Rhode Island Medicaid is called Medical Assistance (MA).
Those within eligible groups for Medicaid coverage can apply for this government-funded program to cover the cost of alcohol and drug treatment.
The cost of rehab can be a significant barrier for many people who want and need treatment for their addictions.
With Medicaid, drug and alcohol addiction treatment are affordable and accessible.
Learn more about using Medicaid to pay for addiction treatment
What Does Medicaid Cover For Addiction Treatment In Rhode Island?
Medical Assistance covers most of the basic addiction treatment programs.
Drug rehab programs covered by Medicaid in Rhode Island include:
- counseling
- residential treatment programs
- detoxification
- childcare
- group therapy
- drug assessment
- inpatient treatment
- day treatment
- intensive outpatient programs (IOP)
- short-term residential center services
- outpatient treatment
- methadone maintenance
- relapse prevention
Rhode Island Medicaid also covers many addiction treatment medications, including buprenorphine and naloxone.
Find additional treatment options in Rhode Island
Are There Any Addiction Treatment Services Rhode Island Medicaid Doesn’t Cover?
Government-funded programs like Medicaid often don’t cover services not backed by evidence-based methods.
This means you won’t be able to use Medicaid to cover treatments like holistic therapy.
However, the programs that are covered by MA are proven and effective treatment measures that can help a person to find long-term sobriety.
Top 5 Medicaid Rehab Centers In Rhode Island
We’ve selected five rehab programs in Rhode Island that accept Medicaid and offer a range of treatment approaches.
These drug addiction treatment centers have been selected for Google ratings, client testimonials, accreditation, and other key criteria.
1. Center For Treatment And Recovery, Pawtucket, Rhode Island
This is a methadone clinic that offers medication-assisted treatment covered by Medicaid.
The drug rehab center is supported by:
- positive client testimonials
- a 4.5-star Google rating
Location and contact information:
82 Pond St.
Pawtucket, RI 02860
(401) 727-1287
2. Comprehensive Treatment Center, Multiple Locations
Opioid abuse is treated through outpatient MAT programming here. Treatment is available in Providence and Woonsocket, Rhode Island.
Some of the qualifying factors of this OUD treatment center include:
- accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
- positive Google ratings
Location and contact information:
1625 Diamond Hill Rd.
Woonsocket, RI 02895
(866) 247-9669
3. Newport County Community Mental Health Center, Middletown, Rhode Island
This is a non-profit that provides evidence-based services to children, adolescents, families, and adults. Their focus areas include mental illness, substance abuse treatment, and stress.
The mental health center accepts private health insurance and Medicaid.
Featured qualities of this treatment center include:
- Joint Commission accreditation
- positive client testimonials
Location and contact information:
127 Johnny Cake Hill Rd.
Middletown, RI 02842
(401) 846-1213
4. The Providence Center, Providence, Rhode Island
This is a behavioral healthcare provider that offers over 60 programs.
They offer mental health services, behavioral therapy, alcohol treatment, and more, which are covered by Medicaid and Medicare.
The Providence Center is backed by:
- positive client testimonials
- CARF accreditation
Treatment options for substance use disorders include:
- outpatient program
- residential treatment
- women’s recovery services
Location and contact information:
528 North Main St.
Providence, RI 02904
(401) 276-4020
5. Trinity Village, Multiple Locations
Residential treatment for men is available in Newport, residential services for women and children are available in Portsmouth, and a behavioral health clinic is located in Middletown, Rhode Island.
Trinity Village accepts Medicaid and offers a sliding scale.
Top qualities of the rehab center include:
- membership in the Substance Use and Mental Health Leadership Council (SUMHLC)
- certification from the National Alliance for Recovery Residences (NARR)
- verification from Psychology Today
Location and contact information:
253 Broadway
Newport, RI 02840
(888) 344-4045
Prior Authorization For Rhode Island Medicaid Coverage Of Drug Rehab
Using Rhode Island Medicaid to cover drug rehab may be affected by prior authorization (PA).
This is a requirement from Rhode Island Medicaid to get approval before beginning a rehab program to determine whether it is medically necessary.
PA is required for the following addiction treatment programs:
- OP and day treatment services over 30 sessions per calendar year
- IOP over 60 sessions per calendar year
- Short-term residential center services over 60 sessions per calendar year
- Long-term residential services over 75 sessions per calendar year
Who Is Eligible For Rhode Island Medicaid?
To use Medicaid to cover mental health and behavioral health services, you must be in one of the eligible groups.
The following groups are eligible for Rhode Island Medicaid:
- those who are pregnant
- a person responsible for a child 18 years old or younger
- those who are blind
- those with a disability or a family member in their household with a disability
- those 65 years of age or older
Rhode Island Medicaid Income Eligibility Requirements
Rhode Island Medicaid is available for people within specified income brackets.
You may qualify for Medicaid in Rhode Island if you make the following maximum yearly incomes:
- one-person household: $17,131
- two-person household: $23,169
- three-person household: $29,207
- four-person household: $35,245
- five-person household: $41,284
- six-person household: $47,322
- seven-person household: $53,360
- eight-person household: $59,398
For each additional person, add $6,038.
Paying For Addiction Rehab With Your Rhode Island Medicaid Plan
To get started, apply for Rhode Island Medicaid during open enrollment. If open enrollment has passed, you may need to wait until the next enrollment period.
Once you’re accepted, you can begin using your benefits and get addiction treatment any time.
Reach out to the rehab center that you’ve selected for yourself or your loved one and discuss Medicaid coverage of different programs at their facility.
Rhode Island Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Here, we’ve answered some of the most commonly asked questions about drug and alcohol rehab Medicaid coverage in Rhode Island.
Is Rhode Island Medicaid Drug Rehab A Good Option For Someone Who Is Not A Citizen?
You must be a U.S. citizen and resident of Rhode Island to use MA. However, you may qualify for Medicaid if you have a “qualified” immigration status.
What Is The Average Length Of Stay In Drug Rehab For People On Medicaid?
Medicaid covers treatment for varying lengths of time based on the type of program. Those seeking outpatient services stay for up to 30 or 60 days.
Those seeking residential treatment stay for up to 75 days.
What Are Some Of The Benefits Of Rhode Island Medicaid Drug Rehab?
There are many benefits to using Medical Assistance to pay for drug and alcohol rehab.
A few of the benefits include:
- free or low-cost treatment
- accessibility
- options in levels of care, such as standard outpatient, partial hospitalization, or residential treatment
Find Rhode Island Medicaid Coverage For Addiction Treatment
If you or a loved one are struggling with opioid abuse, alcohol abuse, prescription drug abuse, or another addiction, there is treatment available.
Call our helpline today to learn more about finding a treatment facility that works for you and accepts Medicaid.
Article Sources- Benefits.gov—Rhode Island Medical Assistance (Medicaid)
https://www.benefits.gov/benefit/1639#:~:text=To%20be%20eligible%20for%20Rhode,income%20or%20very%20low%20income. - Executive Office of Health and Human Services—Rehabilitative Services Policy
https://eohhs.ri.gov/ProvidersPartners/ProviderManualsGuidelines/MedicaidProviderManual/RehabilitativeService/SubstanceAbuseTreatmentServices.aspx - Rhode Island Parent Information Network (RIPIN)—ACCESS TO COVERAGE FOR IMMIGRANTS
https://ripin.org/resources/access-to-coverage-for-immigrants/#:~:text=Medicaid%20for%20(Non%2DPregnant),a%20%E2%80%9Cqualified%E2%80%9D%20immigration%20status.