Utah Medicaid expanded in December of 2019 to extend Medicaid eligibility to Utah adults whose annual income is up to 138% of the federal poverty level (FPL).
That’s an annual income of $17,608 for an individual or $36,156 for a family of four. This expansion made 120,000 more Utah residents eligible for Medicaid.
Today, Utah Medicaid covers over 400,000 residents of the state.
What Addiction Treatment Services Are Covered By Medicaid In Utah?
Substance use disorders can be properly treated with Utah Medicaid covered services.
The program provides several behavioral health and mental health services for children, youths, and adults.
Utah Medicaid covers the following drug and alcohol addiction rehab services:
- evaluation
- behavioral therapy
- psychotherapy
- family therapy
- group therapy
- rehabilitation services
- outpatient programs
- 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 Rehab Centers In Utah That Accept Medicaid
There are dozens of addiction treatment centers that accept Utah Medicaid. We’ve chosen five for the list below due to accreditation, verifications, Google ratings, and other selection criteria.
1. Ardu Recovery, Provo, Utah
This is a private rehab center that only offers Medicaid coverage for the following plans:
- Molina Medicaid
- Select Health Medicaid
- Target Adult Medicaid (TAM)
Ardu Recovery features:
- a 4.6-star Google rating
- accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)
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 addictions to 20 different substances, including alcohol, cocaine, and benzodiazepines.
Top qualities of this substance abuse treatment center include:
- a 4.6-star Google rating
- Joint Commission accreditation
- LegitScript certification
This treatment center offers Medicaid coverage for:
- screenings
- maintenance medications
- family counseling
- inpatient drug rehab
- long-term residential treatment center
- detox
- outpatient services
Location and contact information:
489 West South Jordan Pkwy.
Suite 400
South Jordan, UT 84095
(801) 438-3185
3. Pomarri Substance Abuse Recovery Center, Orem, Utah
This treatment facility offers IOP, detox, day treatment, and more.
Trusted features of this drug addiction program include:
- a 4.7-star Google rating
- accreditation from the Joint Commission
- use of evidence-based treatment
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 those struggling with addiction and their loved ones.
Medicaid is accepted here, as well as private health insurance.
This drug rehab center is supported by the following qualifications:
- recipient of the Best of State Award for IOP and rehabilitation services
- awarded the Best Addiction Treatment Center in South Ogden, Utah in 2019
- a 5-star Google rating
Location and contact information:
5677 S 1475 E
Suite 4 A
South Ogden, UT 84403
(385) 355-7566
5. White Tree Medical, South Jordan, Utah
This is an outpatient rehab center that provides detox, long-term care, MAT, and more.
Features of White Tree Medical include:
- a 4.7-star Google rating
- positive client reviews
Location and contact information:
10437 S Jordan Gateway
South Jordan, UT 84095
(801) 503-9211
Find additional 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 not required for outpatient addiction treatment, 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 brought in a whole new group of individuals and families who can have access to affordable health care.
These groups may qualify for Medicaid if they meet income requirements:
- Utah residents
- children 18 and under
- those in foster care
- parents or caretaker relatives
- pregnant women
- individuals with breast or cervical cancer
- the aged, blind, and disabled
- 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 set 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: $1,428
- two-person household: $1,931
- three-person household: $2,464
- four-person household: $2,938
- five-person household: $3,441
- six-person household: $3,944
- seven-person household: $4,447
- eight-person household: $4,950
How To Use Your Utah Medicaid Plan For Drug Rehab
Utah Medicaid uses health plans to provide healthcare coverage for its beneficiaries.
These 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 rehab center and begin treatment.
Utah Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Find answers to some of the most commonly asked questions about Medicaid coverage for addiction treatment in Utah.
Do All Rehab Centers Accept Utah Medicaid?
Not all rehab centers take Medicaid, many will only accept self-payment and private health insurance.
How Quickly Can I Get Into Treatment At A Utah Medicaid Rehab Center?
Medicaid beneficiaries should be aware that it may take longer to get into treatment.
The good news is that while Medicaid used to limit rehab stays to facilities with 16 beds or fewer, now that limitation is lifted. You may choose any rehab center that accepts Medicaid.
But these rehab centers still usually have longer waiting periods because there is a larger population of recovering individuals looking for Medicaid coverage for rehab.
What If I Need To Stay In Rehab 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 one of these:
- state and federal grants for behavioral and mental health services
- scholarships provided by the rehab facility
- personal savings or loans
- sliding fee payment scales to meet your level of income
Find Drug And Alcohol Treatment With Utah Medicaid
We’re here to assist you in locating the best rehab centers for you or your loved one.
We understand the tedious nature of finding Medicaid rehab centers, and we have the resources to point you in the right direction.
If you have any questions or want help in finding a rehab center that takes Utah Medicaid, just give us a call and we’d be happy to assist you.
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/