov/wps/portal/gov/medicaid/families-and-individuals/coverage/who-qualifies/who-qualifies