Rhode Island Medicaid is called Medical Assistance (MA), a government-funded program to cover the cost of alcohol and drug abuse healthcare.
Read on to learn about five of the top Rhode Island drug treatment facilities that accept Medicaid, including their mental health treatment and detox services.
Learn 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 and services, such as outpatient rehab and other behavioral healthcare.
Drug and alcohol rehab programs and services covered by Medicaid in Rhode Island include:
- counseling services
- residential treatment programs
- individualized treatment plans
- group therapy
- aftercare options
- inpatient treatment
- day treatment/partial hospitalization programs (PHP)
- short-term residential center services
- outpatient treatment programs, such as intensive outpatient programs (IOP)
- methadone maintenance for opioid addiction
- 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, programs covered by MA are proven and effective treatment measures that can help a person find long-term sobriety and improve overall wellness.
Top 5 Medicaid Rehab Facilities In Rhode Island
We’ve selected five addiction treatment providers in Rhode Island that accept Medicaid and offer a range of treatment approaches.
These drug addiction treatment centers have been selected for their:
- Google ratings
- client testimonials
- accreditation
1. Center For Treatment And Recovery, Pawtucket, Rhode Island
The Center for Treatment and Recovery is part of the Behavioral Health Group, which is one of the largest networks of chemical dependency recovery centers in the world.
This organization offers many locations in Rhode Island, including Middletown, Providence, Johnston, Westerly, and Pawtucket, as well as a Washington, D.C., location.
Trusted features:
- The Joint Commission 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:
- methadone treatment
- relapse prevention
- cognitive behavioral therapy (CBT)
- counseling
- telehealth
- pregnant women’s addiction treatment
Payment options:
- sliding fee scale
- TRICARE
- Medicaid
- Medicare
- self-payment
- private health insurance
Location and contact information:
82 Pond St.
Pawtucket, RI 02860
(401) 727-1287
2. Comprehensive Treatment Center, Woonsocket, Rhode Island
Comprehensive Treatment Centers (CTC) offer many drug addiction treatment centers in Rhode Island, including this location in Woonsocket.
Other CTC locations in the state of Rhode Island include Taunton, Providence, and Brockton.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- state licensure
- licensed staff
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- 12-step recovery groups
- case management
- LGBTQ+ services
- counseling
- individual therapy
- relapse prevention
Payment options:
- government funding
- Medicare
- Medicaid
- self-payment
- private health insurance
Location and contact information:
1625 Diamond Hill Rd.
Woonsocket, RI 02895
(866) 247-9669
3. Newport County Community Mental Health Center, Middletown, Rhode Island
Founded in 1964, Newport County Community Mental Health Center provides evidence-based services to children, adolescents, families, and adults.
The organization’s person-centered approach to recovery offers clients a chance to achieve a better quality of life and lasting sobriety.
Trusted features:
- The Joint Commission accreditation
- state licensure
- licensed staff
- non-profit status
Levels of care:
Treatment services:
- dual diagnosis treatment
- buprenorphine treatment
- medication management
- adolescent treatment
- deaf and hard-of-hearing services
- cognitive behavioral therapy (CBT)
Payment options:
- payment assistance
- sliding fee scale
- government funding
- TRICARE
- Medicaid
- Medicare
- private health insurance
- self-payment
Location and contact information:
127 Johnny Cake Hill Rd.
Middletown, RI 02842
(401) 846-1213
4. PursueCare Connecticut, East Providence, Rhode Island
PursueCare Connecticut is a telehealth provider offering services in many states, including New Hampshire, Massachusetts, Maine, and Rhode Island.
Clients can access all aspects of this comprehensive program for substance use and mental health disorders from anywhere on their phones.
Trusted features:
- The Joint Commission accreditation
- state licensure
- licensed staff
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- dual diagnosis treatment
- relapse prevention
- case management
- pregnant women’s addiction treatment
- telehealth
- counseling
Payment options:
- sliding fee scale
- TRICARE
- Medicaid
- Medicare
- private health insurance
- self-payment
Location and contact information:
450 Veterans Memorial Pkwy.
Ste. #7-A
East Providence, RI 02914
(860) 215-2295
5. Zinnia Exeter, Exeter, Rhode Island
Zinnia Exeter takes its name from the zinnia flower, which is the world’s fastest-growing flower, able to adapt to any conditions.
Zinnia offers four treatment locations in Rhode Island, including this one in Exeter as well as in Middletown, Portsmouth, and Newport.
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:
- residential treatment
- inpatient treatment
- detoxification
- partial hospitalization program (PHP)
- medication-assisted treatment (MAT)
Treatment services:
- naltrexone treatment
- LGBTQ+ services
- 12-step recovery groups
- relapse prevention
- individual therapy
- counseling
Payment options:
- Medicaid
- TRICARE
- private health insurance
- self-payment
Location and contact information:
251 Main St.
Exeter, RI 02822
(401) 295-0960
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 have a low income. Income levels differ for different eligible groups.
Groups eligible for Rhode Island Medicaid include but aren’t limited to:
- pregnant people
- a person responsible for a child 18 years old or younger
- people with a disability, or with a family member in their household with a disability
- people who are blind
- people ages 65 and older
Rhode Island Medicaid Income Eligibility Requirements
Rhode Island Medicaid is available for people within specified income brackets. Your household size will also affect your eligibility.
Recent maximum yearly incomes to qualify for Rhode Island Medicaid include:
- one-person household: $19,392
- two-person household: $26,228
- three-person household: $33,064
- four-person household: $39,900
- five-person household: $46,737
- six-person household: $53,573
- seven-person household: $60,409
- eight-person household: $67,245
For each additional person, add $6,836.
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 Centers FAQs
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.
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. Note that if you need to stay longer than Medicaid covers, you will need to pay for costs through other means.
Additional payment options may include:
- payment assistance, such as via a sliding fee scale
- scholarships
- loans
- grant funding
What Are Some Of The Benefits Of Using Medicaid For Drug Rehab?
There are many benefits to using Medicaid to pay for drug and alcohol rehab. The main benefit is that treatment will be fully or mostly covered.
A few other benefits include:
- quality care
- accessibility
- options in levels of care, such as standard outpatient, partial hospitalization, or residential treatment
Find Drug Or Alcohol Addiction Treatment Today
If you or a loved one requires treatment for a substance use disorder (SUD), call Detox Rehabs to learn more about your treatment options for lasting recovery.
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.