Top 5 Rehab Centers That Accept TennCare (TN Medicaid)

Tennessee’s Medicaid program is called TennCare. This program is comprised of 12 programs (Benefit Packages A through M) that offer a range of services for each eligible demographic.

TennCare covers nearly 1.6 million people, which is about 19% 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).

Here are some of the addiction services generally covered under TennCare:

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

Top 5 Rehab Centers 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.

BHG boasts the following qualifications:

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

Here, recovering individuals can get buprenorphine treatment, counseling, methadone treatment, and Suboxone treatment.

Location and contact information:

412 Citico St.
Knoxville, TN 37921
(865) 522-0661

2. JourneyPure, Knoxville, Tennessee

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

Top qualifications of JourneyPure include:

• CARF accreditation
• positive client reviews
• a 5-star Google rating
• an A+ rating from the Better Business Bureau (BBB)

Drug addiction and alcohol treatment services include:

• detox
• inpatient treatment
• dual diagnosis for co-occurring disorders
• aftercare
• individual and group therapy

Location and contact information:

2636 Maryville Pike
Knoxville, TN 37920
(615) 410-9260

3. McNabb Center, Multiple Locations

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

A few of the notable features of their recovery services are:

• CARF accreditation
• positive Google ratings

The addiction treatment facility offers:

• residential treatment
• detox
• intensive outpatient programs (IOP)
• medication-assisted treatment
• recovery support/peer support

4. ReVIDA Recovery Center, Multiple Locations

Here, Medicaid and private insurance cover drug abuse treatment in Johnson City, Knoxville, Morristown, and Newport, Tennessee.

ReVIDA Recovery Center is supported by the following:

• positive Google ratings and client testimonials
• evidence-based practices

Treatment options for substance use disorders include:

• outpatient services
• ​MAT
• Suboxone treatment
• counseling and group therapy

Location and contact information:

230 Bowman St.
Suite C
Morristown, TN 37813
(423) 586-3249

5. Stepping Stone to Recovery, Louisville, Tennessee

Those who have coverage through Amerigroup or United Healthcare, two of the health plans offered by TennCare, can get treatment here.

Marks of quality care at this drug rehab center include:

• Joint Commission accreditation
• LegitScript certification
• a 5-star Google rating

Stepping Stone to Recovery provides inpatient drug rehab and alcoholism treatment.

Location and contact information:

1214 Topside Rd.
Louisville, TN 37777
(865) 259-0678

Find more Tennessee rehab centers near you

What Are The Qualifications For Eligibility For Tennessee Medicaid?

These groups may qualify for TennCare:

• children
• pregnant women
• parents or caretaker relatives
• newborns
• the medically needy
• those receiving Supplemental Security Income (SSI)
• institutionalized individuals
• individuals with breast or cervical cancer

Tennessee Medicaid Income Eligibility Requirements

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

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

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

• one-person household: $1,288
• two-person household: $1,742
• three-person household: $2,196
• four-person household: $2,650
• five-person household: $3,104
• six-person household: $3,558
• seven-person household: $4,012
• eight-person household: $4,466

For each additional person in your household add $4,540.

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 can get your addiction medications under TennCare, but medications not included in 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%):

• $10.00 per emergency room visit (waived if admitted)
• $5.00 for primary care provider and community mental health agency services
• $5.00 per physician specialist visit, such as a psychiatrist
• $5.00 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 get 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 drug rehab, 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:

• AMERIGROUP
• BlueCare
• UnitedHealthcare Community Plan
• TennCare Select

After you choose a health plan that covers the services you require, you can work with the rehab center to determine the program for yourself or a loved one entering addiction treatment.

Tennessee Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs

Find answers to frequently asked questions about TennCare’s coverage of addiction treatment services.

What If I Need To Stay In Rehab For Longer Than Tennessee Medicaid Covers?

TennCare will cover a limited number of days in a rehab center depending on the program. If you need to stay in treatment for longer than Medicaid covers, you may do so.

Financing options for extended rehab stays include:

• grants
• scholarships from the rehab facility
• self-pay or personal savings
• loans

Does TennCare Cover Alternative Methods of Treatment Used In Rehab?

Government-funded medical assistance programs like TennCare only cover evidence-based methods. This is because evidence-based practices have been proven to be medically necessary.

Alternative therapies are usually not covered under TennCare, such as meditation, art therapy, and other methods of treatment.

What Does A Tennessee Medicaid Drug Rehab Program Provide?

This depends on the program, such as whether you’re getting inpatient or outpatient treatment.

Medicaid rehab programs generally include counseling, medications if needed, group support, housing, and more.

Does Tennessee Medicaid Cover All Opioid Treatment Medications?

TennCare covers buprenorphine/naloxone films (Suboxone, generic) and tablets (Zubsolv, generic), as well as naltrexone (Vivitrol). It does not cover methadone.

Find A Rehab Center That Accepts Tennessee Medicaid

Call our helpline today to receive further assistance in finding a drug rehab center that takes TennCare.

If you or a loved one are struggling with addiction, affordable rehab is available. Call us today to learn more about finding a Medicaid rehab center.