The Ohio Medicaid insurance program, called Medical Assistance, provides affordable services for low-income children, families, and adults.
Ohio residents seeking substance use disorder treatment covered by Medicaid can choose from a range of drug rehab programs. Read on to learn more.
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 these drug addiction treatment programs and services include:
- dual diagnosis treatment
- comprehensive addiction treatment services
- individual, family, and group counseling services
- medication-assisted treatment for opioid addiction
- peer support
- case management
- group therapy
- short-term options
- aftercare options
- outpatient treatment
- withdrawal management/detox
- residential treatment
- individualized treatment option
Find additional detox and rehab centers in Ohio.
Top 5 Ohio Drug And Alcohol Rehab Centers That Take Medicaid
Many addiction recovery centers in Ohio accept Medicaid as a form of payment for drug abuse services.
Five have been selected for this list of top rehab centers based on:
- accreditation
- Google ratings
- certifications
- other indicators of quality care
1. BrightView, Multiple Locations
BrightView is a large drug and alcohol treatment organization with many facilities in Arizona, Kentucky, Maryland, and Ohio.
This addiction treatment organization has 32 locations in the state of Ohio alone, including this drug rehabilitation center in Columbus, OH.
Trusted features:
- Joint Commission accreditation
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
- state licensure
- licensed staff
Levels of care:
- detoxification
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- pregnant women’s addiction treatment
- LGBTQ+ services
- telehealth
- relapse prevention
- cognitive behavioral therapy (CBT)
- counseling
Payment options:
- sliding fee scale
- TRICARE
- Medicaid
- Medicare
- private health insurance
- self-payment
Location and contact information:
4660 Roberts Rd.
Columbus, OH 43228
(833) 510-4357
2. Freedom Recovery, Columbus, Ohio
At Freedom Recovery, faith plays an important role in the client’s recovery. While much of the staff is Christian, this faith-based center is non-denominational.
Their unique approach combines traditional addiction treatment methods with Christian prayer and other spiritual approaches.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- state licensure
- licensed staff
Levels of care:
- intensive outpatient program (IOP)
- outpatient program (OP)
Treatment services:
- 12-step recovery groups
- case management
- telehealth
- trauma-informed therapy
- family therapy
Payment options:
- Medicaid
- payment assistance
- private health insurance
- self-payment
Location and contact information:
4998 W. Broad St.
Ste. #104
Columbus, OH 43228
(614) 754-8051
3. Glenbeigh Outpatient Center, Niles, Ohio
Since 1981, Glenbeigh alcohol and drug treatment centers have helped people overcome addiction and mental health disorders.
Many substance abuse treatment centers fall under Glenbeigh, including Ohio facilities in Rock Creek, Toledo, Canton, Beachwood, and Niles.
Trusted features:
- Joint Commission accreditation
- state licensure
- licensed staff
- non-profit status
Levels of care:
- intensive outpatient program (IOP)
- outpatient program (OP)
Treatment services:
- case management
- deaf and hard-of-hearing services
- 12-step recovery groups
- trauma-informed therapy
- telehealth
- relapse prevention
Payment options:
- TRICARE
- Medicaid
- Medicare
- private health insurance
- self-payment
Location and contact information:
920 Boardman-Canfield Rd.
Youngstown, OH 44512
(330) 953-3300
4. Ohio Treatment Center, Toledo, Ohio
The Ohio Treatment Center aims to help clients experiencing substance abuse by diagnosing physical and psychological issues.
One of the main specialties of the Ohio Treatment Center is that it was founded in large part by people who had experiences with addiction themselves.
Trusted features:
- Joint Commission accreditation
- state licensure
- licensed staff
Levels of care:
- partial hospitalization program (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- veterans treatment
- buprenorphine treatment
- naltrexone treatment
- individual therapy
- case management
Payment options:
- Medicaid
- sliding fee scale
- self-payment
- private health insurance
Location and contact information:
4747 Monroe St.
Toledo, OH43623
(833) 692-9135
5. Pinnacle Treatment Centers, Multiple Locations
Pinnacle Treatment Centers was started in 2006 and has expanded to help clients with 135 locations in nine states.
Serving over 35,000 clients per day, Pinnacle Treatment Centers offers this drug treatment facility in Zanesville, OH.
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:
- case management
- counseling
- pregnant women’s addiction treatment
- trauma-informed therapy
- relapse prevention
- methadone treatment
Payment options:
- government funding
- Medicare
- Medicaid
- self-payment
- private health insurance
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, including medications.
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
- people 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 that does not charge copayments
Prior Authorization For Some Services
If you’re enrolled in a managed care plan (MCP), 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 people
- 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 recent income limits for low-income families:
- one-person household: $1,823
- two-person household: $2,465
- three-person household: $3,108
- four-person household: $3,750
- five-person household: $4,393
- six-person household: $5,035
- seven-person household: $5,678
- eight-person household: $6,320
- nine-person household: $6,963
- 10-person household: $7,605
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 people 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 Medicaid Addiction Treatment Centers
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 insurance coverage.
Find Drug And Alcohol Treatment Today
If you or a loved one are ready to take the next step toward addiction recovery, call DetoxRehabs.net today to learn more about treatment options.
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