Wyoming Medicaid may also be called EqualityCare. The government-funded program provides medical benefits to over 100,000 residents of the state.
Several addiction treatment programs are covered under Medicaid in Wyoming, including behavioral therapy, outpatient drug rehab, and more.
These services are little to no cost with Medicaid, whereas without such financial assistance rehab could cost hundreds or thousands of dollars.
What Addiction Treatment Services Are Covered By Wyoming Medicaid?
Services may vary based on the program, but there are many services commonly offered with Wyoming Medicaid.
The following substance abuse treatment programs are covered with EqualityCare:
- individual, family, and group therapy
- peer support
- outpatient programs (OP)
- intensive outpatient treatment (IOP)
- Addiction Treatment Programs Not Covered By Wyoming Medicaid
Some behavioral health treatments are not reimbursed by Medicaid in Wyoming.
The following are not covered by Wyoming Medicaid:
- residential room, board, and care
- substance abuse and mental health prevention services
Top 5 Rehab Centers In Wyoming That Accept Medicaid
There are several drug treatment programs in the state of Wyoming that accept EqualityCare.
The rehabs listed below were chosen for:
- accreditation
- client reviews and Google ratings
- other important selection criteria
1. Campbell County Health, Gillette, Wyoming
This is a healthcare organization offering many behavioral health services.
Features of Campbell County Health include:
- positive Google ratings and client reviews
- accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
Hospital inpatient and outpatient addiction treatment services offered here include:
- detox
- dialectical behavioral therapy
- inpatient treatment
- IOP
- medication management
Location and contact information:
501 S. Burma Ave.
5th Floor
Gillette, WY
(307) 688-5000
2. Fremont Counseling Service, Multiple Locations
Counseling centers are located in Riverton and Lander, Wyoming.
Top qualities of this wellness center include:
- accreditation from CARF
- evidence-based treatments
Here, recovering individuals can participate in the following treatment options:
- counseling
- IOP
- case management
Location and contact information:
748 Main St.
Lander, WY 82520
(307) 332-2231
3. High Country Behavioral Health, Multiple Locations
OP, IOP, MAT, and more are available at High Country Behavioral Health. Health insurance options accepted here include Medicaid, Medicare, private pay, and other options.
There are locations in Evanston, Idaho Falls, Star Valley, and five other cities.
A few of the notable features of High Country Behavioral Health are:
- high Google ratings
- evidence-based treatment
- positive client testimonials
Location and contact information:
190 Overthrust Rd.
Evanston, WY 82930
(307) 789-4224
4. Northern Wyoming Mental Health Center, Multiple Locations
Outpatient services are available in Sheridan, Buffalo, Newcastle, and Sundance. Services include intensive outpatient programs, medication-assisted treatment, and more.
This mental health center has:
- high Google ratings
- evidence-based treatment methods
- CARF accreditation
Location and contact information:
1221 West 5th St.
Sheridan, WY 82801
(307) 674-4405
5. Southwest Counseling Services, Rock Springs, Wyoming
Medical and mental health services covered by Medicaid and Medicare are available here.
This drug rehab center is supported by:
- evidence-based treatments
- CARF accreditation
Many short-term substance abuse services are provided here, such as:
- IOP
- relapse prevention
- assessment
- residential treatment
Location and contact information:
1124 College Dr.
Rock Springs, WY 82901
(307) 352-6680
Find additional Wyoming rehab centers near you
Factors That Affect Wyoming Medicaid Coverage For Addiction Treatment
While Medicaid will cover the bulk of the cost of drug addiction treatment, you may need to account for a few factors in the price and availability of rehab centers.
Copayments For Wyoming Medicaid
Wyoming Medicaid utilizes copayments as a cost-sharing program for most beneficiaries.
The following copays may be necessary for prescriptions:
- generic medications: $0.65
- preferred and non-preferred brand medications: $3.65
- compounds (brand and/or generic medications): $3.65
Prior Authorization For Wyoming Medicaid
Another factor that may affect your ability to receive substance abuse treatment is a prior authorization.
Some services need to be authorized by Medicaid before the cost is covered, such as certain prescription drugs.
If your request for a service is denied, this means Medicaid has deemed the service not medically necessary and will not offer payment assistance for the program.
Waitlists For Wyoming Medicaid Drug Rehabs
Substance use treatment facilities that accept Medicaid are not as commonplace. Because there are fewer options for Medicaid coverage, these rehabs are often in higher demand.
Higher demand means longer waiting lists. To use Medicaid for drug and alcohol addiction treatment, you may need to wait weeks or months for a spot to open up.
Eligibility For Wyoming Medicaid
The following people may qualify for Medicaid depending on income:
- children
- families
- pregnant women
- the blind, aged, or disabled
- low-income adults
- parents and caretaker relatives
Wyoming Medicaid Income Eligibility Requirements
As with each Medicaid program in the U.S., Medicaid eligibility depends on a person’s income.
These income limits are different for each eligible group and are based on the federal poverty level (FPL).
Below are the monthly income limits for pregnant women:
- one-person household: $1,653
- two-person household: $2,236
- three-person household: $2,819
- four-person household: $3,401
- five-person household: $3,984
- six-person household: $4,567
- seven-person household: $5,149
- eight-person household: $5,732
- nine-person household: $6,314
- 10-person household: $6,897
How To Use Your Wyoming Medicaid Plan For Drug Rehab
First, you’ll need to apply for Wyoming Medicaid. The application may take 45 to 90 days to be approved, after which a notification of eligibility will be mailed to you.
If you’re approved, you can enroll in the program and get your member ID card. Then, bring your ID and payment to the rehab center and begin treatment.
All services should be almost fully covered by Wyoming Medicaid unless you enroll in a program not specified by Medicaid.
Wyoming Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
It can be a difficult process to locate the best rehab program for yourself or a loved one. To help with your search, we’ve answered questions about Wyoming Medicaid drug rehabs.
Do Private Rehabs In Wyoming Accept Medicaid?
Private drug abuse treatment centers do not generally accept Medicaid.
Does Wyoming Medicaid Cover Opioid Abuse Treatment?
Wyoming Medicaid does not cover methadone, but it does cover naltrexone (Vivitrol), Suboxone, buprenorphine/naloxone tablets, and buprenorphine tablets.
What If I Need To Stay In Rehab Longer Than Wyoming Medicaid Covers?
Grants, scholarships, sliding fee scales, and other financing options are available to pay for remaining time at a rehab facility.
Find A Wyoming Medicaid Drug Rehab Center
We’re here to assist you in finding the right rehab program for yourself or your loved one.
Contact our helpline today to speak with a representative who cares. We’ll walk you through Medicaid coverage options, treatment programs, and help you to find a rehab center.
Article Sources- Wyoming Department of Health — Frequently Asked Medicaid Questions
https://health.wyo.gov/healthcarefin/medicaid/faqs/ - Wyoming Department of Health — Medicaid Income Requirements
https://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/medicaid-income-requirements/ - Wyoming Department of Health — WYOMING MEDICAID PROGRAM
https://wymedicaid.portal.conduent.com/manuals/Manual_MHSA.pdf