Rehabs Centers in Oregon That Accept Medicaid (OHP)
One of the most common funding sources for rehab centers is Medicaid. Additionally, it is the main way for low-income families and those without private health insurance to get the treatment they need for drug or alcohol addiction. Virtue Recovery Center Oregon is in-network with many insurance providers and may also accept Medicaid for substance abuse rehabilitation. Keep reading for everything you need to know about rehabs in Oregon that take Medicaid.
Virtue Recovery Center Accepts Oregon Health Plan (Medicaid)
In the state of Oregon, Medicaid operates under the name “Oregon Health Plan” (OHP). This program provides health care coverage for individuals from all walks of life, including physical, dental, and mental health care, as well as substance use treatment. At Virtue Recovery Center in Oregon, we are proud to accept OHP as a form of payment for our services. Our commitment to accessibility and affordability ensures that we can offer our comprehensive treatment programs to a wide range of individuals.
The level of coverage provided by OHP depends on a variety of factors, including income, family size, and specific medical needs. Understanding these nuances can be complex and time-consuming. That’s why our team at Virtue Recovery Center is here to assist you. We can check your coverage levels for rehab treatment, helping you navigate the complexities of your insurance benefits3. Our aim is to alleviate any stress related to financial matters, allowing you to focus fully on your journey to recovery. Reach out to us today for more information about how we can support you in this process.
What is Oregon Known For?
Oregon, located in the Pacific Northwest of the United States, has a rich and diverse history that began long before the arrival of European explorers. Indigenous peoples inhabited the region for thousands of years, and these tribes had developed rich cultures and diverse societies, relying on the area's abundant natural resources for their sustenance.
In 1543, Spanish explorer Juan Rodríguez Cabrillo may have been the first European to sight the breathtaking Oregon coast. However, it wasn’t until the late 18th century that European exploration of the area intensified. In the late 1700s, British Captain James Cook and American Captain Robert Gray explored parts of the Oregon coast.
In the early 19th century, fur traders from the Hudson's Bay Company, led by British explorer David Thompson, established trading posts and further explored the region. The Lewis and Clark Expedition arrived in Oregon in 1805, opening the area to further exploration and settlement.
In the 1830s and 1840s, the Oregon Trail became a major route for pioneers seeking a better life in the West. Thousands of settlers, known as "Oregon Trail pioneers," embarked on the arduous journey across the country to reach the fertile lands of Oregon. The Oregon Trail played a vital role in the United States' westward expansion.
On February 14, 1859, Oregon became the 33rd state in the Union, with Salem as its capital. During this period, the discovery of gold in the region led to a population boom and economic growth.
Famous Areas and Landmarks:
- Crater Lake National Park: Crater Lake is a stunningly beautiful lake formed in the caldera of an ancient volcano. It is the deepest lake in the U.S., attracting visitors from all over the world.
- Columbia River Gorge: The Columbia River Gorge forms a natural border between Oregon and Washington. This area is popular for outdoor recreation, including hiking, and hiking in Oregon is a must! Columbia River Gorge is known for its dramatic landscapes and waterfalls, including the iconic Multnomah Falls with its 620-foot cascade.
- Mount Hood: Located in the Cascade Range, Mount Hood is the highest peak in Oregon. It offers skiing, snowboarding, and other outdoor activities year-round.
- Powell’s Books: Powell's Books is a renowned independent bookstore in Portland, Oregon. The bookstore spans multiple floors and is known for its vast collection of new, used, and rare books, making it a paradise for book lovers.
- Portland: Oregon's largest city, known for its vibrant arts scene, eco-friendliness, and diverse neighborhoods.
- Eugene: Home to the University of Oregon, Eugene is a cultural and recreational hub surrounded by natural beauty.
- Bend: Situated in central Oregon, Bend is renowned for Deschutes Brewery and its outdoor activities, including skiing, hiking, and mountain biking.
- Hood River: This charming town in northern Oregon is known for its picturesque setting along the Columbia River. Its lively outdoor recreation scene is a popular destination for wind sports, hiking, biking, and exploring the nearby scenic wonders of the Columbia River Gorge.
Who is Medicaid?
Medicaid in Oregon, also known as the Oregon Health Plan (OHP), is a government-funded health insurance program that provides comprehensive healthcare coverage to eligible residents. Medicaid is a state-funded healthcare program for low-income families and individuals in the United States. It was established in 1965 under the Social Security Act, and the Centers for Medicare and Medicaid Services (CMS) are in charge of its administration. Medicaid ensures access to healthcare for vulnerable populations, promotes improved health outcomes, and decreases health disparities.
State Medicaid programs vary in their eligibility criteria and services offered. However, Oregon’s Medicaid program, known as the Oregon Health Plan (OHP), is available to the following populations:1
- Adults under 65 with household incomes of up to 138% of the federal poverty level (FPL) are eligible (for those who had Medicaid coverage before the repeal of the COVID-related continuous coverage rule, eligibility has been temporarily increased to 200% of the FPL.)
- Infants and expectant mothers whose household incomes are up to 185% of the FPL
- Regardless of immigration status, children under 19 with household incomes up to 305% of the FPL. (Even if their circumstances change and they would otherwise lose eligibility, children can remain enrolled until they turn 6. Even if circumstances change, children aged six and older receive two years of continuous eligibility.)
- Women under 65 years old with household incomes up to 250% of the FPL are eligible for the Oregon Breast and Cervical Cancer Program.
- Aged 19 to 26, "youth with special health care needs," with a household income up to 300% of the FPL
In addition, Oregon can provide residents longer lengths of uninterrupted Medicaid coverage due to a Medicaid waiver called the 1115 waiver,2 which went into effect in October 2022 and remains until September 2027.
Oregon's Medicaid program utilizes a managed care model to deliver healthcare services to its enrollees. Under the managed care system in Oregon, Medicaid beneficiaries are assigned to a specific managed care organization (MCO). This includes coordinating primary care, specialty care, preventive services, hospitalization, prescription medications, and other necessary treatments. MCOs promote preventive care and care coordination to improve health outcomes and control costs.3
Different services may be offered depending on your particular Medicaid plan, age, health, and other variables. However, a partial list of some of the services that Oregon’s Medicaid program regularly covers is shown below:4
- Behavioral health care services, including substance use disorder (SUD) treatment
- Pregnancy care
- Hospital care
- All care needed from birth to 21
- Home health and hospice
- Emergency care
- Dental care
- Prescription drug coverage
- Tests and x-rays
What is Rehab Insurance Coverage?
A health insurance policy's comprehensive reimbursement for addiction treatment, therapy, or counseling services is known as rehab insurance coverage. The degree of coverage varies from plan to plan depending on the kind of insurance policy, the precise rehabilitation therapies required, and other factors.
Getting rehabilitation services can be expensive, especially if you need them for long-term care. You can better manage these costs and obtain the medical care you or a loved one requires to recover from a substance abuse or addiction issue with the help of rehab insurance coverage.
Does Medicaid Cover Rehab in Oregon?
Yes, Medicaid does cover drug and alcohol rehab programs in Oregon. These rehabilitation programs may include detoxification, inpatient treatment, outpatient treatment, medication-assisted treatment (MAT), counseling, dual diagnosis and other necessary therapies. The specific coverage and services may differ based on your circumstances, the level of care needed, and your particular Medicaid plan, among other variables.
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 Drug and Alcohol Addiction Treatment in Oregon?
Yes, Medicaid does cover drug and alcohol addiction treatment services in Oregon. These services may include detoxification, inpatient treatment, outpatient treatment, medication-assisted treatment (MAT), counseling, and other necessary therapies. The specific coverage and services may differ based on your circumstances, the level of care needed, and your particular Medicaid plan, among other variables.
You can contact the Oregon Health Plan (OHP) or call 866-461-3339 for detailed information on Medicaid reimbursement, eligibility, and available treatment options.
More about drug and alcohol rehab cover:
Does Medicaid Cover Mental Health Rehab in Oregon?
Yes, Medicaid covers mental health rehab services in Oregon. These services may include outpatient therapy, counseling, psychiatric evaluations, medication management, crisis intervention, and other forms of mental health treatment. The goal is to support individuals in their recovery from mental health conditions and promote overall well-being.
Coverage for mental health rehab services may vary based on individual circumstances, the specific Medicaid plan, and the level of care required. It is advisable to contact the Oregon Health Plan (OHP) or call 866-461-3339 to obtain detailed information on coverage, eligibility criteria, and available mental health treatment options under Medicaid in Oregon.
Inpatient and Outpatient Rehab Centers in Oregon That Take Medicaid (OHP)
Virtue Recovery Center has assisted people in overcoming substance abuse and addiction and improved their mental health for years. We have rehab facilities nationwide, including one accredited drug and alcohol addiction recovery center in Oregon that may or may not accept Medicaid. Call 866-461-3339 to learn more. We can also provide a remote, free drug and alcohol assessment.
Visit our website or our Oregon-based treatment center today:
- Astoria, Oregon: 263 W Exchange St, Astoria, OR 97103, United States
How Much Does Rehab Cost in Oregon with Medicaid Insurance?
The average cost of a residential rehab center in Oregon is $58,894.1 Medicaid, however, often pays for a significant portion of the expenses. According to several variables, including the exact treatment program, the required level of care, the length of treatment, and your personal plan, the rehab cost in Oregon with Medicaid may vary.
You can access up-to-date information on the cost of rehab in Oregon with Medicaid by calling us at 866-461-3339. We can verify insurance coverage details and potential out-of-pocket costs and discuss treatment options.
More about drug and alcohol rehabilitation costs:
- How Much Does Drug and Alcohol Addiction Rehab Cost
- How to Pay For Inpatient Drug & Alcohol Rehab Without Insurance
How to Check Medicaid Coverage Levels for Rehab Treatment in Oregon
With our no-obligation online form, you may verify insurance coverage for rehabilitation services in Oregon. You will hear from a staff member to discuss the details of your coverage and available treatments. Our top priority is making sure you or a loved one receives the finest care available. Additionally, we keep all of the information you share and discuss confidential.
How to Get Medicaid Oregon to Pay for Rehab Treatment
There may be variations in specific standards and processes. However, for Medicaid addiction treatment in Oregon, you can follow these general steps:
- Determine eligibility: Make sure you meet the eligibility requirements for Medicaid in Oregon. You can check your eligibility and apply for Medicaid through the Oregon Health Plan website or by contacting the Oregon Health Authority.
- Seek a referral or assessment: Speak with a healthcare professional who can determine whether you require rehab therapy, such as a primary care physician or a mental health specialist. They can refer patients or provide recommendations for the best type of care.
- Select an in-network provider: Look for rehabs in Oregon that accept Medicaid. You can search online using keywords like “inpatient rehab in Oregon with Medicaid-funded treatment programs.” You can also find a list of in-network providers on the Oregon Health Authority website or by contacting the Medicaid helpline.
- Obtain prior authorization if necessary: Some rehab treatment services may require prior authorization from Medicaid. This means you need to get approval from Medicaid before receiving the treatment. Your healthcare provider or the rehab facility can assist you with obtaining the necessary prior authorization.
- Follow treatment guidelines: Work closely with your healthcare provider and the chosen rehab facility to ensure that the treatment plan follows Medicaid guidelines. This includes complying with any necessary documentation, reporting, and treatment protocols.
- Pay any required copayments or cost-sharing: Medicaid may have certain copayment or cost-sharing requirements. Be aware of these and ensure that you meet your financial obligations determined by the program.
How Many Times Will Medicaid Oregon Pay for Rehab?
Medicaid in Oregon, known as the Oregon Health Plan (OHP), generally covers rehab treatment for substance abuse or mental health disorders. The number of times Medicaid will pay for rehab for substance abuse or mental health conditions can vary depending on your specific needs, the treatment plan, and other factors.
In some cases, Medicaid may limit the number of covered days or sessions for specific types of treatment. However, these limitations are often based on medical necessity and can be adjusted if the treatment provider can demonstrate the need for additional services.
Medicaid policies and coverage can change over time. It's recommended to contact the OHP or call 866-461-3339 to get the most accurate and up-to-date information on the coverage and limitations of rehab treatment under Medicaid.
Medicaid Rehab Treatment and Insurance Statistics
- There are 1,501,589 Oregonians covered by Medicaid and the Children’s Health Insurance Program (CHIP) as of May 2023.1
- With Medicaid expansion in Oregon, there has been a 58% reduction in the uninsured rate.
- Medicaid spending in Oregon amounted to $11.3 billion in 2022.2
- In Oregon, fatal drug overdoses rose from 13.5 per 100,000 in 2011 to 26.8 per 100,000 in 2021.3
- 67% of all drug overdose deaths in Oregon were caused by opioid overdoses in 2021, which totaled 779 deaths.
- According to a 2018–2019 study by the Substance Abuse and Mental Health Services Administration, 19.84% of those 12 and older had used illegal substances in the month before the survey was conducted.4
- In a National Survey on Drug Use and Health (NSDUH) in 2021, Oregon ranked 5 highest in the percentage of teens and adults with alcohol use disorder.5
- In Oregon, 20,268 patients receive drug rehabilitation care annually.
- In data collected from a Substance Abuse and Mental Health Services Administration survey, Oregon ranks 2 in the country for addiction and last in access to treatment.6
- Regarding the continuum of care for substance use disorders, including prevention, harm reduction, treatment, and recovery programs, there is a 49% gap in the services that Oregonians require.7
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.
- “Medicaid Eligibility and Enrollment in Oregon | healthinsurance.org.” healthinsurance.org, 24 May 2023, www.healthinsurance.org/medicaid/oregon. Anderson, Steve. “What Is a 1115 Waiver? | healthinsurance.org.” healthinsurance.org, 9 Mar. 2023, www.healthinsurance.org/glossary/1115-waiver. “Managed Care in Oregon.” Medicaid.gov, www.medicaid.gov/Medicaid/downloads/oregon-mcp.pdf. Accessed 6 June 2023.
- “Oregon Health Authority : Oregon Health Plan (OHP) Benefits : Oregon Health Plan : State of Oregon.” Oregon Health Plan (OHP) Benefits : Oregon Health Authority, www.oregon.gov/oha/hsd/ohp/pages/benefits.aspx.
- Stilkind, Joseph. “Average Cost of Drug Rehab : By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab.
- “Medicaid Monthly Population Report for Oregon.” Power Bi, 1 May 2023, app.powerbigov.us/view?r=eyJrIjoiMTRhMmNhZDktYzY4OS00MzIxLTg4NTAtNjc4NmVlNjA1NzI4IiwidCI6IjY1OGU2M2U4LThkMzktNDk5Yy04ZjQ4LTEzYWRjOTQ1MmY0YyJ9.
- “Medicaid in Oregon.” Kaiser Family Foundation, Oct. 2022, files.kff.org/attachment/fact-sheet-medicaid-state-OR.
- “Mental Health and Substance Use State Fact Sheets.” KFF, 20 Mar. 2023, www.kff.org/statedata/mental-health-and-substance-use-state-fact-sheets/oregon.
- Foran, Andrew and Nexstar Media Inc. “Oregon Ranks Worst in the Country for Drug Problems: Report.” KOIN, 20 Jan. 2023, www.koin.com/news/oregon/oregon-ranks-worst-in-the-country-for-drug-problems-report.
- “Oregon Data Extracted From the National Survey on Drug Use and Health, Released December 2021.” Mental Health & Addiction Certification Board of Oregon, mhacbo.org/media/2021_epidemiology.pdf. Accessed 6 June 2023.
- Campbell, Sam, and Alex Heiden. “Oregon Second-worst State in U.S. for Addiction, Survey Says.” KOIN, Nexstar Media Inc., 26 Jan. 2022, www.koin.com/news/oregon/oregon-second-worst-state-in-u-s-for-addiction-survey-says.
- Lenahan, Katie, MPH, et al. “Oregon Substance Use Disorder Services Inventory and Gap Analysis.” Oregon.gov, 30 Sept. 2022, www.oregon.gov/adpc/SiteAssets/Pages/index/OHSU%20-%20Oregon%20Gap%20Analysis%20and%20Inventory%20Report.pdf.
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