Top 5 Rehab Centers That Accept TennCare (TN Medicaid)

Tennessee Medicaid (TennCare) is a government-funded insurance program available to qualifying adults, children, and adolescents.

TennCare covers nearly 1.7 million people, which is about 24% of the state’s population. Enrollees can benefit from services in behavioral health, mental health, primary care, and more.

What Addiction Treatment Services Are Covered By TennCare?

TennCare offers 12 benefit packages for different groups of people.

The services listed below may vary depending on your benefit indicator (a letter from A-M located on your Medicaid card).

Below are some drug dependency services generally covered under TennCare:

• crisis services
• medical detoxification (medical detox)
• inpatient treatment
• outpatient treatment
• prescription drugs
• cognitive behavioral therapy (CBT)
• dialectical behavior therapy (DBT)
• medication-assisted treatment (MAT)
• medication management

Top 5 Addiction Treatment Programs In Tennessee That Accept Medicaid

Multiple addiction treatment centers in the state of Tennessee accept TennCare, as well as private health insurance and Medicare.

The top five Medicaid rehab centers in Tennessee were chosen based on:

• accreditation
• Google ratings
• client testimonials
• certifications

1. Behavioral Health Group, Multiple Locations

Behavioral Health Group (BHG) has locations in six Tennessee cities, including Nashville, Cullman, and Columbia.

Trusted features:

• Joint Commission accreditation
• Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
• LegitScript certification
• partnership with the Substance Abuse and Mental Health Services Administration (SAMHSA)

Levels of care:

• outpatient program (OP)
• medication-assisted treatment (MAT)

Treatment services:

• individual therapy
• group therapy
• family therapy
• dual diagnosis treatment

Payment options:

• Medicaid
• Medicare
• commercial health insurance
• self-pay

2. JourneyPure, Knoxville, Tennessee

JourneyPure has multiple locations, and Medicaid is accepted at the Knoxville rehab center.

Trusted features:

• Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
• 5-star Google rating

Levels of care:

• medical detox
• inpatient program
• intensive outpatient program (IOP)
• outpatient program (OP)
• medication-assisted treatment (MAT)

Treatment services:

• individual therapy
• group therapy
• dual diagnosis treatment
• relapse prevention

Payment options:

• Medicaid
• TRICARE military health insurance
• commercial health insurance
• self-pay

3. McNabb Center, Multiple Locations

The McNabb Center provides substance abuse, mental health, and survivor support services in several cities across the state of Tennessee.

Trusted features:

• Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
• evidence-based treatment

Levels of care:

• medical detox
• residential program
• intensive outpatient programs (IOP)
• medication-assisted treatment (MAT)

Treatment services:

• individual therapy
• support groups
• addiction education

Payment options:

• Medicaid
• commercial health insurance
• self-pay

4. ReVIDA Recovery Center, Multiple Locations

ReVIDA Recovery Center has locations in Johnson City, Knoxville, Morristown, and Newport, TN.

This program focuses primarily on treating opioid addiction.

Trusted features:

• Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
• evidence-based treatment

Levels of care:

• outpatient program (OP)
• medication-assisted treatment (MAT)

Treatment services:

• individual therapy
• group therapy
• support groups
• addiction education

Payment options:

• Medicaid
• Medicare
• TRICARE military health insurance
• commercial health insurance
• self-pay

5. Stepping Stone To Recovery, Louisville, Tennessee

People who have coverage through Wellpoint or UnitedHealthcare, two of the health plans offered by TennCare, may receive treatment at Stepping Stone to Recovery.

Trusted features:

• Joint Commission accreditation
• LegitScript certification
• 4.3-star Google rating

Levels of care:

• medical detox
• residential program
• inpatient program
• partial hospitalization program (PHP)
• intensive outpatient program (IOP)
• medication-assisted treatment (MAT)
• aftercare

Treatment services:

• individual therapy
• group therapy
• family support

Payment options:

• Medicaid
• commercial health insurance
• self-pay

Find more Tennessee rehab centers near you.

What Are The Qualifications For Eligibility For Tennessee Medicaid?

Tennesseans may qualify for Medicaid coverage if they meet certain eligibility requirements.

The following groups may qualify for TennCare:

• children
• pregnant women
• parents or caretaker relatives
• newborns
• people with significant medial needs
• people receiving Supplemental Security Income (SSI)
• people receiving long-term inpatient care
• people with breast or cervical cancer

Tennessee Medicaid Income Eligibility Requirements

Residents who qualify for TennCare must also meet the necessary income requirements. These income limits are based on the federal poverty level (FPL).

Medicaid applicants can have income between 100% and 250% of the FPL.

Below are recent monthly income limits for those who earn 120% of the FPL:

• one-person household: $1,458
• two-person household: $1,972
• three-person household: $2,486
• four-person household: $3,000
• five-person household: $3,514
• six-person household: $4,028
• seven-person household: $4,542
• eight-person household: $5,056

For each additional person in your household, add $5,140.

Factors That Affect Tennessee Medicaid Coverage For Addiction Treatment

TennCare covers many drug and alcohol addiction services, but there are still a few additional costs that beneficiaries will need to cover.

Copayments For TennCare

There are copays needed for some of the services covered under TennCare.

You may receive prescription addiction medications under TennCare, but medications not included on the preferred drug list may require higher copays, or not be covered at all.

Expect the following copays for medications:

• $3 for each brand name drug
• $1.50 for each generic drug

Expect the following copays for other medical services (for those 100% to 199% of the FPL):

• $10 per emergency room visit (waived if admitted)
• $5 for primary care provider and community mental health agency services
• $5 per physician specialist visit, such as a psychiatrist
• $5 for each inpatient hospital stay (this fee is waived if a person is readmitted within 48 hours for the same episode)

Prior Authorization For Addiction Treatment

Like many other Medicaid programs across the nation, TennCare requires enrollees to obtain prior authorization for some services.

This is to ensure that the medication or service is medically necessary. If it’s not approved, you may not be able to get that service covered by Medicaid.

How To Use Tennessee Medicaid For Drug Rehab

TennCare uses managed care organizations (MCO), or health plans. This is a health insurance provider that works with Medicaid to ensure quality medical care for all TennCare enrollees.

To get coverage for addiction treatment, enroll in Medicaid and apply for one of the health plans available in your county.

There are a few health plans offered under TennCare, all of which have been accredited by the National Committee for Quality Assurance (NCQA).

These plans are:

• BlueCare
• TennCare Select
• UnitedHealthcare Community Plan
• Wellpoint

After you choose a health plan that covers the services you require, you can work with your treatment center to choose an addiction program.

Find An Addiction Treatment Center Today

Many people throughout Tennessee experience addiction. If you or a loved one may have a substance use disorder, help is available.

Contact Detox Rehabs to discover your treatment options today.