South Carolina Medicaid, or Healthy Connections, is a government-funded financial assistance program that provides healthcare for low-income people.
For residents experiencing drug or alcohol abuse and in need of free or low-cost care, several drug and alcohol rehab facilities in South Carolina accept Medicaid.
What Addiction Treatment Services Are Covered By Medicaid In South Carolina?
Healthy Connections covers multiple evidence-based addiction rehab programs, including inpatient and outpatient care.
There are different health plans offered under Medicaid, so the covered services may vary depending on the plan you enroll in.
Behavioral health services generally covered by South Carolina Medicaid include:
- short-term treatment options
- partial hospitalization programs (PHP)
- outpatient rehab
- intensive outpatient treatment
- inpatient treatment
- prescription drugs
- individual and group therapy
- detox for benzodiazepine, alcohol, and opioid addiction
- residential treatment
- counseling services
- methadone, buprenorphine, and naltrexone treatment
The Medicaid insurance program also expanded its virtual treatment options with consideration of the COVID-19 pandemic.
Opioid Abuse Treatment
South Carolina Medicaid covers treatment for opioid addiction. Healthy Connections covers all medications approved by the U.S. Food & Drug Administration (FDA).
These include:
- methadone
- buprenorphine (oral, injectable)
- naltrexone
Top 5 South Carolina Drug Rehab Centers That Accept Medicaid
Many treatment providers in South Carolina accept Medicaid, and five have been chosen for this list.
The five treatment facilities below were selected for:
- accreditation
- client testimonials
- Google ratings
- partnerships with valued organizations
- other important selection criteria
1. BHG Aiken Treatment Center, Aiken, South Carolina
Behavioral Health Group (BHG) provides evidence-based treatment across the state of South Carolina.
In addition to this rehab center in Aiken, BHG has locations in Spartanburg, North Charleston, Asheville, Clyde, and Jackson.
Trusted features:
- The Joint Commission accreditation
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
- state licensure
- licensed staff
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- relapse prevention
- cognitive behavioral therapy (CBT)
- trauma-informed therapy
- case management
- LGBTQ+ services
Payment options:
- government funding
- Medicare
- Medicaid
- private health insurance
- self-payment
Location and contact information:
410 University Pkwy.
Aiken, SC 29801
(803) 641-6911
2. Crossroads, Columbia, South Carolina
Offering more than 110 clinics across nine states, Crossroads has been helping clients in South Carolina with chemical dependency since 2005.
In addition to this Columbia, SC, drug and alcohol addiction treatment center, Crossroads also has locations in Florence and Greenville.
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:
- pregnant women’s addiction treatment
- buprenorphine treatment
- case management
- methadone treatment
- medication management
- relapse prevention
Payment options:
- Medicare
- Medicaid
- private health insurance
Location and contact information:
1341 N. Cashua Dr.
Florence, SC 29501
(800) 805-6989
3. Keystone Substance Abuse Services, Rock Hill, South Carolina
Keystone Substance Abuse Services was established in 1969 in order to provide people with affordable, professional addiction care.
Keystone offers three addiction treatment centers in Rock Hill, SC, providing prevention education to adolescents in addition to comprehensive treatment options.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- state licensure
- licensed staff
- non-profit status
Levels of care:
- residential treatment
- inpatient treatment
- detoxification
- partial hospitalization programs (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- naltrexone treatment
- adolescent treatment
- deaf and hard-of-hearing services
- case management
Payment options:
- payment assistance
- sliding fee scale
- Medicaid
- government funding
- private health insurance
- self-payment
Location and contact information:
199 S. Herlong Ave.
Rock Hill, SC 29732
(803) 324-1800
4. Lexington Treatment Specialists, West Columbia, South Carolina
Lexington Treatment Specialists is owned and operated by the partnership of Brent Brady, Alan Laszczynski, and Andrew Simpson.
All three have provided drug and alcohol treatment services in North Carolina and South Carolina for many years.
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:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- methadone treatment
- ase management
- 12-step recovery groups
- relapse prevention
- individual therapy
Payment options:
- TRICARE
- Medicaid
- Medicare
- private health insurance
- government funding
- self-payment
Location and contact information:
185 Lott Ct.
West Columbia, SC 29169
(803) 719-4050
5. LRADAC, Columbia, South Carolina
LRADAC, formerly referred to as the Lexington/Richland Alcohol and Drug Abuse Council, cares for the needs of the citizens of Lexington and Richland counties.
LRADAC is an addiction treatment center organization with rehab centers located in Columbia and Lexington.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- state licensure
- licensed staff
- non-profit status
Levels of care:
- inpatient treatment
- detoxification
- partial hospitalization program (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- methadone treatment
- dual diagnosis treatment
- adolescent treatment
- case management
- dialectical behavior therapy (DBT)
- counseling
Payment options:
- payment assistance
- Medicare
- Medicaid
- self-payment
- government funding
- private health insurance
Location and contact information:
2711 Colonial Dr.
Columbia, SC 29203
(803) 726-9300
Find more South Carolina treatment centers near you.
Factors That Affect South Carolina Medicaid Coverage For Addiction Treatment
Coverage for addiction treatment facilities will depend on key factors such as copays and prior authorization.
Copayments With South Carolina Medicaid
Most of the cost of treatment will be covered by Healthy Connections, but there are a few copays to keep in mind.
Factor in the following copays:
- doctor’s visits: $2 per visit
- clinic visits: $2 per visit
- prescription medications: $3 per prescription
- inpatient hospital stays: $25
The following groups are not responsible for any copayments:
- children under 19 years of age
- pregnant women
- women receiving family planning services
- institutionalized people
- people getting emergency services
- people with home and community-based waiver services
Prior Authorization For Some Services
You might need to get approval for some medicines and rehabilitation services.
With prior authorization, your primary care provider (or whoever is providing the service) will reach out to your health insurance provider to ask for approval.
If you’re denied, you’ll receive a letter explaining why the service was declined.
You also have the right to appeal that decision, which you can file with the member services department for your health plan provider.
South Carolina Medicaid Eligibility
Many groups are eligible for South Carolina Medicaid. The program covers most demographics who earn certain incomes.
You might qualify for Medicaid in South Carolina if you:
- are pregnant or think you may be pregnant
- are a child age 18 or under
- have a child age 18 or under
- are in foster care or adopted
- have a child who’s in foster care or adopted
- have been diagnosed with breast or cervical cancer
- are blind or have a disability
- need nursing home care
- are over the age of 65
South Carolina Medicaid Income Eligibility Requirements
If you qualify by being in one of the groups listed above, you may then check your income to determine whether you can enroll in Medicaid. Income limits vary by group.
Here are recent monthly income limits for parents and caretaker relatives:
- one-person household: $753.30
- two-person household: $1,018.86
- three-person household: $1,284.43
- four-person household: $1,550
- five-person household: $1,815.56
- six-person household: $2,081.13
- seven-person household: $2,346.70
- eight-person household: $2,612.26
Add $265.56 for each additional person in your home.
How To Use Your South Carolina Medicaid Plan For Drug Rehab
To use Healthy Connections to cover drug and alcohol rehab in South Carolina, you’ll need to select a health plan.
South Carolina Medicaid offers the following health plans:
- Absolute Total Care
- Healthy Blue by BlueChoice of SC
- Humana Healthy Horizons™ in South Carolina
- First Choice by Select Health of South Carolina
- Molina Healthcare of SC
After you enroll in a health plan, you can start looking for a substance abuse treatment center.
Some rehab facilities will only take select health plans under Medicaid. Be sure to check with the rehab center you choose to verify that your health plan is accepted.
South Carolina Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Find answers to common questions about using South Carolina Medicaid to cover behavioral health services.
How Long Does It Take To Get Medicaid?
After you apply for Medicaid, you’ll need to wait to find out whether you’ve been accepted into the program.
It can take up to 45 days for Healthy Connections to determine your eligibility. However, this waiting period can be longer for some individuals.
If you’re accepted, your Medicaid card should arrive after one week. You’ll need this card to enroll in a treatment program.
Does South Carolina Medicaid Cover Therapy?
South Carolina Medicaid does cover several different therapies, including evidence-based and alternative methods.
What If I Need To Stay In Rehab Longer Than South Carolina Medicaid Covers?
Healthy Connections may only cover part of your rehab stay if you decide to stay in treatment longer than your plan covers.
If this is the case, you can finance the rest of your drug abuse program with:
- private insurance
- scholarships
- government or state grants
- sliding fee scale payment plan
Find Drug And Alcohol Addiction Treatment Today
Learn more about addiction treatment providers for you or a loved one by exploring DetoxRehabs.net, or call us for free, confidential assistance finding the right fit for your needs.
Article Sources- The South Carolina Department of Health and Human Services (SCDHHS)—Am I eligible?
https://www.scdhhs.gov/income-limits - The South Carolina Department of Health and Human Services (SCDHHS)—Frequently Asked Questions
https://www.scdhhs.gov/FAQs - The South Carolina Department of Health and Human Services (SCDHHS)—Medicaid Coverage for the Treatment of Opioid Use Disorder
https://www.scdhhs.gov/press-release/medicaid-coverage-treatment-opioid-use-disorder