Utah Medicaid is a government-funded health insurance program that provides physical and mental health coverage, including addiction treatment services.
Several inpatient and outpatient treatment programs accept Utah Medicaid, providing care at little or no cost for participants.
What Addiction Treatment Services Are Covered By Medicaid In Utah?
Utah Medicaid covers several evidence-based treatments for substance use disorders. Services are available for children, adults, and adolescents.
Some examples of available short-term and long-term services include:
- evaluation
- psychotherapy modalities such as cognitive behavioral therapy, dialectical behavior therapy, and others
- individual therapy
- family therapy
- group therapy
- outpatient services such as day treatment
- inpatient treatment
- residential treatment
- medication management
- detoxification
- peer support services
- case management services
- opioid abuse treatment
- medication-assisted treatment (MAT)
- prescription drugs for opioid dependence: methadone, naltrexone (Vivitrol), Suboxone, buprenorphine/naloxone tablets, and buprenorphine tablets
Top 5 Drug Rehab Centers In Utah That Accept Medicaid
Dozens of addiction treatment centers accept Utah Medicaid. We’ve selected five for the list below due to their indicators of quality care.
These include but are not limited to:
- accreditation
- certifications
- Google ratings
- client testimonials
1. Ardu Recovery, Provo, Utah
Ardu Recovery is a private addiction treatment center that accepts some Utah Medicaid plans.
It offers both evidence-based and holistic treatments. However, note that Medicaid insurance may only cover evidence-based services.
Trusted features:
- accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)
- 4.6-star Google rating
Levels of care:
- medical detoxification (detox)
- residential program
- inpatient program
- partial hospitalization program (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
Treatment services:
- individual therapy
- group therapy
- support groups
- gender-specific care
- dual diagnosis treatment
- eye movement desensitization and reprocessing (EMDR)
- holistic therapies
Payment options:
- Medicaid
- TRICARE military insurance
- commercial health insurance
- self-pay
Location and contact information:
1053 W. 1020 S
Provo, UT 84601
(801) 512-0086
2. The Phoenix Recovery Center, South Jordan, Utah
The Phoenix Recovery Center has programs for 20 types of addiction, including alcohol, cocaine, and benzodiazepines.
Comprehensive treatment for addiction is available here, including MAT services and inpatient and outpatient care.
Trusted features:
- Joint Commission accreditation
- LegitScript certification
- 4.7-star Google rating
Levels of care:
- inpatient program
- partial hospitalization program (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- individual therapy
- group therapy
- support groups
- educational groups
- dual diagnosis treatment
- social detox
- family programs
Payment options:
- Medicaid
- TRICARE military insurance
- commercial health insurance
- self-pay
Location and contact information:
489 W. South Jordan Pkwy.
Ste. #400
South Jordan, UT 84095
(801) 438-3185
3. Pomarri Substance Abuse Recovery Center, Orem, Utah
Pomarri Substance Abuse Recovery Center is an outpatient facility that focuses primarily on alcohol and opioid addictions.
With over 50 years of combined addiction treatment experience, the staff at Pomarri treat both the physical and psychological aspects of addiction.
Trusted features:
- Joint Commission accreditation
- 4.8-star Google rating
Levels of care:
- medical detox
- intensive outpatient program (IOP)
- outpatient program (OP)
Treatment services:
- individual therapy
- group therapy
- support groups
- educational groups
- relapse prevention
Payment options:
- Medicaid
- commercial health insurance
- self-pay
Location and contact information:
1472 E. 820 N
Orem, UT 84097
(801) 226-1227
4. Renaissance Ranch, South Ogden, Utah
Renaissance Ranch provides intensive outpatient treatment and family services for people dealing with addiction.
Trusted features:
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
- 4.9-star Google rating
Levels of care:
- intensive outpatient program (IOP)
Treatment services:
- individual therapy
- group therapy
- support groups
- educational groups
- relapse prevention
Payment options:
- Medicaid
- commercial health insurance
- self-pay
Location and contact information:
5677 S. 1475 E
Ste. #4A
South Ogden, UT 84403
(385) 355-7566
5. White Tree Medical, South Jordan, Utah
White Tree Medical is an outpatient step-down program in which clients can move through different levels of care and receive long-term support.
Trusted features:
- 4.6-star Google rating
- positive client reviews
Levels of care:
- medical detox
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- individual therapy
- group therapy
- pain management support
- dual diagnosis treatment
- relapse prevention
Payment options:
- Medicaid
- Medicare
- commercial health insurance
Location and contact information:
10437 South Jordan Gateway
South Jordan, UT 84095
(801) 503-9211
Find additional addiction treatment options near you in Utah.
Does Utah Medicaid Require Copayments?
Utah Medicaid does have several copays for services, but there are no copays for outpatient mental health and substance use disorder treatment services.
Copays are also not required for tobacco cessation, preventative services, or family planning services.
There are copays for inpatient hospital visits ($75 per visit) and non-emergency uses of the ER ($8 per visit).
How Does A Person Qualify For Utah Medicaid?
The 2019 expansion of Medicaid in Utah includes a larger group of individuals and families who can access affordable health care.
Groups that may qualify for Medicaid if they meet income requirements include:
- children ages 18 and under
- people previously in foster care
- parents or caretaker relatives
- pregnant women
- people with breast or cervical cancer
- older adults
- blind or disabled people
- adults aged 19 through 64
There are also cost-sharing programs for those who have Medicare or private health insurance and need help covering the costs of deductibles, premiums, copayments, and other expenses.
Utah Medicaid Income Eligibility Requirements
Income requirements are based on the federal poverty level (FPL), which is used to compare a person’s income against to determine financial eligibility.
A person can earn between about 55% and 133% of the FPL to be eligible for Medicaid, depending on their demographic.
Here are the general monthly income limits for adults:
- one-person household: $2,430
- two-person household: $3,287
- three-person household: $4,144
- four-person household: $5,000
- five-person household: $5,857
- six-person household: $6,714
- seven-person household: $7,570
For each additional family member in your household, add $857 per month.
How To Use Your Utah Medicaid Plan For Drug Rehab
Utah Medicaid uses health plans to provide healthcare coverage for its beneficiaries.
The following health plans are available with Utah Medicaid:
- Steward Health Choice Utah
- Healthy U
- Molina
- Select Health Community Care
- fee-for-service (FFS)
These health plans are organized by county, so to find out which health plans you can choose from, look at what your county offers.
Select a health plan and wait for approval. If you’re approved, you’ll receive a Medicaid ID card in the mail shortly. Bring this with you to a treatment center and begin treatment.
Utah Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Here you’ll find answers to some of the most commonly asked questions about Medicaid coverage for addiction treatment in Utah.
Do All Rehab Centers In The State Accept Utah Medicaid?
Not all treatment centers take Medicaid. Many will only accept self-payment and private health insurance.
How Quickly Can I Get Into Substance Abuse Treatment At A Utah Medicaid Rehab Center?
Medicaid beneficiaries should be aware that it may take longer to get into treatment, as there is a large population of people seeking Medicaid treatment programs.
However, Medicaid has lifted certain limitations that may reduce the amount of time it takes to enter a treatment program.
What If I Need To Stay In Drug And Alcohol Addiction Treatment Longer Than Utah Medicaid Covers?
There are many options for financing the rest of your rehab program if you need to stay in treatment longer than Medicaid covers.
You might try the following:
- state and federal grants for behavioral and mental health services
- scholarships provided by the treatment facility
- personal savings or loans
- sliding fee payment scales to meet your level of income
Find Drug And Alcohol Treatment Today
If you or a loved one needs addiction services, contact Detox Rehabs today to discover more treatment options.
Article Sources- American Society of Addiction Medicine (ASAM)—Medicaid Coverage of Medications for the Treatment of Opioid Use Disorder
https://www.asam.org/docs/default-source/advocacy/state-medicaid-reports/state-medicaid-reports_ut.pdf?sfvrsn=2#:~:text=Utah%20Medicaid%20covers%20methadone%20under,Managed%20Care%20(MC)%20plans.&text=Methadone%20is%20covered%20as%20a,under%20Utah's%20preferred%20drug%20list. - Utah.gov—Medicaid Expansion
https://medicaid.utah.gov/expansion/ - Utah.gov—Substance Use Disorder (SUD) Treatment
https://medicaid.utah.gov/substance-use-disorder-sud-treatment/ - Utah.gov—Who Is Eligible?
https://medicaid.utah.gov/who-eligible/