Top 5 Rehab Centers That Accept West Virginia Medicaid

If you are a West Virginia resident with Medicaid coverage, and you are seeking treatment for substance use disorder (SUD), you may be curious about treatment services that are covered by Medicaid.

West Virginia Medicaid covers basic healthcare needs for 638,000 low-income residents, including behavioral and mental health services, primary care, and more.

Medicaid can be used to cover the cost of addiction treatment at West Virginia rehab facilities that accept Medicaid.

For people in need of treatment for substance abuse, Medicaid covers most evidence-based, proven treatments.

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

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

Some of the many addiction treatment options covered by Medicaid include:

• long-term residential treatment
• inpatient treatment
• detox
• partial hospitalization program (PHP)
• intensive outpatient program (IOP)
• outpatient program (OP)
• medication-assisted treatment (MAT)
• medication management
• behavioral therapy
• screening, brief intervention, and referral to treatment (SBIRT)
• aftercare

Top 5 Rehab Programs In West Virginia That Accept Medicaid

West Virginia treatment centers typically accept 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.

The treatment providers below are one or more of the following:

• accredited
• certified
• reviewed positively on Google
• in partnership with valued organizations
• backed by other indicators of quality care

1. Comprehensive Treatment Centers, Multiple Locations

Comprehensive Treatment Centers operates several clinics throughout the state of West Virginia that provide medication-assisted treatment (MAT) for opioid use disorder.

The facility provides same-day admission to ensure immediate care and round-the-clock scheduling.

Trusted features:

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

Levels of care:

• medication-assisted treatment (MAT)

Treatment options:

• individual therapy
• methadone treatment
• Suboxone treatment
• buprenorphine treatment
• Vivitrol treatment

Payment options:

• private health insurance
• Medicaid
• Medicare
• TRICARE
• self-pay

2. FMRS Health Systems, Multiple Locations

FMRS Health Systems, Inc. is a community mental health center and private, non-profit organization that provides behavioral health services, which include substance abuse treatment.

The Oaks at FMRS provides residential treatment for men with substance use and mental health disorders. Additionally, the facility provides medical detox for both men and women.

The recovery center operates facilities in Raleigh, Fayette, Monroe, and Summers.

Trusted features:

• state licensure
• evidence-based treatment

Levels of care:

• residential treatment
• detox
• partial hospitalization program (PHP)
• outpatient program (OP)
• medication-assisted treatment (MAT)

Treatment options:

• individual therapy
• group therapy
• family therapy
• couples therapy
• cognitive behavioral therapy (CBT)
• dialectical behavior therapy (DBT)
• pregnant women’s addiction treatment
• psychotherapy
• dual diagnosis treatment
• medication management
• telehealth
• naltrexone treatment
• buprenorphine treatment
• Vivitrol treatment

Payment options:

• private health insurance
• Medicaid
• Medicare
• TRICARE
• self-pay
• payment assistance

3. Harmony Ridge Recovery Center, Multiple Locations

Harmony Ridge Recovery Center is a drug and alcohol rehab center that offers various substance abuse treatment plans and behavioral health services.

Available treatment options range from inpatient rehabilitation to medically supported detox, outpatient programs, and various therapies.

Trusted features:

• Psychology Today verification
• evidence-based treatment

Levels of care:

• residential treatment
• detox
• partial hospitalization program (PHP)
• intensive outpatient program (IOP)
• medication-assisted treatment (MAT)
• aftercare

Treatment options:

• individual therapy
• group therapy
• family therapy
• cognitive behavioral therapy (CBT)
• dialectical behavior therapy (DBT)
• rational emotive behavior therapy (REBT)
• motivational interviewing (MI)
• holistic addiction therapy
• art therapy
• 12-step meetings
• dual diagnosis treatment
• relapse prevention
• case management
• methadone treatment
• naltrexone treatment
• buprenorphine treatment
• acamprosate treatment
• disulfiram treatment

Payment options:

• private health insurance
• Medicaid
• TRICARE
• self-pay

4. Martinsburg Institute, Martinsburg, West Virginia

The Martinsburg Institute is an outpatient treatment clinic that provides medication-assisted treatment (MAT) for opioid use disorder.

Same-day admission is not offered at this facility, so potential clients must set up an appointment.

Trusted features:

• Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
• Substance Abuse and Mental Health Services Administration (SAMHSA) certification
• state licensure
• positive client reviews

Levels of care:

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

Treatment options:

• individual therapy
• group therapy
• family therapy
• couples therapy
• cognitive behavioral therapy (CBT)
• 12-step meetings
• methadone treatment
• Suboxone treatment
• relapse prevention
• telehealth
• referral services

Payment options:

• Medicaid
• self-pay

5. Northwood Health Systems, Multiple Locations

Northwood Health Systems is a comprehensive treatment center that serves adolescents and adults experiencing substance abuse, mental health issues, emotional problems, and intellectual disabilities.

Trusted features:

• LegitScript certification
• state licensure

Levels of care:

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

Treatment options:

• individual therapy
• group therapy
• cognitive behavioral therapy (CBT)
• motivational interviewing (MI)
• 12-step meetings
• dual diagnosis treatment
• buprenorphine treatment
• naltrexone treatment
• peer support

Payment options:

• private health insurance
• Medicare
• Medicaid
• TRICARE
• self-pay
• payment assistance

Who Is Eligible For West Virginia Medicaid?

Certain individuals and families with low incomes are eligible for West Virginia Medicaid coverage. Determination is partially based on income and the federal poverty level (FPL).

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

• pregnant women
• children under age 18
• parents and caretaker relatives
• people with disabilities
• aging adults
• adults ages 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.

Annual income limits for adults ages 19 to 65, in regard to West Virginia Medicaid eligibility, are as follows:

• one-person household: $19,392
• two-person household: $26,228
• three-person household: $33,064
• four-person household: $39,900

For each household member beyond eight people, add an additional $6,836 per person.

West Virginia Medicaid Copayments

As you add up your final costs for receiving care at an addiction treatment center, remember to include copayments.

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

• inpatient 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 will not need to cover any additional 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.

MCOs in West Virginia include:

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

Once you are enrolled in one of these insurance plans, you may bring your member ID card to the treatment facility of your choice and begin treatment at any time.

Find An Addiction Treatment Provider Today

If you or a loved one is ready to begin the journey of substance abuse recovery, call Detox Rehabs to connect with a specialist who can assist you.