Top 5 Rehab Centers That Accept Virginia Medicaid

Virginia Medicaid is available to multiple low-income demographics including pregnant women, those who are disabled, and families.

The Virginia Medicaid program was not always so inclusive for certain income brackets. The program expanded in 2019 and gained an additional 494,000 beneficiaries.

The program expanded to include those who are earning up to 138% of the federal poverty level (FPL), which is used to determine income eligibility for Medicaid.

And in 2017, Medicaid launched new substance use disorder treatment benefits under Addiction and Recovery Treatment Services (ARTS).

Medicaid Fee-For-Service Vs. Health Plans In Virginia

Virginia residents can get Medicaid coverage with a fee-for-service (FFS) plan or a health plan. FFS means Virginia Medicaid pays a health provider directly for their service.

With a health plan, the state pays a fee to the managed care plan for each enrollee.

In Virginia, most beneficiaries will first be enrolled in an FFS plan, then moved to a health plan.

Health plans that are offered through Virginia Medicaid are:

• Aetna Better Health of Virginia
• Anthem HealthKeepers Plus
• Magellan Complete Care of Virginia
• OptimaHealth Family Care
• UnitedHealthcare Community Plan
• Virginia Premier

Addiction Treatment Services Covered By Medicaid In Virginia

With the introduction of ARTS in 2017, more Virginia residents have access to affordable addiction treatment services.

Virginia Medicaid covers the following substance abuse services:

• partial hospitalization program (PHP)
• day treatment
• rehabilitation services
• outpatient therapy
• intensive outpatient treatment
• inpatient treatment
• opioid treatment
• detoxification
• psychiatric or psychological services
• prescription drugs, including buprenorphine (Suboxone, Zubsolv), methadone, naltrexone (Vivitrol)

Top 5 Rehab Centers In Virginia That Accept Medicaid

There are many treatment centers in the state of Virginia that accept Medicaid for behavioral health services.

Five have been chosen for:

• accreditation
• Google ratings
• client testimonials
• other important selection criteria

1. Behavioral Health Group, Multiple Locations

Behavioral Health Group (BHG) is available in Norfolk, Washington D.C., Chesapeake, Newport News, Franklin, and Glen Allen.

BHG features several top qualifications, such as:

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

Drug addiction services include counseling and medication-assisted treatment (MAT).

Location and contact information:

5715 Princess Anne Rd.
Virginia Beach, VA 23462
(757) 962-0748

2. Centra, Lynchburg, Virginia

Centra has two addiction treatment facilities in Lynchburg.

Top qualifications of this drug rehab center include:

• Joint Commission accreditation
• positive client reviews

Drug and alcohol addiction services provided by Centra are:

• intensive outpatient program (IOP)
• MAT
• residential treatment
• detox

Location and contact information:

3300 Rivermont Ave.
Lynchburg, VA 24503
(434) 200-4455

3. Crossroads, Multiple Locations

This is a methadone and Suboxone treatment center specializing in treating opioid addiction.

Crossroads is supported by the following:

• LegitScript certification
• evidence-based treatment methods
• high Google ratings

Location and contact information:

837 First Colonial Rd.
Virginia Beach, VA 23451
1 (800) 805-6989

4. Pinnacle Treatment Centers, Multiple Locations

Outpatient programs (OP), MAT, group therapy, family therapy, and more are offered here.

There are 11 Virginia locations, including Roanoke and Richmond.

Qualifications of this substance abuse treatment program include:

• CARF accreditation
• LegitScript certification
• membership with the National Association of Addiction Treatment Providers (NAATP)

Location and contact information:

4906 Radford Ave.
Richmond, VA 23230
(804) 354-1996

5. SaVida Health, Multiple Locations

SaVida Health is an opioid addiction treatment center offering MAT and buprenorphine treatment.

Trusted features of SaVida Health include:

• positive client testimonials
• a 5-star Google rating

Location and contact information:

4001 Prince William Pkwy.
Suite 300
Woodbridge, VA 22192
(703) 214-5825

Find more Virginia rehab centers near you

Factors That Affect Virginia Medicaid Coverage For Addiction Treatment

The following factors will determine what’s covered by Virginia Medicaid and what additional costs you’ll need to plan for.

Prior Authorization Might Be Needed

Some behavioral health and mental health services need prior authorization. This is a process used by Medicaid to determine if a service or prescription drug is medically necessary.

Expect Long Waitlists

Low-cost options like Medicaid rehab centers are often in high demand.

There is a possibility that you may not be able to get into a Medicaid program due to long waitlists, or that you’ll have to wait a few months before getting in for treatment.

Copayments For Some Services

Medicaid covers almost the full cost of addiction treatment services in Virginia, but there are some minor copayments ranging from $1 to $3.

Inpatient stays can be more costly, with a copayment of $100.

Those under 21 years of age, pregnant women, people receiving hospice care, and people in institutional care or receiving long-term care services are not responsible for any copayments.

Eligibility Requirements For Virginia Medicaid Drug Rehab

Virginia Medicaid is available for certain low-income individuals and families.

These groups qualify for Medicaid in Virginia:

• children under the age of 19
• pregnant women
• Supplemental Security Income (SSI) recipients
• adults who are aged 65 or older
• those who are blind or disabled
• those in need of long-term care in a facility
• those getting Medicare benefits
• those getting family planning services
• a person in the breast and cervical cancer early detection program

Virginia Medicaid Income Eligibility Requirements

Medicaid eligibility is determined by looking at a person’s wages compared to the federal poverty level (FPL).

Here are the income limits for families as of 2021:

• one-person household: $17,609
• two-person household: $23,792
• three-person household: $29,974
• four-person household: $36,156
• five-person household: $42,339
• six-person household: $48,521
• seven-person household: $54,704
• eight-person household: $60,886

How To Use Your Virginia Medicaid Plan For Drug Rehab

When you first enroll in Medicaid, you’ll be automatically placed into an FFS plan.

If you choose to get treatment immediately after enrolling in Medicaid, you can use your FFS plan to cover treatment.

Bring your FFS identification card to the rehab center to cover treatment.

After a certain period of time, you’ll need to select a health plan from one of the six available options.

Verify that the health plan you choose will cover the specific addiction treatment services you need.

If you’re entering a treatment program with a health plan, bring both your Medicaid identification card and your managed care card to get coverage.

Virginia Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs

Find answers to common questions about drug rehab and Virginia Medicaid coverage.

Does Virginia Medicaid Cover All Addiction Treatment Services?

While Virginia Medicaid covers a wide range of clinically proven and evidence-based treatment services, not all services are covered.

What Are The Different Drug Rehabs Programs Available For Virginia Medicaid Patients?

Virginia Medicaid recipients can participate in outpatient rehab, inpatient rehab, detox, and more.

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

There is a limit to the number of days a person can stay in rehab and get coverage from Medicaid. Recovering individuals can usually remain in treatment for up to 90 days.

If you need to stay in treatment for longer, there are other financing options such as scholarships, grants, sliding-fee scales, and other programs specific to each rehab program.

Find A Medicaid Rehab Center In Virginia

To learn more about your options in Medicaid coverage for addiction treatment, just call our helpline and speak with one of our representatives.

With the expansion of Virginia Medicaid’s substance abuse services, treatment is available in free and low-cost options for Virginia residents.

Call us today to locate a rehab center for yourself or a loved one.