Top 5 Rehab Centers That Accept Pennsylvania Medicaid

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Low-income individuals can use Pennsylvania Medicaid to cover the cost of rehab. There are many addiction treatment services covered under Medicaid in Pennsylvania, including inpatient and outpatient rehab, medication-assisted treatment, and therapy.

Alcohol And Drug Rehab Centers That Accept Pennsylvania Medicaid

Pennsylvania Medicaid, known as Medical Assistance (MA) or Health Choices, provides free and low-cost healthcare for 20% of Pennsylvania’s population.

Those seeking addiction recovery can participate in programs like outpatient rehab, detox, and counseling with the help of Medicaid.

Learn more about using Medicaid for substance abuse treatment

Choosing A Pennsylvania Medicaid Health Plan

When you apply for Medical Assistance, you have two options for covering medical services.

The options are:

  • a Health Choices managed care plan (MCO)
  • fee-for-service (FFS)

With an MCO, you’ll enroll in a plan and select a medical provider, known as a primary care provider (PCP).

PCPs ensure quality care and refer people to other community-based services when necessary.

With an FFS plan, an individual not enrolled in an MCO plan can still be covered for necessary medical services. Individuals with FFS plans pay for medical services on a per-service basis.

Addiction Treatment Services Covered By Pennsylvania Medicaid

Medical Assistance covers several substance abuse treatment services.

Covered addiction treatment programs include:

  • inpatient treatment
  • outpatient treatment
  • screening
  • case management
  • methadone maintenance
  • partial hospitalization programs (PHP)
  • peer support services
  • medically supervised detox
  • medication-assisted treatment (MAT)

Find additional detox and rehab centers in Pennsylvania

Top 5 Pennsylvania Medicaid Rehab Centers

Several rehab facilities accept Medicaid in the state of Pennsylvania, and five were chosen for this list.

The top five Medicaid rehab centers in Pennsylvania were chosen for:

  • accreditation
  • client reviews
  • Google ratings
  • verifications and memberships

1. Bowling Green Brandywine, Kennett Square, Pennsylvania

Medicaid and private health insurance cover a range of addiction treatment services at this rehab center.

Some of the drug and alcohol programs include:

  • inpatient
  • detoxification
  • partial hospitalization

Bowling Green Brandywine is supported by the following top qualities:

  • accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
  • membership in the American Society of Addiction Medicine (ASAM)
  • client testimonials

Location and contact information:

1375 Newark Rd.
Kennett Square, PA 19348
(610) 347-5625

2. Mazzoni Center, Philadelphia, Pennsylvania

This is an LGBTQ-focused intensive outpatient program (IOP) for substance use disorders. Medicaid and some Medicare plans cover services here.

Top features of Mazzoni Center include:

  • a 3.4-star Google rating
  • positive client testimonials
  • verification from Psychology Today

Location and contact information:

1348 Bainbridge St.
Philadelphia, PA 19147
(215) 563-0652

3. Recovery Centers of America, Multiple Locations

There’s a wide range of addiction treatment services offered in multiple Pennsylvania locations.

Trusted features of this Pennsylvania drug rehab center include:

  • Joint Commission accreditation
  • LegitScript certification
  • verification from Psychology Today
  • membership in the National Association of Addiction Treatment Providers (NAATP)

Location and contact information:

235 W Lancaster Ave.
Devon, PA 19333
(866) 953-0132

4. Rogers Behavioral Health, Philadelphia, Pennsylvania

Rogers Behavioral Health provides a number of programs, including treatment for co-occurring disorders, inpatient drug rehab, and cognitive behavioral therapy (CBT).

Evidence of quality care is shown through:

  • positive client testimonials
  • Joint Commission accreditation
  • LegitScript certification
  • Psychology Today verification

Location and contact information:

1 Winding Dr.
Suite 106
Philadelphia, PA 19131
(267) 787-6600

5. White Deer Run, Multiple Locations

White Deer Run is available in several locations across Pennsylvania, including Allenwood, Pittsburgh, and Williamsport, Pennsylvania.

Marks of quality addiction treatment include:

  • CARF accreditation
  • membership in the American Society of Addiction Medicine (ASAM)
  • membership in the National Association of Addiction Treatment Providers (NAATP)

Treatment options for substance use disorders include:

  • detox
  • residential treatment
  • outpatient programs
  • halfway house
  • continuing care

Location and contact information:

360 White Deer Run Rd.
Allenwood, PA 17810
(877) 594-8072

Factors That Can Affect Pennsylvania Medicaid Coverage For Rehab

The following may affect whether you receive Medicaid coverage for addiction treatment services and how much you pay out of pocket.

Copays And Premiums

For individuals within certain income brackets, you’ll need to cover a small copay or premium for addiction treatment and other medical services.

Prior Authorization For Addiction Services

Prior authorization will be required for some medications and services.

For example, your prescribing doctor must receive authorization before dispensing a non-preferred drug, giving a prescription to someone who is under a certain age, and other circumstances.

Waitlists

There’s a much higher demand for treatment facilities that accept Medicaid. If you choose a treatment center that takes Medicaid, expect to see longer waiting periods of weeks or oftentimes months.

How To Qualify For Pennsylvania Medicaid

A person may qualify for Pennsylvania Medicaid by falling into one of these categories:

  • adults age 19-64 with incomes at or below 133% of the federal income poverty guidelines (FPIG)
  • individuals who are 65 and older
  • those who are blind or disabled
  • families with children under the age of 21

Pennsylvania Medicaid Income Eligibility Requirements

There are certain income limitations for those seeking medical coverage from MA. Income limits are different for each eligible group and the number of people in the household.

Follow these monthly income limits for adults aged 19 to 64:

  • one-person household: $1,468
  • two-person household: $1,983
  • three-person household: $2,499
  • four-person household: $3,013

How To Use Pennsylvania Medicaid For Addiction Treatment

To apply for Medical Assistance, you can call in, mail an application, apply in person, or apply online. If you are eligible and receive MA insurance, you can begin treatment at any point.

So long as the behavioral health you’re interested in is covered under MA at the rehab center you’re working with, the service will be covered and you can start the program.

Pennsylvania Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs

Here, we’ve answered a few of the most common questions about using Pennsylvania Medicaid to pay for drug and alcohol rehab.

What Does Pennsylvania Medicaid Provide For People With Drug Addiction?

Pennsylvania Medicaid provides a number of services in the following categories:

  • mental components: individual therapy, family counseling, and drug education classes
  • peer support: group counseling, community-based programs, and more
  • physical treatment: detox, MAT, and residential programs

What Are The Requirements For Medicaid Drug Rehab Facilities In Pennsylvania?

Most drug rehab centers that are funded by government programs or accept Medicaid follow certain guidelines. For example, these rehab centers use primarily evidence-based therapies.

Medicaid rehab centers focus on proven treatment practices like cognitive behavioral therapy, addiction medicines, group support, and other factors.

Do All Rehab Centers In Pennsylvania Take Medicaid?

Not all alcohol and drug treatment centers take Medicaid. Some rehab programs only accept self-pay or private insurance.

Learn About Medicaid Coverage For Rehab In Pennsylvania

If you or a loved one are struggling with opioids, alcohol addiction, or some other form of drug abuse, affordable treatment is available.

Medicaid provides a low-cost option for thousands of Pennsylvanians. To learn more about using your Medicaid plan to cover substance abuse treatment, reach out to our helpline.

Our representatives are ready to take your call and speak with you about your options in addiction recovery.

For 24/7 Treatment Help Call:
(888) 859-4403

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