Do Drug and Alcohol Rehab Centers Take AHCCCS Insurance?
Arizona Health Care Cost Containment System (AHCCCS) is the name of Arizona’s Medicaid agency. This government-funded health insurance program provides health care to Arizona citizens who satisfy the program’s eligibility requirements. AHCCCS rehab coverage will likely pay all or part of the expenses if you need professional addiction treatment. Keep reading for more information.
Who is Arizona Health Care Cost Containment System?
The Arizona Health Care Cost Containment System, also known as AHCCCS and pronounced "access," was established in 1982 and is Arizona's Medicaid program. Medicaid is a healthcare program funded by both the federal and state governments. It is intended for individuals and families who meet the eligibility criteria based on their income level.1
AHCCCS operates under a managed care model, meaning it contracts with managed care organizations (MCOs) to deliver healthcare services to its members. These services include doctor visits, hospital care, prescription drug plans, behavioral health services, dental care, vision care, maternity care, and long-term care.
AHCCCS also plays a significant role in addiction treatment in Arizona. The program recognizes the importance of addressing substance use disorders as part of comprehensive healthcare and offers coverage for addiction treatment services to eligible individuals. AHCCCS is vital in providing health care coverage to vulnerable populations in Arizona. It helps to ensure that eligible low-income individuals and families have access to necessary medical services, promoting better health outcomes and reducing the financial burden of healthcare expenses.
What is AHCCCS Rehab Insurance Coverage?
AHCCCS rehab insurance coverage refers to the addiction treatment services and benefits the Arizona Health Care Cost Containment System (AHCCCS) provides for individuals with substance use disorders. AHCCCS offers comprehensive coverage for rehabilitation services to eligible individuals seeking treatment and recovery from addiction.
Below are some key aspects of AHCCCS rehab insurance coverage:
- Inpatient care
- Outpatient care
- Medication-assisted treatment (MAT)
- Counseling and therapy
- Peer support services
- Wellness programs
The coverage and services provided may differ depending on the eligibility criteria, individual requirements, and the particular managed care plan you’re enrolled in, among other factors. To verify insurance information regarding rehab coverage and to determine specific benefits, call 866-461-3339 or consult the official AHCCCS website for the most current information.
Does AHCCCS Cover Drug and Alcohol Rehab?
“Does AHCCCS cover rehab?” This is a common question, and the short answer is yes. The Arizona Health Care Cost Containment System (AHCCCS) recognizes the importance of addiction treatment and provides coverage for various services to help individuals with substance use disorders. The specific coverage and available services may vary based on several factors, including eligibility criteria, individual needs, and the managed care plan you’re enrolled in.
To get detailed information about AHCCCS alcohol rehab or AHCCCS drug rehab services, consult the AHCCCS rehab provider networks2, have us verify your rehab insurance coverage for you by filling out the form below, or call 866-461-3339 today.
Check Your AHCCCS Insurance for Addiction Treatment
Our admissions coordinators will interact directly with your insurance provider on your behalf, removing from your shoulders the burden of figuring out if your insurance will pay for your addiction treatment.
Does AHCCCS Cover Mental Health Rehab?
Yes, Arizona Health Cost Containment System (AHCCCS) does cover mental health rehab services for eligible individuals. The AHCCCS recognizes the importance of mental health treatment and provides coverage for various services to help individuals with mental health disorders. You’ll likely receive all behavioral health services through your chosen AHCCCS Complete Care plan.3
Services include but are not limited to the following:
- AHCCCS in-network Inpatient Rehab for Mental Health: This involves staying at a specialized facility where you’ll receive intensive, 24/7 care, counseling, and support to address your mental health needs.
- Outpatient Treatment: AHCCCS offers coverage for mental health treatment services that can be received on an outpatient basis. These services may include individual counseling, group therapy, family therapy, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and other evidence-based treatments.
- Medication Management: AHCCCS provides coverage for medications used to treat mental health disorders, such as psychiatric medications that aid in managing symptoms and promote overall mental well-being.
- Crisis Intervention Services: These services provide immediate support and intervention during acute distress or crisis.
- Counseling and Therapy: This may involve various therapeutic modalities, such as psychotherapy, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and others, tailored to your or your loved one’s needs.
- Peer Support Services: AHCCCS recognizes the value of peer support in mental health recovery. Coverage includes services provided by certified peer support specialists with personal experience with mental health challenges. These support groups offer understanding, encouragement, and guidance.
- Integrated Care: AHCCCS promotes integrated care, recognizing the connection between mental and physical health. This approach ensures that you or your loved one receive comprehensive care addressing mental health needs and co-occurring physical health conditions.
- Co-Occurring Disorders: AHCCCS recognizes the common co-occurrence of substance use disorders and mental health conditions. Programs cover dual diagnosis treatment, addressing addiction and any underlying mental health concerns.
The specific coverage and available services may vary based on eligibility criteria, individual needs, and the plan you’re enrolled in. To obtain detailed information about accessible AHCCCS mental health rehab services, call 866-461-3339 today.
Inpatient and Outpatient Rehab Centers That Take AHCCCS Insurance
For years, we at Virtue Recovery Center have been helping individuals overcome addiction and substance abuse. We have multiple accredited treatment facilities in various states, each offering the appropriate level of care for you or your loved one. Visit one of our physical locations in Arizona listed below:
- Chandler, Arizona: 111 S Hearthstone Way, Chandler, AZ 85226, United States
- Sun City West, Arizona: 13951 W Meeker Blvd, Sun City West, AZ 85375, United States
Call us today at 866-461-3339 for more information!
How Much Does Rehab Cost with AHCCCS Insurance?
You’ll typically pay part of the cost for covered services through copayments or coinsurance with AHCCCS insurance. These out-of-pocket expenses are based on a sliding scale fee considering your income and other factors. However, the cost of AHCCS rehab coverage can vary according to the specific services received, the duration of treatment, and more.
AHCCCS has different plans and coverage options, and the exact costs associated with rehab services can also vary depending on the specific plan you’re enrolled in. For example, some plans may have more comprehensive coverage with lower out-of-pocket costs, while others may require higher copayments or coinsurance.
You can contact us at 866-461-3339 for detailed information about the specific plan, coverage, and associated costs for rehab services with AHCCCS insurance.
How To Check My AHCCCS Insurance Coverage Levels for Rehab Treatment
Are you having trouble contacting your insurance provider about your rehab coverage? Virtue Recovery Center can help. Simply fill out our no-obligation online form, and one of our highly qualified staff members will contact your provider to verify your insurance coverage levels. We are in-network with most insurance plans and can answer any questions you may have. Plus, we ensure that all information you provide remains confidential. So, contact us today at 866-461-3339 to discuss your AHCCCS rehab coverage and next steps.
How To Get AHCCCS To Pay for Rehab Treatment
The specific procedures and requirements may vary depending on your circumstances and the AHCCCS plan you are enrolled in. Generally, it begins with ensuring you meet the eligibility requirements for AHCCCS coverage, which are as follows:4
- Residency: You must be a resident of the state of Arizona.
- Citizenship or Immigration Status: You must be a US citizen, US national, or qualified non-citizen with appropriate immigration status.
- Social Security Number: You must provide a valid Social Security number or proof of application for one.
- Income: You must meet income requirements based on household size and income limits set by AHCCCS. Income eligibility varies depending on the AHCCCS program category.
- Categorical Eligibility: You must fall into one of the AHCCCS program categories, such as pregnant women, parents or caretaker relatives, children, adults without dependent children, individuals with disabilities, or individuals aged 65 and older.
- Other Eligibility Factors: Additional factors, such as age, disability status, pregnancy, and household composition, may be considered for eligibility determination.
The above bullet points provide a general overview of eligibility requirements, and there may be specific details and exceptions for each category. For a comprehensive understanding of the eligibility requirements and to determine your eligibility for AHCCCS coverage, call 866-461-3339.
Once you've determined your eligibility, seek a treatment provider. Research and choose a rehab treatment provider or facility that accepts AHCCCS insurance. Contact the provider or facility directly to confirm that they accept your specific AHCCCS plan and to discuss the treatment options available.
You’ll likely need a referral or prior authorization from your primary care provider or the AHCCCS behavioral health service provider to access treatment. Check with your AHCCCS plan or provider to determine if this step is necessary and follow the appropriate procedures.
Once you have obtained the necessary referral or prior authorization, attend the rehab treatment as directed. Ensure you provide your AHCCCS insurance information to the treatment provider or facility. The rehab treatment provider or facility will bill AHCCCS for the covered services. Therefore, ensure they have accurate and up-to-date information regarding your AHCCCS coverage. It's also important to review any Explanation of Benefits (EOB) you receive from AHCCCS to ensure the services are being billed correctly.
Depending on your plan, you may be responsible for copayments or coinsurance for the AHCCCS rehab coverage. Pay any applicable out-of-pocket costs according to the terms of your AHCCCS plan.
Contact AHCCCS directly, consult their official website, or call us at 866-461-3339 for detailed information on accessing and receiving coverage for rehab treatment. Reaching out to your chosen treatment provider or facility can help you navigate insurance proceedings and ensure a smooth payment and reimbursement process.
How Many Times Will AHCCCS Pay for Rehab?
The number of times AHCCCS will pay for rehab depends on the specific circumstances and your treatment needs. AHCCCS rehab coverage is typically determined case-by-case, considering the medical necessity and your treatment progress. AHCCCS will generally cover rehab services as long as they are deemed medically necessary. We will design a treatment planned tailored to your exact needs and work with AHCCCS to make sure you get the required help to continue your journey to recovery,
Rehab Treatment and Insurance Statistics
- Approximately 50% of Arizonans had consumed alcohol in the last month of 2020, and 23% of those people had participated in binge-style drinking. In addition, over 1% reported using methamphetamine the previous year, while 4% reported abusing painkillers.5
- More than 2.4 million Arizonans get physical and behavioral health services from more than 115,000 healthcare professionals via contracted health plans through AHCCCS.
- As of May 1, 2023, 48,528 individuals with a serious mental illness (SMI) were enrolled in AHCCCS.6
- According to the AHCCCS' statistics in its 2018 Annual Report on Drug Abuse Treatment Programs, members who got treatment for a substance use disorder (SUD) improved across the board, but more so in certain areas than others.7
- Over $455 million in service funds was used by AHCCCS for members and families with substance use disorder (SUD) during Arizona’s fiscal year of 2019.8
- Most (55.6%) members enrolled in AHCCCS who received a substance use disorder (SUD) treatment service in2019 were White. In addition, 6.9% of members wereAfrican American, 7.9% were American Indian, 0.6% were Asian, and 0.2% were NativeHawaiian/Pacific Islander. Statewide, 1.7% of members enrolled and served identified asHispanic/Latino.
- Most treated with a substance use disorder (SUD) in 2019 were adults between the ages of 25 and 44, accounting for more than half of all members (53.9%). In addition, 28.7% were between the ages of 45 – 64, and about 3.5%were under 18.
- Methamphetamines were the most common substance used statewide by those in treatment in 2019 at 19.8%, followed closely by opiates at 19.4%. The next substance used was marijuana at 19.0%, followed by alcohol at 18.8%. The least common substance reported was other sedatives/tranquilizers and inhalants (0.2%).
- 183,039 AHCCCS members with a substance use disorder (SUD) were treated in 20219
- The total expenditures for inpatient psychiatric treatment in 2022 for AHCCCS members 21+ was $174,659,408.70.10
Check Your AHCCCS Insurance Coverage With Virtue Recovery Center
If you’re committed to recovery, submit a request to one of our professional admission coordinators today using the form below. Before discussing the next steps, a coordinator will address any inquiries regarding our programs, including interacting directly with AHCCCS on your behalf to check your insurance coverage levels for drug or alcohol addiction rehab.
Using your Health Insurance Card, fill out all of the fields on the confidential form.
A member of our staff will contact your insurer to verify if your policy will cover your treatment
We will contact you promptly with the results of the verification and discuss the next steps
*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note that this is only a quote of benefits and/or authorization. We cannot guarantee that payment or verification eligibility will be accurate and complete as conveyed by your health insurance provider. Payment of benefits is subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service. Your health insurance company will only pay for services it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. Suppose your health insurance company determines that a particular service is not reasonable and necessary or that a specific service is not covered under your plan. In that case, your insurer will deny payment for that service, and it will become your responsibility.
*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note, this is only a quote of benefits and/or authorization. We cannot guarantee payment or verification eligibility as conveyed by your health insurance provider will be accurate and complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service. Your health insurance company will only pay for services that it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility.
-  “About AHCCCS.” Arizona Health Care Cost Containment System, www.azahcccs.gov/AHCCCS/AboutUs/index.html. Accessed 19 May 2023.
-  “Accessing and Locating Treatment.” Arizona Health Care Cost Containment System, www.azahcccs.gov/Members/BehavioralHealthServices/OpioidUseDisorderAndTreatment/Locating_Treatment.html. Accessed 19 May 2023.
-  “Behavioral Health Services.” Arizona Health Cost Containment System, www.azahcccs.gov/Members/BehavioralHealthServices. Accessed 19 May 2023.
-  “Medical Assistance Eligibility Policy Manual.” Arizona Health Care Cost Containment System, https://epm.azahcccs.gov/EligibilityPolicyManual/index.html#t=Introduction%2FHome.htm. Accessed 19 May 2023.
-  LeCroy & Milligan Associates, Inc. “AHCCCS Statewide Substance Abuse Prevention Strategic Plan.” Arizona Health Care Cost Containment System, 2020, www.azahcccs.gov/Resources/Downloads/Grants/SABG/AHCCCS_StatewideSubstanceAbuseStrategicPlan.pdf.
-  “Katie Hobbs, Governor Carmen Heredia, Director DMPS-DSU\Documents\DMPS Reporting\AHCCCS Population\Population Highlights\05012023 www.azahcccs.gov 602-417-4000 801 East Jefferson Street, Phoenix, AZ 85034 AHCCCS Population Highlights May 2023.” Arizona Health Care Cost Containment System, www.azahcccs.gov/Resources/Downloads/PopulationStatistics/2023/Highlights_05012023.pdf. Accessed 19 May 2023.
-  Gentzler, Sara. “Report: Outcomes Positive for Substance-abuse Treatment via AHCCCS.” State of Reform, Jan. 2019, stateofreform.com/news/arizona/2019/01/report-outcomes-positive-for-substance-abuse-treatment-via-ahcccs
-  “Annual Report: Substance Use Treatment Programs State Fiscal Year 2019.” Arizona Health Care Cost Containment System, Jan. 2020, www.azahcccs.gov/shared/Downloads/Reporting/2020/2020AnnualSAReport.pdf.
-  “Annual Report: Substance Use Treatment Programs State Fiscal Year 2021.” Arizona Health Care Cost Containment System, Jan. 2022, www.azahcccs.gov/shared/Downloads/Reporting/2021/FY21SubstanceUseDisorderReport.pdf.
-  “REPORT TO THE DIRECTOR OF THE JOINT LEGISLATIVE BUDGET COMMITTEE REGARDING INPATIENT PSYCHIATRIC TREATMENT AVAILABILITY.” Arizona Health Care Cost Containment System, Dec. 2022, www.azahcccs.gov/shared/Downloads/Reporting/2022/InpatientPsychiatricTreatmentReport.pdf.
START YOUR RECOVERY TODAY!
Contact Virtue Recovery Center 24/7 for inpatient treatment near you