Does Medicaid Cover Oxycodone Addiction Treatment?

Medicaid can be quite beneficial to anyone seeking alternative methods to pay for oxycodone addiction treatment, which can include outpatient rehab, inpatient rehab, and medication-assisted treatment.

Medicaid offers affordable health coverage to eligible individuals. It is funded by federal and state governments and governed under federal directives by individual states. Medicaid is one of the biggest payers in the US for mental health services and plays a significant role in the payment of health services for substance abuse disorders. The program enables eligible populations such as low-income families to receive continued care through recovery and treatment by connecting them with resources to meet their specific needs.

Checking Medicaid Coverage

If you want to find out whether Medicaid can cover your Oxycodone addiction treatment, contact Medicaid’s member services or your insurance agent so they can inform you.

Healthcare legislation such as the Affordable Healthcare Act determines that Medicaid has to cover specific services falling under the umbrella of addiction treatment. Other services that comprehensive medical plans can cover for people diagnosed with addiction or substance use disorders include:

  • Oxycodone Addiction TreatmentDual diagnosis services that could be relevant to the individual’s diagnosis
  • Medically assisted detox
  • Addiction treatment medication to assist the patient in comfortably and safely getting through withdrawal, preventing cravings, or addressing any other related treatment needs.
  • Family counseling if it’s necessary for treatment
  • Outpatient or inpatient rehabilitation services in an authorized treatment facility that accepts this type of program
  • Interventions which can include hospital stays
  • Drug and alcohol testing in addiction or substance abuse-related cases
  • Health screenings to ascertain the individual’s current health status, the effects of their addiction on it, and substance use disorder diagnoses

Check with Medicaid in your state to see if they cover these services within your state. This could also include crisis intervention, case management, individual counseling, and group counseling related to alcohol or drug addiction treatment. Other Oxycodone addiction treatment services that Medicaid can cover include the following:

  • Outpatient rehab: These programs enable you to stay home as you keep going for treatment at a hospital or rehab facility. Based on your program, you can go for treatment sessions for up to 2-7 days weekly.
  • Residential rehab/inpatient treatment: This type of treatment involves the user staying in a rehab facility for a specified amount of time. Most of these programs can last for up to 15-90 days based on the patient’s needs. Inpatient rehab includes around-the-clock support from the facility staff, group therapy, and individual counseling.
  • Intensive outpatient (IOP): These programs involve going for treatment several times weekly as you keep attending to other responsibilities such as work or school during the day. However, you must go for the treatment sessions in the evenings. An IOP program is an ideal option for people with family or work obligations keeping them from engaging in a more intensive treatment approach.
  • Partial hospitalization (PHP): These programs involve recovering users committing to attending treatment in the daytime as they keep staying at home. Most PHPs can go for up to 15-90 days.

Rehab Duration Covered by Medicaid

Oxycodone Addiction TreatmentThe duration of oxycodone addiction treatment covered by Medicaid will vary. Medicaid typically limits the number of services they cover every year per treatment category. For example, the length of inpatient treatment covered could be restricted to a specific number of days annually. On the other hand, the duration of Oxycodone addiction treatment will depend on the patient’s needs. An inpatient rehab program also varies based on the patient’s needs and not what insurance can cover.

Check the details of your Medicaid plan by contacting the number on your card or calling the rehab facility directly to confirm your Medicaid benefits while you’re on the line.

Medicaid Eligibility

The government usually funds this public insurance program to help low-income families, and individuals access healthcare. Medicaid provided coverage for some elements of rehab treatment. Medicaid eligibility is specified by at least one of the following factors:

  • You fall under a specific low-income bracket
  • You are a parent
  • You are pregnant
  • Individuals who are below 19 years
  • Individuals who are older than 65 years

Medicaid in some states covers all adults falling below a specified income level even if they are not in any of the categories mentioned. Individuals who also get supplemental security income usually qualify for Medicaid. To identify if you fall under the low-income category according to the Affordable Care Act, the total income in your household has to be under the federal poverty level. On the other hand, you can still qualify for Medicaid even if what you earn falls above the federal poverty level, based on your exact income bracket.

Drug Rehab Sponsored by Medicaid

Medicaid It can be challenging to find an affordable rehab facility, and you’ll need to do quite a bit of work before you do. However, Medicaid can help you eliminate or even cut the cost of Oxycodone addiction treatment. This can give you peace of mind and comfort, enabling you to concentrate solely on your recovery and sobriety.

Another thing to consider when looking for Medicaid-sponsored addiction treatment is the facility offering these services. Some providers do not accept Medicaid, so if you choose to go for Oxycodone addiction treatment in such a facility, you would be charged for all the services provided. This is if you agreed to pay for part of your care costs in writing knowing the coverage plan would not cater for it.

Overall, when looking for Oxycodone addiction treatment sponsored by Medicaid, you should look out specifically for rehab facilities that accept this insurance coverage for their services. If you are experiencing financial struggles and lack health insurance, contact the facility, and they can help you understand your payment options or even help you apply for Medicaid.