5 Rehab Centers That Accept Green Mountain Care (Vermont Medicaid)

Vermont Medicaid (Green Mountain Care) covers behavioral health services, primary care, mental health services, dental care, and other medical needs.

Behavioral health services include addiction treatment, and many substance abuse treatment facilities accept Vermont Medicaid.

Adults, children, and adolescents may use Green Mountain Care to cover treatment at a recovery center.

What Addiction Treatment Services Are Covered By Medicaid In Vermont?

There are several substance abuse services covered by Green Mountain Care.

Some of the short-term and long-term treatment options listed under Vermont Medicaid are:

• inpatient treatment
• outpatient treatment
• detoxification
• partial hospitalization program (PHP)
• residential services
• emergency examinations
• counseling services such as cognitive behavioral therapy (CBT)
• aftercare

Vermont Medicaid also covers many prescription drugs for opioid addiction treatment and other addiction recovery needs.

Medications covered include buprenorphine, methadone, naloxone, and naltrexone.

View our list of detox and rehab centers in Vermont for more treatment options.

Top 4 Drug And Alcohol Rehab Facilities In Vermont That Accept Medicaid

Here you’ll discover five treatment centers that offer substance use disorder programs.

Programs were selected based on qualities such as:

• accreditation
• positive reviews from previous clients
• high Google ratings
• certifications
• other marks of quality care

1. BAART Programs, Multiple Locations

BAART behavioral health services are available in Berlin, Newport, St. Albans, and St. Johnsbury, VT.

BAART serves clients who are experiencing opioid addiction.

Trusted features:

• Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
• 4.2-star Google rating
• client testimonials

Levels of care:

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

Treatment services:

• individual counseling
• group counseling
• case management
• relapse prevention
• referrals to health care providers

Payment options:

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

2. Comprehensive Treatment Center, Brattleboro, Vermont

Comprehensive Treatment Center offers personalized treatment for adults experiencing opioid use disorder.

Same-day admissions are available, as well as 24/7 online appointment scheduling.

Trusted features:

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

Levels of care:

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

Payment options:

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

3. Phoenix House, Multiple Locations

This organization offers residential treatment and outpatient treatment in multiple programs across New England.

In addition to accepting Medicaid, they offer funding and scholarships to some members to help with the cost of treatment.

Trusted features:

• Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
• nonprofit status

Levels of care:

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

Treatment services:

• assessment
• individual therapy
• group therapy
• transitional housing program

Payment options:

• Medicaid
• commercial health insurance
• self-pay

4. Valley Vista, Multiple Locations

Valley Vista is an addiction treatment program that offers many additional services, such as pregnancy care.

Trusted features:

• Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
• National Association of Addiction Treatment Providers (NAATP) membership

Levels of care:

• medical detox
• residential program
• inpatient program

Treatment services:

• individual therapy
• group therapy
• support groups
• educational groups
• holistic treatment services

Payment options:

• Medicaid
• commercial health insurance
• self-pay

Factors That Affect Vermont Medicaid Coverage For Rehab Programs

Medicaid coverage for drug abuse and alcohol addiction treatment might be affected by factors such as copays and waitlists.

Copays

Green Mountain Care does require a few copayments for members seeking behavioral health services.

However, these support services are still available at a low cost compared to what one might pay out of pocket with private health insurance.

Expect to cover the following copays for addiction medicine:

• $1 for prescriptions less than $30
• $2 for prescriptions $30 or more, but less than $50
• $3 for prescriptions $50 or more

Additionally, you can expect to pay $3 per day in an outpatient treatment center.

The following groups are exempt from copays:

• people in a long-term care facility
• people under the age of 21
• people who are pregnant or in the 60-day post-pregnancy period

Waitlists

Addiction treatment centers that take Medicaid often have longer waitlists of weeks or months.

If you plan on using Medicaid to pay for addiction treatment, expect to wait longer than you might with a private treatment facility.

What Are The Qualifications For Eligibility For Vermont Medicaid Addiction Services?

Members of several demographics may qualify for Medicaid in Vermont. However, with the expansion of Medicaid in Vermont, residents may be eligible based on having a low income alone, along with household size.

Those who qualify for Medicaid include:

• pregnant women
• people who are blind
• people who are disabled, or have a family member who is disabled
• people over the age of 65
• children under the age of 19

Vermont Medicaid Income Eligibility Requirements

Vermont Medicaid uses the federal poverty level (FPL) to determine income eligibility. Income eligibility requirements vary based on each demographic.

For those below 100% of the FPL, maximum annual incomes for 2024 are:

• one-person household: $14,580
• two-person household: $19,720
• three-person household: $24,860
• four-person household: $30,000
• five-person household: $35,140
• six-person household: $40,280
• seven-person household: $45,420
• eight-person household: $50,560

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

How To Use Your Vermont Medicaid Plan For Drug Addiction Treatment

To use Vermont Medicaid to pay for substance abuse treatment, you’ll need to follow a few steps:

1. Apply to Medicaid during open enrollment, which happens every year between November 1 and January 15. If you miss open enrollment, you may qualify for a special enrollment period.
2. If you’re accepted into the program, you can begin using Medicaid at any time. If you’re denied coverage, you may file an appeal and try again.
3. Connect with the treatment center to determine which programs and services they extend Medicaid coverage to and begin your treatment plan.

Find Addiction Treatment Today

Finding addiction treatment is the first step for long-term recovery. If you or a loved one need addiction care, contact DetoxRehabs.net today to learn more.