Top 5 Rehab Centers That Accept West Virginia Medicaid

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Medicaid can be used to cover addiction treatment at several West Virginia treatment facilities. Covered services include inpatient and outpatient rehab, detox, and counseling.

Alcohol And Drug Rehab Centers That Accept West Virginia Medicaid

West Virginia Medicaid covers basic healthcare needs for 675,000 low-income residents of the state.

Medicaid covers behavioral health services, mental health programs, primary care, and more.

For those in need of substance use disorder treatment, Medicaid covers most of the evidence-based, proven treatments.

What Addiction Treatment Services Are Covered By Medicaid In West Virginia?

Several addiction treatment options are covered by the West Virginia Medicaid program.

These include:

  • outpatient treatment
  • hospital inpatient rehabilitation
  • residential treatment
  • prescription drugs
  • ​partial hospitalization program (PHP)
  • opioid abuse treatment: including methadone, naltrexone, Suboxone, buprenorphine/naloxone tablets, and buprenorphine tablets)
  • tobacco cessation
  • medication-assisted treatment (MAT)
  • withdrawal management/detoxification
  • peer support
  • screening, brief intervention, and referral to treatment (SBIRT)
  • behavioral therapy

Top 5 Rehab Centers In West Virginia That Accept Medicaid

West Virginia treatment centers usually take options like self-pay, private health insurance plans, military insurance, and in some cases, Medicaid and Medicare.

Not all rehab centers accept Medicaid, so we’ve done the research to round up the top five facilities that do accept West Virginia Medicaid.

These centers were chosen for accreditation, certifications, partnerships, Google ratings, and client testimonials.

1. Comprehensive Treatment Centers, Multiple Locations

Methadone and Suboxone clinics accepting Medicaid are available in multiple West Virginia Locations.

A few of the WV locations include:

  • Beaver, WV
  • Charleston, WV
  • Clarksburg, WV
  • Huntington, WV

Features of the West Virginia Comprehensive Treatment Centers include:

  • positive client reviews and Google ratings
  • accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)

Location and contact information:

135 4th Ave.
Huntington, WV 25701
(304) 244-5458

2. FMRS Health Systems, Multiple Locations

This is a children’s and adult’s behavioral health center with addiction treatment services.

Treatment centers are located in Beckley, Fayetteville, Union, and Hinton.

FMRS Health Systems enjoys recognition from the Health Resources & Services Administration and positive client testimonials.

Addiction treatment options include:

  • detox
  • outpatient programs
  • intensive outpatient programs
  • MAT

Location and contact information:

101 South Eisenhower Dr.
Beckley, WV 25801
(304) 256-7100

3. Harmony Ridge Recovery Center, Multiple Locations

Drug treatment is available in Parkersburg and Walker, West Virginia. Treatment is available for addictions to alcohol, benzodiazepines, cocaine, fentanyl, and other substances.

Harmony Ridge Recovery Center is:

  • rated 4.7 stars on Google
  • LegitScript certified

A few of the treatment options include:

  • individual, family, and group therapy
  • detox
  • MAT
  • IOP

Location and contact information:

47 Chambers Cir.
Walker, WV 26180
(855) 942-3922

4. Martinsburg Institute, Martinsburg, West Virginia

This is a methadone and Suboxone clinic for the treatment of opioid addictions.

Top qualities of this clinic include:

  • a 4.8-star Google rating
  • positive client reviews

Location and contact information:

223 Eagle School Rd.
Martinsburg, WV 25401
(304) 263-1101

5. Northwood Health Systems, Multiple Locations

Northwood provides services for those with addictions, mental health concerns, and intellectual disabilities.

Drug and alcohol treatment is available in several West Virginia cities, including New Martinsville and Moundsville.

Notable qualities of this treatment center are:

  • a 4.3-star Google rating
  • LegitScript certifications

Addiction services include detox, IOP, counseling, and MAT.

Location and contact information:

111-19th St.
P.O. Box 6400
Wheeling, WV 26003
(304) 234-7777

Find more treatment options near you in West Virginia

Who’s Eligible For West Virginia Medicaid?

West Virginia Medicaid covers certain low-income (based on the federal poverty level, or FPL) individuals and families.

Depending on income, the following groups may be eligible for Medicaid:

  • ​pregnant women
  • children
  • parents and caretaker relatives
  • those with disabilities
  • the elderly
  • adults aged 19 through 65
  • former foster care children
  • women diagnosed with breast or cervical cancer
  • Medicare recipients with income at or below 100% of the FPL

West Virginia Medicaid Income Eligibility Requirements

Income eligibility is based on a person’s modified adjusted gross income (MAGI) and household size. Limits are different for each eligible demographic.

Here are the yearly income limits for adults aged 19 through 65:

  • one-person household: $17,609
  • two-person household: $23,792
  • three-person household: $29,974
  • four-person household: $36,156

West Virginia Medicaid Copayments

As you’re adding up your final costs for a substance abuse treatment program, remember to include copayments.

The following copays are required based on a person’s income:

  • inpatient hospital treatment: $35 for those 50.01% to 100% of the FPL, $75 for those 100.01% of the FPL and above
  • doctor’s office visits: $2 for those 50.01% to 100% of the FPL, $4 for those 100.01% of the FPL and above

Copays for prescription drugs are as follows:

  • $0 to $5 drugs: $0 copay
  • $5.01 to $10 drugs: $0.50 copay
  • $10.01 to $25 drugs: $1 copay
  • $25.01 to $50 drugs: $2 copay
  • $50.01 and above drugs: $3 copay

Copays are capped at 5% of your household income. Once the maximum is reached, you do not have to cover any more copays for that pay period.

Prior Authorization For West Virginia Medicaid

Some drug abuse treatments may require prior authorization (PA), such as drugs not included in the preferred drug list.

Medicaid uses PA to determine if a service is medically necessary. To get PA, your provider will submit a form requesting the service.

If your request is approved, you may begin treatment. If the request is denied, you can either choose a different treatment plan or submit an appeal and try again.

How To Use Your West Virginia Medicaid Plan For Drug Rehab

West Virginians can receive government-funded health insurance through traditional Medicaid or the West Virginia Health Bridge Alternative Benefit Plan (ABP), or WV Health Bride.

First, select either traditional Medicaid or the WV Health Plan (an expansion plan). Next, you’ll need to choose a managed care organization (MCO) through which you’ll receive services.

These healthcare providers include:

  • Coventry Health Care of West Virginia
  • Unicare
  • Health Plan of the Upper Ohio Valley

After you’re enrolled in one of these plans, you can bring your member ID card to the treatment center of your choice and begin treatment at any time.

FAQs About West Virginia Medicaid Coverage For Drug And Alcohol Rehab

Learn answers to some of the most commonly asked questions regarding Medicaid coverage for drug and alcohol treatment in West Virginia.

Does West Virginia Medicaid Cover Inpatient And Outpatient Rehab?

West Virginia Medicaid covers several inpatient and outpatient rehab programs, including detox, PHP, inpatient drug rehab, and standard outpatient services.

How Many Days Does West Virginia Medicaid Cover For PHP?

Partial hospitalization programs are covered for up to 30 days.

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

Although certain treatment programs have limits to the number of days covered under Medicaid, there are exceptions.

Some people may be able to receive a 10-day extension (depending on the program) to further treatment goals.

However, requests may not always be approved. If needed, a person can finance the remainder of their rehab stay with grants, scholarships, and sliding fee payment scales.

Find A West Virginia Medicaid Drug Rehab Center

If you or a loved one are struggling with opioid abuse, alcohol addiction, or co-occurring disorders, help is available.

Call our helpline to connect with a representative who can assist you in locating a rehab center that accepts West Virginia Medicaid.