Rehab Centers That Accept BadgerCare (Wisconsin Medicaid)

The Medicaid program in Wisconsin, known as BadgerCare, provides medical services for low-income state residents.

Wisconsin Medicaid provides coverage for more than 1.1 million residents and has been providing residents with medical support since 1999.

If you are a resident of Wisconsin and you currently receive insurance coverage through Medicaid, you may be able to access low-cost or free addiction treatment services.

The state of Wisconsin often partners with community-based agencies and organizations to provide quality health care for people experiencing mental health or substance abuse issues.

Medicaid coverage makes it possible for all Wisconsinites to receive the treatment services they need, regardless of income.

Substance Use Disorder (SUD) Treatment Covered By Wisconsin Medicaid

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

Some of the addiction services covered by Wisconsin Medicaid include:

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

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

Top 5 Rehab Facilities In Wisconsin That Accept Medicaid

Many addiction treatment centers in Wisconsin accept Medicaid, five of which have been selected for this list.

The drug and alcohol addiction treatment providers below are one or more of the following:

• accredited
• certified
• reviewed positively on Google
• backed by client testimonials
• in partnership with valued organizations

1. Arbor Place, Multiple Locations

Arbor Place is a private, non-profit recovery center that provides substance abuse and mental health services. The center operates two clinics, in Menomonie and River Falls.

Individualized behavioral health services are provided to ensure clients receive the personalized care they need.

Trusted features:

• state licensure
• nonprofit status

Levels of care:

• residential treatment
• inpatient treatment
• day treatment
• outpatient program (OP)

Treatment services:

• individual therapy
• group therapy
• cognitive behavioral therapy (CBT)
• motivational interviewing (MI)
• dual diagnosis treatment
• family support

Payment options:

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

2. Behavioral Health At SSM Health Ripon Community Hospital, Ripon, Wisconsin

Behavioral Health at SSM Health Ripon Community Hospital is part of lSSM Behavioral Health, a non-profit health system that provides personalized care to residents across Wisconsin.

Included in its range of services is a drug and alcohol rehab program and mental health services.

Trusted features:

• Joint Commission accreditation
• evidence-based treatment
• non-profit status

Levels of care:

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

Treatment services:

• individual therapy
• group therapy
• family therapy
• couples therapy
• dialectical behavior therapy (DBT)
• eye movement desensitization and reprocessing (EMDR)
• psychotherapy
• dual diagnosis treatment
• telehealth

Payment options:

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

3. Comprehensive Treatment Center, Multiple Locations

Comprehensive Treatment Center (CTC) is a collection of clinics that provide outpatient treatment for opioid use disorder.

Medication-assisted treatment (MAT) is provided. The facility offers same-day admissions and 24-7 scheduling services. The clinic has locations in Eau Claire and Green Bay.

Trusted features:

• Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
• evidence-based treatment

Levels of care:

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

Treatment services:

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

Payment options:

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

4. Family Service Madison, Madison, Wisconsin

Family Service Madison is a non-profit human service agency that provides community service programs for children, adolescents, adults, and families.

Among its treatment options are counseling services, which include family counseling, as well as outpatient services and drug and alcohol prevention programs.

Trusted features:

• Council on Accreditation (COA) accreditation
• Psychology Today verification
• non-profit status

Levels of care:

• day treatment
• outpatient program (OP)

Treatment services:

• individual therapy
• family therapy
• couples therapy
• psychotherapy

Payment options:

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

5. Meta House, Milwaukee, Wisconsin

Meta House is a non-profit organization that provides alcohol and drug abuse treatment programs for women and their families.

Residential treatment houses women and their children, age 10 and under, as they receive intensive, round-the-clock care. The average length of the women-only program is 90 days.

Trusted features:

• Substance Abuse and Mental Health Services Administration (SAMHSA) certification
• United Way partnership
• evidence-based treatment
• non-profit status

Levels of care:

• residential treatment
• outpatient program (OP)

Treatment services:

• sober living
• individual therapy
• group therapy
• cognitive behavioral therapy (CBT)
• trauma therapy
• anger management
• gender-specific treatment
• relapse prevention
• telehealth

Payment options:

• private health insurance
• Medicaid
• Medicare
• self-pay
• government funding

Factors Affecting Wisconsin Medicaid Coverage For Drug Rehab

Several factors can affect your Medicaid insurance coverage of addiction treatment services such as inpatient or outpatient rehab.

Keep reading to learn about some of these factors to determine what you can expect.

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 for behavioral health services.

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 received in a hospital setting.

Cost Breakdown For Addiction Treatment Services

Refer to the information below to determine what your final cost for addiction treatment may be.

Costs for each treatment program by the day, with Medicaid coverage, include:

• all-day treatment services: $10 per day
• inpatient hospital: $50 per hospital stay
• narcotic treatment services: $15 per visit
• outpatient substance abuse services: $15 per visit

Prior Authorization For Some Services

There are a few services that require approval first, which is known as prior authorization (PA). With PA, a provider must receive approval before administering a service.

If the person receiving treatment decides to move forward after approval is 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 a person is exempt or citizenship is verified by the Social Security Administration, the individual must also be a resident of the U.S.

You may be eligible to receive Medicaid coverage if you are a:

• pregnant woman
• child
• former foster care child
• person who is blind and/or disabled
• senior adult
• parent and/or caretaker relative of children
• migrant family worker

Wisconsin Medicaid Income Eligibility Requirements

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

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

Annual income limits for people who are 100% FPL are as follows:

• one-person household: $19,392
• two-person household: $26,228
• three-person household: $33,064
• four-person household: $39,900
• five-person household: $46,737

For households with more than five people, add $6,836 per additional person.

How To Use Your Wisconsin Medicaid Plan For Drug Rehab

If you or a loved one is ready to take the next step and enroll in a drug rehab center, and you qualify for Medicaid coverage, you should begin the process of applying for Medicaid as soon as possible.

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

BadgerCare works with several health maintenance organizations (HMOs), including:

• 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

Not all healthcare 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-covered rehab center of your choosing.

Find Drug Rehab Services Today

If you or a loved one wants to learn more about drug and alcohol treatment facilities and services, call Detox Rehabs today.