Rehab Centers That Accept BadgerCare (Wisconsin Medicaid)

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Wisconsin’s Medicaid program, called BadgerCare, provides medical services for low-income residents of the state. Those who qualify can use Wisconsin Medicaid to cover the cost of drug and alcohol rehab.

Rehab Centers That Accept BadgerCare (Wisconsin Medicaid)

Wisconsin’s Medicaid program, also known as BadgerCare or Forward Health, covers over 1.1 million residents. The state has been providing behavioral health services since 1999.

Wisconsin often partners with community-based agencies and organizations to provide quality health care for those struggling with mental health or substance abuse.

Addiction Treatment Services Covered By Wisconsin Medicaid

Covered services may vary based on the health plan you select.

Here are some of the general services covered by Wisconsin Medicaid:

  • inpatient treatment
  • outpatient programs (OP)
  • intensive outpatient programs (IOP)
  • partial hospitalization programs (PHP)/day treatment
  • rehabilitative treatment services
  • narcotic treatment
  • screening
  • counseling
  • hospitalization

No referrals are needed for substance abuse treatment services with providers who are in-network.

Top 5 Rehab Facilities In Wisconsin That Accept Medicaid

Many substance abuse treatment facilities in Wisconsin accept Medicaid, and five were selected for this list.

The following treatment providers were chosen based on:

  • accreditation
  • verifications
  • Google ratings
  • client testimonials
  • use of evidence-based practices
  • other selection criteria

1. Arbor Place, Multiple Locations

Treatment for substance use disorders is available in Menomonie and River Falls, Wisconsin.

The behavioral therapy program is backed by:

  • LegitScript certification
  • positive Google ratings and client reviews
  • evidence-based practices

Addiction treatment services include:

  • residential treatment
  • outpatient treatment
  • day treatment
  • family counseling services

Location and contact information:

4076 Kothlow Ave.
Menomonie, WI 54751
(715) 235-4537

2. Comprehensive Treatment Center, Multiple Locations

This is an outpatient opioid use disorder treatment center with locations in Appleton, Green Bay, Sheboygan, and other Wisconsin locations.

Prescription drugs used in this medication-assisted treatment program include methadone, buprenorphine (Suboxone, Subutex), and Vivitrol.

Some of the trusted features of this treatment program include:

  • accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
  • client testimonials

Location and contact information:

3440 Oakwood Hills Pkwy.
Eau Claire, WI 54701
(715) 802-2260

3. Family Service Madison, Madison, Wisconsin

This organization has been running since 1910 when it began as Associated Charities to provide community services.

Today, Family Services Madison (FSM) provides group therapy, day treatment, family programs, and other services.

Top qualities of FSM include:

  • client testimonials
  • verification from Psychology Today
  • partnership with United Way

Location and contact information:

128 East Olin Ave.
Madison, WI 53713
1 (608) 252-1320

4. Healing Corner, Multiple Locations

This is a medication-assisted treatment center with locations in Brookfield and West Bend, Wisconsin.

Top features of Healing Corner are:

  • verification from Psychology Today
  • client testimonials

Location and contact information:

19115 Capitol Dr.
Suite 117
Brookfield, WI 53045
(262) 781-0240

5. Meta House, Milwaukee, Wisconsin

This is an addiction treatment center that offers services to women struggling with addiction.

Meta House is supported by the following qualifications:

  • association with the Substance Abuse and Mental Health Services Administration (SAMHSA)
  • partnership with United Way
  • positive client results

Some of the drug abuse programs offered are:

  • residential treatment
  • outpatient treatment
  • community support

Location and contact information:

2625 N Weil St.
Milwaukee, WI 53212
(414) 962-1200

View more treatment options in Wisconsin

Factors That Affect Wisconsin Medicaid Coverage For Drug Rehab

Several factors can affect your BadgerCare coverage of drug addiction services such as rehab.

Copayments For Substance Abuse And Mental Health Treatment

Medicaid beneficiaries usually need to cover a minor copay for some services. Copays range from $0.50 to $3 per behavioral health service.

This cost is limited to the first 15 hours or $825 of services per calendar year, whichever comes first.

There is no copay required for services given in a hospital setting.

Cost Breakdown For Addiction Treatment Services

Use the information below to determine what your final cost for addiction treatment will be.

Costs for each treatment program by the day:

  • all-day treatment services: $10.00 per day
  • inpatient hospital: $50.00 per hospital stay
  • narcotic treatment services: $15.00 per visit
  • outpatient substance abuse services: $15.00 per visit

Prior Authorization For Some Services

There are a few services that need approval first, which is known as prior authorization (PA).

With PA, a person’s provider must get approval before administering a service.

If the person getting treatment decides to move forward after approval has been denied, they can be billed for the service by their provider.

How Do I Qualify For Wisconsin Medicaid?

To qualify for Wisconsin Medicaid, a person needs to be a resident of the state of Wisconsin.

Unless exempt or citizenship is verified by the Social Security Administration, a person must also be a resident of the U.S.

The program covers groups like:

  • pregnant women
  • children, foster care children
  • the aged, blind, and disabled
  • parents and caretaker relatives of children
  • migrant family workers

Wisconsin Medicaid Income Eligibility Requirements

Not all people who fall into one of the above groups will qualify for BadgerCare. There are income limitations for each group based on the most recent federal poverty level (FPL) limits.

Pregnant women and children are eligible if they are 306% FPL. Adults without children and parents or caretaker relatives are eligible if they are 100% FPL.

Income limits for those who are 100% FPL are as follows:

  • one-person household: $1,073.33
  • two-person household: $1,451.67
  • three-person household: $1,830.00
  • four-person household: $2,208.33
  • five-person household: $2,586.67

How To Use Your Wisconsin Medicaid Plan For Drug Rehab

If you or a loved one are ready to take the next step and enroll in a rehab program, start the process of applying for Medicaid.

If eligible, you’ll be able to enroll in one of the health plans offered.

BadgerCare works with several health maintenance organizations (HMO):

  • Anthem BlueCross BlueShield
  • Children’s Community Health Plan
  • Dean Health Plan
  • Group Health Cooperative of Eau Claire
  • Group Health Cooperative of Wisconsin–South Central
  • Independent Care Health Plan
  • MHS Health Wisconsin
  • MercyCare Insurance Company
  • Molina Healthcare
  • Network Health Plan
  • Security Health Plan
  • Trilogy Health Insurance
  • UnitedHealthcare Community Plan
  • Quartz

You may enroll in one of these health plans and begin treatment.

Not all health plans are offered in every county, verify the plans offered in your area and choose a plan that covers the services you need.

After those steps are complete, you can start treatment at a Medicaid rehab center of your choosing.

FAQs For Wisconsin Medicaid Insurance Coverage For Rehab

To help narrow your search for the right Medicaid rehab center in Wisconsin, we’ve answered some commonly asked questions below.

Do Private Rehab Centers Accept Wisconsin Medicaid?

Private rehab facilities in Wisconsin do not normally take Medicaid. These addiction treatment centers accept private health insurance or self-payment options.

Are There Any Addiction Treatment Services Not Covered By Wisconsin Medicaid?

BadgerCare does not cover all addiction treatment services.

The following are not covered under Wisconsin Medicaid:

  • community support program services
  • comprehensive community services
  • crisis intervention
  • in-home mental health and substance abuse services for children
  • outpatient services in the home and community for adults

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

Wisconsin Medicaid will cover up to $4,500 for all non-hospital substance abuse services and up to $2,700 for day treatment services.

Additionally, the program covers up to 30 days of inpatient hospital treatment.

All additional costs or days spent in treatment are considered non-covered services. But you can still get treatment with your own financing options.

Some of these options include:

  • federal and state grants
  • scholarships
  • sliding-fee scales

Find Medicaid Drug Rehab In Wisconsin

Rehab can cost thousands of dollars without the help of private insurance or government-funded programs.

Luckily, Wisconsin Medicaid covers nearly the full cost of treatment so beneficiaries can get the help they need.

If you want to learn more about how to use Medicaid to pay for drug and alcohol rehab in Wisconsin, call our helpline and speak with our representatives today.