Does Nevada Medicaid Cover Drug Rehab?
Get Answers and Proven Programs at Icarus in Nevada
At Icarus Nevada, we understand the dilemma. The cost of addiction treatment is a significant concern for many people looking for help. Committing to rehab is hard enough; you shouldn’t also have to worry about whether you can afford to get healthy. But it happens every day.
Most public and private health insurance plans offer mental health and substance abuse treatment coverage. However, it can be hard to find a high-quality rehab that you like in your network, especially if you have a government-funded health plan like Medicaid in Nevada. Fortunately, there’s hope.
At Icarus, the answer to “Does Nevada Medicaid cover drug rehab?” is a resounding yes!
Icarus Behavioral Health is proud to accept Medicaid from in-network clients in Las Vegas, Nevada, and from across the Silver State as a whole. Our comprehensive addiction treatment programs help you address and overcome substance abuse disorders with evidence-based treatments.
We utilize a holistic approach to your mental and physical health that includes dual-diagnosis treatments for complex disorders.
Keep reading to learn more about how Nevada Medicaid and Icarus can help you get the care you need.
What Is Medicaid Insurance and Who Qualifies?
Medicaid is a government program that provides assistance to Americans who don’t have access to effective health coverage due to finances, disability, or other specific circumstances.
You may be eligible for Medicaid in Nevada if you make less than 138% of the federal poverty level and:
- Have a disability
- Are pregnant
- Live with someone who has a disability like depression or PTSD
- Take care of a child 18 or younger
- Are blind
In most cases, low income alone is not enough to qualify for Nevada Medicaid. Your limited income must be the result of a specific condition or situation.
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Does Nevada Medicaid Cover Drug Rehab? What Medicaid Providers Service Nevada?
The federal government administers Medicaid, but it’s managed at the state level. So, Nevada has its own specific Medicaid insurance providers.
Nevada’s Medicaid providers are:
- Anthem Blue Cross and Blue Shield
- Health Plan of Nevada
- Molina Healthcare of Nevada
- SilverSummit Healthplan
Each provider has its own network and coverage levels, so you’ll still need to choose a provider to find in-network care. At Icarus, we work with many types of NV Medicaid.
What Does Medicaid Cover?
Medicaid offers coverage for a wide variety of health-related care, including physical health care, behavioral health services, mental health services, dentistry, prosthetics, and many more.
These coverages include addiction treatment services, which may be free or at a reduced cost, depending on the rehab you choose and the treatment type you undergo. Medicaid treatment services for addiction should always be evidence-based and in keeping with the latest research from the Substance Abuse and Mental Health Services Administration (SAMHSA).
Do All Nevada Rehabs Accept Medicaid?
When you have Nevada Medicaid, you’ll have a network of providers, including mental health and substance abuse treatment centers, with higher coverage levels under your plan. However, just because your insurance company has to cover these providers doesn’t mean those providers have to accept your insurance.
Doctors and private drug rehab facilities can choose which insurance companies they work with and which plans they accept from those providers. In many cases, a doctor or rehab facility may accept a private health insurance plan from your insurance company but will not take you as a patient if you’re on Medicaid.
If you have Nevada Medicaid, it’s crucial that you contact a Medicaid-friendly drug and alcohol treatment center like Icarus to avoid surprise costs and delayed treatment services.
Why It’s Hard to Find Rehab Centers That Accept A Nevada Medicaid
Drug rehab centers that accept Nevada Medicaid are much harder to find than addiction treatment centers that take other insurance types because Medicaid is a government program with different reimbursement rates and administrative procedures.
In a 2015 survey, approximately 45% of primary care providers were willing to accept Medicaid as opposed to 94% who said they’d take private health insurance. But why would addiction treatment providers turn away paying clients?
Healthcare providers often spend more time and receive lower reimbursements when filing an insurance claim with Medicaid. Their negotiated rates are lower and require additional filings, which slows things down and complicates their billing process. So, a provider with limited openings is less likely to accept Medicaid because of higher demands and lower payments.
What Addiction Treatment Services Does Nevada Medicaid Cover?
As if worrying about whether a specific rehab is in your network or if they take Medicaid wasn’t enough, you may also be concerned about whether or not the treatment services you need are covered by insurance. Fortunately, thanks to the Affordable Care Act (ACA), addiction treatment will be covered to some extent in most cases.
As a government-backed insurance program, Medicaid must comply with the Affordable Care Act. The ACA requires insurance plans to offer mental health coverage, including substance abuse treatment, which includes most treatment programs at Medicaid drug rehabs like Icarus.
Here’s what Nevada Medicaid coverage can help with.
Medical Detox
A medical detox is required when you’ve habitually abused substances that pose a risk to your health if stopped suddenly. Alcohol, benzo, and opioid withdrawal can be dangerous or even fatal if you don’t have medical supervision or receive medication-assisted treatment to control the side effects of substance abuse.
Medical detox is usually a few days to a week of continuous monitoring, which most insurance plans will cover most or all of.
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Residential Inpatient Rehab Programs
Inpatient treatment is the most intensive form of rehab. It requires you to stay at the drug rehab center around the clock to receive monitoring, medication management, and behavioral health services on a set schedule without the distractions you might experience at home.
Inpatient programs are often 30, 60, or 90 days and cost the most because of the 24-hour care you receive while attending them. Some health insurance companies will try to limit how long you can stay or require additional proof that the care is medically necessary, but you’ll usually have some level of coverage for in-network inpatient programs at drug rehab centers.
Partial Hospitalization Programs or PHPs
A partial hospitalization program (PHP) falls between an inpatient and intensive outpatient program. Instead of attending treatment services a few days per week for a few hours each day, you’ll attend daily and for longer sessions.
It’s almost as intensive as inpatient programs, but you’ll go home at night instead of staying at the addiction treatment center, which helps lower the cost. As a result, PHP is often covered.
Intensive Outpatient Programs vs Traditional Outpatient Services
Outpatient programs are the least intensive of the drug and alcohol rehab programs. You’ll usually only attend the drug rehab center for individual or group therapy or meeting with your mental health services provider for medication management. You don’t live at the treatment facility during outpatient services, which makes it much cheaper to cover for your Nevada Medicaid provider.
Intensive outpatient programs (IOP) are more strict than outpatient programs but less costly. You’ll attend outpatient sessions more frequently and have certain attendance requirements to stay in the program, like spending 10 hours in treatment per week at a minimum. Many intensive outpatient treatment services are covered by insurance.
How Much Does Drug Rehab with Nevada Medicaid Cost?
Addiction treatment services are an investment. It’s crucial to your overall health and can even save you money in the long run as you spend less on substance abuse and save money on future medical bills. However, even with insurance, the cost of treatment for substance abuse is still something we regularly hear concerns about.
If you have Medicaid in Nevada, you likely have drug rehab coverage as part of your health insurance plan. However, you must choose a drug and alcohol treatment center that’s in your network and will accept Medicaid insurance, like Icarus Behavioral Health.
If you need a more accurate estimate, be sure to call directly to verify coverage and get an estimate. At Icarus Nevada, we’ll check your insurance coverage and help provide you with an estimate that avoids surprises.
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Get In-Network Care Using Nevada Medicaid at Icarus Today
Finding a rehab that takes your insurance is enough to make some people second-guess treatment. Medicaid health insurance providers are required to provide mental health treatment coverage, but they can’t force your rehab to accept Medicaid plans.
At Icarus Behavioral Health in Nevada, we’re proud to make it easy for our clients to use their Medicaid coverage to make rehab accessible. Our holistic addiction treatment programs work to address your substance abuse disorder from the root with dual-diagnosis treatment and personalized treatment plans through tailored inpatient and outpatient programs.
Stop frantically searching for a rehab that will accept Nevada Medicaid health insurance. Give us a call today!
References
- https://www.benefits.gov/benefit/1634
- https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines
- https://dwss.nv.gov/uploadedFiles/dwssnvgov/content/Home/Features/Forms/Peace%20of%20Mind%20Brochure%204-22%20ADA.pdf
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452575/
- https://www.hhs.gov/answers/health-insurance-reform/does-the-aca-cover-individuals-with-mental-health-problems/index.html
