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Addiction Helpline America is committed to helping individuals and families navigate the road to recovery, starting with understanding how to afford treatment. One of the most accessible ways to receive coverage for substance use disorder treatment is through Medicaid.
Medicaid is a joint federal and state program that provides health insurance to millions of Americans with limited income. It plays a vital role in ensuring access to behavioral health services, including addiction treatment. Since the passage of the Affordable Care Act (ACA), all Medicaid programs must offer mental health and substance use disorder services as essential health benefits.
From state-funded centers to select private rehab programs, many treatment facilities across the country accept Medicaid. These programs offer quality, evidence-based care to help individuals recover, regardless of their ability to pay out of pocket.
Addiction Helpline America partners with Medicaid-accepting facilities across all 50 states. Our team can help you locate the right facility near you. Just call us at (844) 561-0606—we’re available 24/7.
These statistics highlight the critical role Medicaid plays in ensuring access to addiction treatment and other healthcare services for vulnerable populations.
Medicaid eligibility is primarily based on income level, household size, and other factors such as disability, pregnancy, and age. While the exact criteria vary by state, individuals generally qualify if they fall into one or more of the following categories:
You can check your eligibility by visiting your state’s Medicaid website or calling our helpline for assistance
Each state sets its own income limits, but here are some general income guidelines based on the Federal Poverty Level (FPL) for 2024. These help determine Medicaid eligibility:
Persons in Household | 100% FPL | 138% FPL (ACA Medicaid Expansion) |
1 | $14,580 | $20,120 |
2 | $19,720 | $27,214 |
3 | $24,860 | $34,307 |
4 | $30,000 | $41,400 |
5 | $35,140 | $48,493 |
6 | $40,280 | $55,586 |
Note: Income limits are higher in Alaska and Hawaii due to cost of living adjustments.
If your household income falls within these guidelines, you may qualify for Medicaid. Some states offer additional pathways for coverage even if your income is slightly higher, especially if you are pregnant, disabled, or caring for dependents.
Take the first step towards a brighter future! If you or a loved one is seeking support for substance abuse, we are here to help. Call us today and let our dedicated team guide you to the right treatment options. Your path to recovery starts now!
The Federal Poverty Guidelines are updated annually by the U.S. Department of Health and Human Services (HHS) and help determine eligibility for Medicaid and other benefits.
These guidelines consider gross annual income and number of people in the household. States use this information to determine if a person or family qualifies for Medicaid. Some states may also have optional coverage groups and higher income thresholds, especially for children or pregnant women.
Yes, Medicaid covers a wide range of rehab services for individuals struggling with substance use disorders. As one of the most widely accepted insurance programs in the U.S., Medicaid provides access to both short-term and long-term addiction treatment options, ensuring that financial challenges don’t stand in the way of recovery.
Provide the treatment center with your insurance information, and ask them to verify what specific services are covered under your plan.
Medicaid typically includes the following services:
Relapse Prevention and Aftercare: Continued support services like therapy, sober living housing, or outpatient programs to maintain sobriety after rehab.
In most cases, Medicaid does not cover out-of-state rehab unless it’s medically necessary and pre-approved. Since Medicaid is a state-administered program, coverage is typically limited to providers within your home state. However, in special cases—such as when a required level of care isn’t available locally—your state Medicaid agency may grant approval for out-of-state treatment.
To explore this option, our team at Addiction Helpline America can help you navigate the process and determine whether out-of-state coverage is possible based on your situation.
The length of stay Medicaid covers depends on your medical needs, progress, and your state’s guidelines. Typically, coverage may include:
Medicaid often requires periodic evaluations to approve continued treatment. Our helpline can help you understand how long your treatment may be covered based on your case and state regulations.
Yes, Medicaid covers a wide range of mental health services, which is especially important for those with co-occurring disorders (addiction + mental health). Covered services often include:
Mental health treatment is a crucial part of recovery, especially for individuals dealing with trauma, anxiety, depression, PTSD, or bipolar disorder alongside substance use. Medicaid helps ensure integrated care so that all aspects of your health are addressed.
At Addiction Helpline America, our team is ready to answer your questions, verify your insurance, and connect you with a Medicaid-approved rehab center near you.
Call (844) 561-0606 today to start your recovery journey.
Nationwide access—serving all 50 states
Yes, Medicaid typically covers both inpatient (residential) and outpatient addiction treatment programs. Coverage includes detox, therapy sessions, medication-assisted treatment (MAT), and ongoing mental health support. However, coverage details may vary by state.
You can start by contacting your state’s Medicaid office or call our 24/7 helpline at (844) 561-0606. We help individuals locate approved rehab facilities that accept Medicaid and provide high-quality care for substance use disorders.
Medicaid eligibility is based on your household size and income. For example, in most states, an individual earning up to around $20,120 annually may qualify under Medicaid expansion. Check your state’s income guidelines or use the federal poverty level chart for reference.
Yes, many states offer Medicaid coverage for long-term treatment programs, especially if they are medically necessary. This may include extended residential care or ongoing outpatient services, depending on your treatment plan and state policies.
If you’re not eligible for Medicaid, there are still options. Some rehab centers offer sliding scale fees, payment plans, or state-funded programs. Call our team at (844) 561-0606 to explore affordable treatment options based on your financial situation.
If you or someone you care about is struggling with drug or alcohol addiction, we can help you explore your recovery options. Don’t face this challenge alone—seek support from us.
Are you or a loved one struggling with addiction? Call today to speak to a treatment expert.
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Our helpline is available 24 hours a day, 7 days a week at no cost to you and with no obligation for you to enter into treatment. We are committed to providing support and guidance whenever you need it.
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