How to Get into Rehab with Medicaid

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Access to quality addiction treatment is essential, and for many individuals, Medicaid makes this possible by covering rehab services. Knowing how to navigate the Medicaid process can help you or a loved one access the necessary treatment for recovery. This guide will explain how to get into rehab using Medicaid and what to expect throughout the process.

Understanding Medicaid Coverage for Rehab

Medicaid is a government-funded health insurance program that provides coverage for individuals with low incomes and certain other qualifying factors. It covers various types of addiction treatment services, including: 

  • Detoxification Services
  • Inpatient and Outpatient Rehab Programs
  • Medication-Assisted Treatment (MAT)
  • Counseling and Therapy Services

 

Each state manages its Medicaid program under federal guidelines, so coverage can vary.

Steps to Access Rehab with Medicaid

Step 1: Verify Your Medicaid Eligibility

Before seeking treatment, ensure that you meet your state’s Medicaid eligibility requirements. Eligibility is typically based on income, family size, disability status, and other factors. You can check your eligibility by visiting your state’s Medicaid website or contacting a local health office.

Step 2: Enroll in Medicaid

If you are not already enrolled in Medicaid, you will need to complete the application process. This can be done online, by phone, or in person at your local Medicaid office. Be prepared to provide documentation, such as proof of income, identification, and residency.

Step 3: Find Medicaid-Approved Rehab Facilities

Search for treatment centers that accept Medicaid in your area. Many rehab centers list this information on their websites or can be contacted directly for confirmation. You can also use state health department resources to find approved facilities.

Step 4: Get Pre-Authorization (if needed)

Some treatment programs require pre-authorization from Medicaid to cover the costs. This process involves having your healthcare provider submit the necessary documentation and information to demonstrate the need for rehab services.

Step 5: Begin Treatment

Once your Medicaid coverage is confirmed and any required authorizations are complete, you can begin your rehab program. Your treatment plan will include therapy sessions, counseling, and any needed medical support.

Tips for a Smooth Application Process

  • Gather Necessary Documentation: Ensure you have all the required documents ready, such as proof of income, a valid ID, and any medical records.
  • Work with Healthcare Providers: Your doctor or healthcare provider can assist with necessary medical forms and pre-authorization.
  • Follow Up: Keep in touch with Medicaid representatives or your rehab center to confirm your approval status and next steps.

How Ohio Recovery Centers Can Help

Ohio Recovery Centers is dedicated to helping individuals navigate the complexities of treatment coverage, including Medicaid. Our team can guide you through the process, from understanding your eligibility to finding the right program for your needs. We offer comprehensive addiction treatment services that are Medicaid-approved, ensuring you receive the care you deserve.

Start Your Journey to Recovery

Medicaid can be a valuable resource for accessing addiction treatment without overwhelming financial strain. If you or a loved one is considering rehab and needs guidance, reach out to Ohio Recovery Centers today. Our experienced staff is here to help you understand your options, navigate the Medicaid process, and start your path to recovery.

Skyler Fontaine, LCDC III

Reviewed on 11/15/2024

Table of Contents

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Joseph Gilmore

Joseph Gilmore has been working in the addiction industry for half a decade and has been writing about addiction and substance abuse treatment during that time. He has experience working for facilities all across the country. Connect with Joe on LinkedIn.
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Christopher Glover CDCA

My name is Christopher Glover, and I am from Cincinnati, Ohio. I am currently in school and working to grow in competence to better support our community. As a recovering individual I know the struggles that you or a loved one can go through and that there is help for anything you may be struggling with.

The hardest part is asking for help and we are here as a team to best support you and your decision to start your journey towards a better future. Connect with Chris on LinkedIn

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Amanda Kuchenberg PRS CDCA

I recently joined Ohio Community Health Recovery Centers as a Clinical Case Manager. I am originally from Wisconsin but settled in the Cincinnati area in my early 20s.  My career started in the fashion industry but quickly changed as I searched to find my drive and passion through helping others who struggle with addiction. 

As someone who is also in recovery, I wanted to provide hope, share lived experience, and support others on their journey.  I currently have my Peer Recovery Support Supervision Certification along with my CDCA and plan to continue my education with University of Cincinnati so I can continue to aid in the battle against substance addiction. Connect with Amanda on LinkedIn.

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Patrick McCamley LCDC III

 Patrick McCamley (Clinical Therapist) is a Cincinnati native who has worked in substance use disorder/co-occurring mental health disorder treatment since 2019. Patrick received his bachelors degree in psychology from University of Cincinnati in 2021 and received his LCDC III (Licensed Chemical Dependency Counselor) license from the Ohio Chemical Dependency Professionals Board in 2022. Patrick has worked in Clinical Operations, Clinical Case Management, and Clinical Therapy throughout his career.

Patrick has tremendous empathy and compassion for the recovery community, being in recovery himself since 2018. Patrick is uniquely qualified to be helpful because of the specific combination of his academic background and his own experience in recovery.

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Bill Zimmerman CDCA

Bill Zimmerman is a Greater Cincinnati Area native who has worked in substance use disorder/co-occurring mental health disorder treatment since 2018. Bill received his (Chemical Dependency Counselor Assistant) license from the Ohio Chemical Dependency Professionals Board in 2020.

Bill has worked in Clinical Operations in both support and supervision, and Program facilitating and 12 step recovery support during his career. Bill has a passion for the recovery community, having been in recovery himself since 1982. Connect with Bill on LinkedIn

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Taylor Lilley CDCA, PRS

Growing up in Louisiana with addiction running rampant on both sides of my family. A life away from drugs and alcohol seemed impossible for someone like me. I remember what it was like sitting across from someone thinking there is no way they could ever understand what I was going through.

Sharing my experience offers a credibility and a certain type of trust with clients that only someone who has walked down this road can illustrate. To immerse myself further into the field of addiction, I am currently studying at Cincinnati State for Human and Social Services.  I hope I never forget where I came from, if I can do it, so can you!

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Thomas Hunter LSW

Hello my name is Thomas Hunter. I was born and raised in Cincinnati, Ohio. I am a licensed social worker.In my scope of practice I have worked in the areas of mental health and recovery for thirty years. The clients I have worked with in my career have ranged in age from seven to seventy.

I strive each day to serve my purpose of helping those in need and I believe I do so by utilizing all of my experiences to accomplish my goal of supporting those who desire to establish their sobriety and maintain it in their recovery. Connect with Thomas on LinkedIn.

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Mary D.Porter,LICDC

 My name is Mary D. Porter. I received my Masters of Social Work in 2008 from The University of Cincinnati. I received My Licensed Independent Chemical Dependency Counselor Licensure in 2001. I retired from The Department of Veteran Affairs Medical Center on April 14, 2014. Currently, I am the Associate Clinical Director for The Ohio Community Health Recovery Centers in Cincinnati.. Due to the fourth wave of the Opioid Epidemic in 2019,  I decided to enter back into the workforce to assist the addicted population.

The overdoses were astounding and I wanted to help.  I consider myself  to be an advocate for the addicted population. My compassion, resilience, empathy, wisdom, knowledge, experience and  love I have for this forgotten population goes beyond words. I consider what I do for the addicted population as a calling versus a “career,” because I too was once an “addict and alcoholic.” Today I am 45.5 years alcohol and substance free.

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Ben Lemmon LCDC III

Hello, my name is Ben Lemmon, and I’m the Vice President and Clinical Director at Ohio Community Health Recovery Centers. I’ve been working in the addiction and mental health field since 2013 and decided to enter the field after overcoming my own challenges with addiction.

When I first meet a client, I always explain to them that the reason we are meeting is because they are not capable of obtaining or maintaining sobriety, and my goal is to create a person that can maintain sobriety. I believe a person’s personality is made up of their thoughts, feelings and actions and my job is to help clients identify the thoughts, feelings and actions that have them disconnected from recovery and provide them with the tools to live a healthy and happy life. Connect with Ben on LinkedIn