Rehabs Centers in Arizona That Accept AHCCCS (Medicaid)
Medicaid addiction treatment in Arizona is available to those without private health insurance. Finding rehabs in Arizona that take Medicaid, however, could be challenging. Read on for everything you need to know to get the required access to healthcare for you or your loved one.
Virtue Recovery Center Accepts AHCCCS (Medicaid) in Arizona
At Virtue Recovery Center, we’re committed to making our comprehensive treatment programs accessible to as many individuals as possible. That’s why we are pleased to confirm that our Arizona facilities accept Medicaid for both inpatient and outpatient rehab treatment services. Backed by an evidence-based, trauma-informed treatment approach, our programs offer one-on-one counseling, group therapy, and a range of supportive services to help individuals on their journey to recovery.
In Arizona, Medicaid operates under the brand name Arizona Health Care Cost Containment System (AHCCCS), which is focused on providing cost-effective health care to residents. If you are a member of AHCCCS, you may be eligible to receive coverage for drug and alcohol rehab treatment at our facilities. Our professional staff is available to verify your Medicaid benefits and clarify the extent of your coverage, so you can focus on your recovery journey without financial worries. Reach out to us today to learn more about how we can support you or your loved one on the path to recovery.
What is Arizona Known For?
Arizona has diverse landscapes, rich history, and natural wonders. Its story begins with the ancient Native American tribes that inhabited the region for thousands of years before European exploration. From Spanish colonization in the 16th century to its eventual statehood in 1912, Arizona has become a captivating destination. Arizona's history is closely intertwined with its indigenous communities. Numerous Native American reservations dot the state, preserving and showcasing the rich heritage and traditions of tribes such as the Navajo, Hopi, and Apache. In addition, the state's Spanish colonial past is evident in cities like Tucson, which showcases Spanish architecture and cultural influences.
Arizona is home to one of the world's most awe-inspiring natural wonders, the Grand Canyon, which attracts millions of visitors annually. Carved by the mighty Colorado River over millions of years, this colossal chasm reveals layers of geological history. Another notable landmark is the Petrified Forest National Park, where fallen trees from prehistoric times fossilized and transformed into stunning, colorful stone. Apart from these striking landmarks, Arizona boasts several other popular attractions, including Monument Valley, Saguaro National Park, and the Sonoran Desert. In addition, Sedona is renowned for its red rock formations and spiritual energy, attracting nature enthusiasts and those seeking spiritual rejuvenation.
The Arizona State Capitol building is in Phoenix, a bustling metropolis known for its vibrant arts and culture scene and its professional sports teams, including the Arizona Cardinals (NFL team). However, if baseball is more your speed, you can’t miss the Arizona Diamondbacks (MLB team). Arizona's diverse history and natural beauty make it a fascinating outdoor recreation destination. Whether hiking in Arizona, driving the iconic Route 66, or exploring the desert oasis of Scottsdale, this state offers a diverse range of landmarks and experiences that will leave you in awe of its unique charm.
Who is Medicaid?
Medicaid is a government-funded healthcare program offering coverage to low-income families and individuals in the United States. Established in 1965 under the Social Security Act, it’s administered by the Centers for Medicare and Medicaid Services (CMS). Medicaid is one of the most common means of funding for addiction treatment centers.1
State Medicaid programs vary in the services they provide. Arizona’s Medicaid program, known as Arizona Health Care Cost Containment System (AHCCCS), includes, but is not limited to, the following services:2
- Doctor visits
- Hospital stays
- Prescription drug coverage (not if you have Medicare)
- Long-term care
- Laboratory and diagnostic testing
- Medical equipment and supplies
- Home health services
- Behavioral health services
- Treatment services
- Peer and family support services
Eligibility criteria to qualify for Arizona’s Medicaid program:3
- Children birth to 12 months with family income up to 152% of the federal poverty level (FPL)
- Children aged 1 to 5 with families earning up to 146% of the FPL
- Children aged 6 to 18 with families earning up to 138% of the FPL
- KidsCare (CHIP) is available to children who are not Medicaid-qualified and whose families earn up to 205% of the federal poverty level.
- Pregnant women with household incomes up to 161% of the FPL (coverage lasts for a year after delivery)
- Adults under 65 whose family income is up to 138% of the FPL (Medicaid expansion population)
- Seniors and disabled people who meet both the income and asset thresholds
In addition, the following Medicaid waiver programs are accessible to people with disabilities in Arizona:4
- State of Arizona Independent Living (“SAIL”) Waiver
- Elderly and Disabled (“E & D”) Waiver
- Intellectual Disabilities (“ID”) Waiver
- Living At Home (“LAH”) Waiver
- Technology Assisted (“TA”) Waiver for Adults
- HIV/AIDS Waiver
- Arizona Community Transition (“ACT”) Waiver
What is Rehab Insurance Coverage?
The amount that a health insurance policy covers for addiction treatment, therapy, or counseling services—all essential to the healing process—is referred to as "rehab insurance coverage." The extent of coverage can vary depending on the type of insurance policy, the particular rehabilitation treatments recommended, and other factors.
Getting rehabilitation services can be expensive, especially if you need them for a long time. With rehab insurance coverage, you can better manage these costs and have access to the medical care you or a loved one requires to recover from an addiction or substance abuse problem.
Does Your Insurance Cover Rehab?
Find out your health insurance coverage levels for rehab treatment.
We accept most insurance plans and can check your coverage levels on your behalf.
Check Your Insurance
Does Medicaid Cover Rehab in Arizona?
Yes, Medicaid in Arizona covers drug and alcohol rehab services. Arizona's Medicaid program, known as the Arizona Health Care Cost Containment System (AHCCCS), provides coverage for substance abuse treatment, including detoxification, counseling, and residential rehab or outpatient rehabilitation programs. These services are available to eligible individuals enrolled in Medicaid who need addiction treatment.
The specific coverage details and requirements may vary, so it is advisable to contact AHCCCS, or you can call us at 866-461-3339 for more information regarding Medicaid coverage for drug and alcohol rehab in Arizona.
Does Medicaid Cover Mental Health Rehab in Arizona?
Yes, Medicaid covers mental health rehab services in Arizona. The Arizona Health Care Cost Containment System (AHCCCS), the state's Medicaid program, provides coverage for various mental health services, including therapy, counseling, psychiatric evaluations, and inpatient or outpatient treatment programs for mental health conditions.
Medicaid beneficiaries in Arizona have access to a network of providers who offer these services, ensuring that individuals can receive the necessary treatment and support for their mental health needs.
Inpatient and Outpatient Rehab Centers in Arizona That Accept AHCCCS (Medicaid)
Virtue Recovery Center has been helping individuals overcome substance abuse and improve their mental health for years. We have multiple rehabilitation centers in different states, including two accredited facilities in Arizona that offer free assessments and evidence-based treatment programs that may or may not accept Medicaid.
Call 866-461-3339 to learn more about each of our Arizona-based treatment centers below:
Virtue Recovery Center’s Facilities That Accept Insurance
At Virtue Recovery Center, we are committed to making our comprehensive, evidence-based, and trauma-informed treatment programs accessible to as many people as possible. With this in mind, we are proud to announce that we accept Medicaid in our facilities located in Arizona, Nevada, and Oregon. BCBS of Texas Medicaid is also accepted. This means that Medicaid policyholders can now access our personalized one-on-one counseling services, group therapy sessions, and other addiction treatment services.
We understand the financial constraints that often act as barriers to seeking help for substance abuse. Therefore, the acceptance of Medicaid across our facilities is a significant milestone toward ensuring that more individuals can benefit from our professional services. If you or your loved ones are Medicaid policyholders and are seeking drug or alcohol rehab services in Arizona, Nevada, or Oregon, we encourage you to reach out to us to verify your coverage.
Furthermore, in our commitment to make our high-quality care accessible, Virtue Recovery Center in Arizona accepts most major insurance providers. This includes but is not limited to United Healthcare, Aetna, Cigna, Blue Cross Blue Shield, Humana, Anthem, and Health Net. Our dedicated staff is on hand to assist you with insurance verification, making it easier for you to focus entirely on your recovery journey.
Check Your Medicaid Coverage for Rehab Treatment
How Much Does Rehab Cost in Arizona with Medicaid Insurance?
The cost of rehab in Arizona with Medicaid insurance can vary depending on several factors, including the specific treatment program, the level of care needed, and your particular Medicaid coverage. Medicaid typically covers a significant portion of the costs associated with rehab, but there may still be out-of-pocket expenses, such as copayments or deductibles.
The exact cost will depend on the specific services received and the terms of your Medicaid plan. To obtain accurate information about the cost of rehab with Medicaid in Arizona, you can contact the Arizona Health Care Cost Containment System (AHCCCS) or call us at 866-461-3339. We can verify insurance details and potential out-of-pocket expenses and discuss treatment options.
How to Check Medicaid Coverage Levels for Rehab Treatment in Arizona
With our no-obligation, free online form, you can verify insurance coverage levels for Medicaid addiction treatment in Arizona. A member of our caring staff will get in touch with you soon to go over your coverage and your treatment options. Our top priority is ensuring you or your loved one receives the finest care possible.
You can also rest easy knowing that all information you provide or share is kept entirely confidential.
How to Get Medicaid Arizona to Pay for Rehab Treatment
The procedure to get Medicaid to pay for rehab treatment in Arizona may vary depending on your particular plan and other considerations. However, you must follow certain guidelines and meet specific requirements to receive Medicaid addiction treatment coverage. Here are some general actions you can take:
- Check your Medicaid coverage: Verify the details of your Medicaid coverage. Call 866-461-3339 – we can review this information for you and answer any questions.
- Get a diagnosis: A diagnosis of a mental health issue or a substance use disorder (SUD) is required. Usually, a qualified healthcare professional may offer this diagnosis.
- Find a rehab provider: You will need to find rehabs in Arizona that accept Medicaid. You can search for providers on Arizona’s Medicaid agency's website or by calling 866-461-3339 for more information.
- Get a referral: Your primary care physician or a specialist may need to refer you. Different criteria may apply depending on your particular Medicaid plan and the kind of treatment you need.
- Get prior authorization: You may need approval from your Medicaid provider through a prior authorization process. Your chosen healthcare provider can usually assist with this step.
- Attend treatment: Follow your healthcare provider's recommendations and attend your rehab treatment program as advised.
How Many Times Will Medicaid Arizona Pay for Rehab?The number of times Medicaid in Arizona will pay for rehab can vary depending on your specific situation, treatment needs, and the coverage guidelines of Arizona’s Medicaid program. Generally, coverage for rehab in Arizona is based on medical necessity.1 This means that if you meet the criteria for needing additional rehab treatment, Medicaid may continue to provide coverage. There may be limits or guidelines imposed by the Arizona Health Care Cost Containment System (AHCCCS) on the duration or number of treatment sessions covered within a specific time frame. These limits are established to ensure the appropriate and effective use of resources while providing necessary care.
Medicaid Rehab Treatment and Insurance Statistics
- Medicaid is the primary source of government funding, making up 76.6% of the total.2
- There are 2,310,260 Arizonans covered by Medicaid/CHIP as of November 2021.
- The Medicaid expansion under the Affordable Care Act (ACA) made nearly all adults with incomes up to 138% of the federal poverty level (approximately $20,120 for an individual in 2023) eligible for Medicaid.3
- Medicaid covered 48% of births in Arizona.
- In 2021, about 10% of Arizona’s population was uninsured, while 20.4% were enrolled in Medicaid.4
- In Arizona, more than five people die from drug overdoses every day.5
- In Arizona, the yearly average prevalence of past-year alcohol use disorder was 9.5% (or 72,000) from 2017 to 2019, which is comparable to the national average.6
- The prevalence rates of mental health disorders and drug use in Arizona are among the lowest in the US, falling between the 16th and the 25th.7
- In the past seven years, the number of Arizonans dying from addiction has increased by nearly 700%.8
- In Arizona, 14% of residents 12 and older have used an illegal substance in the past month.9
- The total Medicaid spending in Arizona for fiscal year 2021 (from October 1, 2020 - September 30, 2021) was $17,588,618,292.10
- In Arizona, managed care contracts provide services to about 84% of Medicaid recipients.
Check Your Medicaid 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 Medicaid 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
Check Your Insurance
*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.
- Treatment, Center for Substance Abuse. “Chapter 6 --Funding and Policy Issues.” Integrating Substance Abuse Treatment and Vocational Services - NCBI Bookshelf, 2000, www.ncbi.nlm.nih.gov/books/NBK64279.
- “Covered Services.” Arizona Health Care Cost Containment System, www.azahcccs.gov/Members/AlreadyCovered/coveredservices.html. Accessed 5 June 2023.
- Norris, Louise. “Medicaid Eligibility and Enrollment in Arizona | healthinsurance.org.” healthinsurance.org, 2 May 2023, www.healthinsurance.org/medicaid/arizona.
- “Arizona Medicaid Waiver.” Medicaid Waiver Network, 2021, medicaidwaivernetwork.com/arizona-medicaid-waiver. Accessed 5 June 2023.
- “Overview of Substance Use Disorder (SUD) Care Clinical Guidelines: A Resource for States Developing SUD Delivery System Reforms.” Medicaid.gov, Apr. 2017, www.medicaid.gov/state-resource-center/innovation-accelerator-program/iap-downloads/reducing-substance-use-disorders/asam-resource-guide.pdf.
- “HHS System Annual Federal Funds Report for State Fiscal Year 2020.” Texas Health and Human Services, Dec. 2020, www.hhs.texas.gov/sites/default/files/documents/laws-regulations/reports-presentations/2020/annual-federal-funds-report-fy2020.pdf.
- “Status of State Medicaid Expansion Decisions: Interactive Map.” KFF, 24 May 2023, www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map.
- Statista. “Health Insurance Status of the Population of Arizona 2021.” Statista, 7 Nov. 2022, www.statista.com/statistics/238713/health-insurance-status-of-the-total-population-of-arizona.
- “Opioid Prevention.” Arizona Department of Health Services, www.azdhs.gov/opioid/index.php. Accessed 5 June 2023.
- Center for Behavioral Health Statistics and Quality and U.S. Department of Health & Human Services. “Behavioral Health Barometer Arizona, Volume 6.” Substance Abuse and Mental Health Services Administration (SAMHSA), 2020, www.samhsa.gov/data/sites/default/files/reports/rpt32819/Arizona-BH-Barometer_Volume6.pdf.
- “The Arizona Behavioral Health Workforce.” The University of Arizona, Nov. 2020, crh.arizona.edu/sites/default/files/2022-03/20210702_AZ_BH_WorkforceReport_FINAL_0.pdf.
- “Vital Statistics Rapid Release - Provisional Drug Overdose Data.” Centers for Disease Control and Prevention, 2023, www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm.
- Phoenix Rescue Mission. “Addiction in the Valley - Phoenix Rescue Mission.” Phoenix Rescue Mission, 28 Sept. 2022, phoenixrescuemission.org/about/addiction-in-the-valley.
- “Total Medicaid Spending.” KFF, 22 Aug. 2022, www.kff.org/medicaid/state-indicator/total-medicaid-spending/
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