Oklahoma Medicaid, also known as SoonerCare, is a financial assistance program provided through federal and state government funding.
Several substance abuse treatment services are accessible to Oklahomans through SoonerCare. The program covers most or all of the cost of treatment, depending on the service.
Oklahoma also provides a program called Insure Oklahoma, which is designed to provide coverage to low-income working adults. Insure Oklahoma does not cover any residential rehabs.
What Addiction Treatment Services Are Covered By Medicaid In Oklahoma?
Oklahoma Medicaid includes many different mental health and substance abuse treatment programs in its list of covered services.
A few of the rehabilitation services available for SoonerCare beneficiaries are:
- outpatient treatment
- case management
- inpatient treatment
- residential treatment
- detoxification
- counseling
- medication management
- medication-assisted treatment (MAT): Suboxone, buprenorphine, and naltrexone (Vivitrol)
Methadone treatment is not covered.
Top 5 Rehab Centers In Oklahoma That Accept Medicaid
Oklahoma is home to many Medicaid rehab centers. We’ve selected the top five facilities based on accreditations, client reviews, Google ratings, and other important factors.
1. Able Recovery, Oklahoma City, Oklahoma
This treatment facility specializes in opioid and heroin addiction treatment. The MAT treatment process utilizes methadone, Vivitrol, Suboxone, and buprenorphine.
Able Recovery has the following qualifications:
- evidence-based treatment methods
- a 4.5-star Google rating
Location and contact information:
4901 S Pennsylvania
Oklahoma City, OK 73119
(405) 605-4005
2. A Chance To Change, Oklahoma City, Oklahoma
This is a non-profit that provides mental health, addiction, and education services to those struggling with addiction and their families.
Trusted features of A Chance to Change include:
- partnership with United Way
- a 4.4-star Google rating
- accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
A few of the treatment services offered here are outpatient programs, case management, and counseling.
Location and contact information:
2113 West Britton Rd.
Oklahoma City, OK 73120
(405) 840-9000
3. Comprehensive Treatment Centers, Multiple Locations
This is an outpatient opioid abuse treatment clinic with multiple locations across the U.S. Oklahoma MAT clinics can be found in Tulsa and Oklahoma City.
This opioid drug addiction treatment program is:
- CARF-accredited
- backed by high Google ratings and client reviews
Location and contact information:
1737 Linwood Blvd.
Oklahoma City, OK 73106
(855) 966-1156
4. Family & Children’s Services, Multiple Locations
For those who do not have health insurance, Family & Children’s Services will offer assistance in enrolling in Oklahoma Medicaid.
Some of the top qualities of Family & Children’s Services are:
- verification from Psychology Today
- positive Google ratings
- accreditation from the Council on Accreditation (COA)
Mental health services and treatment for substance use disorders are available here.
Some of these services include:
- outpatient treatment
- co-occurring disorder treatment
- counseling
- aftercare
Location and contact information:
5310 E. 31st St.
Tulsa, OK 74135
(918) 600-3100
5. NorthCare, Multiple Locations
NorthCare has three locations in Oklahoma City, a family treatment center in Piedmont, and a center in Guthrie, Oklahoma.
The substance use disorder treatment center is backed by the following:
- a 4.1-star Google rating
- SafeCare Accreditation
NorthCare provides MAT, outpatient treatment, treatment for mental illness, peer support services, and more.
Location and contact information:
2617 General Pershing Blvd.
Oklahoma City, OK 73107
(405) 858-2700
Find additional treatment options in Oklahoma near you
Factors That Affect Oklahoma Medicaid Coverage For Addiction Treatment
As you assess your costs, there are a few factors that might affect how much you’ll pay at the end of your treatment program.
Copays For Oklahoma Medicaid
Many groups will need to cover a small copay, which is capped monthly at 5% of your income. After 5% is hit, you will not pay any more copays for the month.
Copays may be needed for prescription drugs and most drug abuse treatment services. Certain groups are exempt from copays, such as children and pregnant women.
Prior Authorization For Addiction Treatment
Prior authorization may be necessary for substance abuse services. If prior authorization is required, this means SoonerCare won’t cover any expenses until they decide the service is medically necessary.
Prior authorization is required for detox if the beneficiary is aged 18 to 20 years old.
Waitlists With Oklahoma Medicaid Rehab Centers
If you’re looking into Oklahoma drug rehab centers that accept Medicaid, you may find much longer waitlists.
This is because there are usually fewer rehab programs that accept Medicaid, so resources and availability can be sparse if many people are trying to use Medicaid coverage for rehab.
Qualifying For Oklahoma Medicaid Drug Rehab
To be eligible for SoonerCare, applicants must be U.S. citizen residents of Oklahoma.
These groups can apply for SoonerCare:
- adults with children younger than 19 years old
- children younger than 19
- pregnant women
- those who are disabled, blind, or age 65 and older
Oklahoma Medicaid Income Eligibility Requirements
SoonerCare applicants must also meet income requirements, which vary by each covered group.
Here are the monthly income limits for adults:
- one-person household: $1,483
- two-person household: $2,004
- three-person household: $2,526
- four-person household: $3,049
- five-person household: $3,571
- six-person household: $4,092
- seven-person household: $4,615
- eight-person household: $5,130
Using Your Oklahoma Medicaid Plan For Drug Rehab
Before you can use SoonerCare to cover rehab expenses, you’ll need to select a health plan.
Here are the health plans currently offered with SoonerCare:
- BlueCross BlueShield of Oklahoma
- Humana Healthy Horizons in Oklahoma
- Oklahoma Complete Health
- UnitedHealthcare
Choose a health plan, and after you’ve received your member ID, you can start treatment at any time.
Oklahoma Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Here we’ve answered questions about Oklahoma Medicaid coverage for drug and alcohol rehab for your convenience.
Do Private Rehab Facilities Accept Oklahoma Medicaid?
Private rehab centers do not normally accept Medicaid insurance for payment. Private rehab centers take self-payment options or private health insurance.
What If I Need To Stay In Rehab Longer Than Oklahoma Medicaid Covers?
If you need to stay in rehab longer than your health plan covers, you can do so.
Drug treatment programs can be financed with sliding fee payment scales, grants, scholarships, and other rehab-specific opportunities.
Many programs also offer free treatment for some participants.
What Are The Benefits Of Oklahoma Medicaid Rehabs?
The biggest benefit of a Medicaid rehab facility is that anyone struggling with substance abuse can get treatment, despite income.
Medicaid rehab centers also incorporate evidence-based treatment methods that have been proven to effectively treat addictions.
These services are almost fully covered, giving low-income residents of Oklahoma an affordable treatment option for drug and alcohol addiction.
Find A Medicaid Rehab Center In Oklahoma
We’re here to assist you or your loved one in locating a rehab program that fits both their recovery and financial needs.
There are many affordable options in addiction recovery with Medicaid. Reach out to our helpline to learn more about your options.
