Medicaid is an insurance option for low-income families that due to the Affordable Care Act must provide insurance coverage for basic drug and alcohol rehabilitation services. Medicaid is presently the single largest payer for mental health services in the country, and is beginning to play an important role in the reimbursements of drug and alcohol rehabilitation services. Medicaid holders will want to take into account that while this is the case, not all facilities will take Medicaid. At rehab centers which do accept Medicaid, individuals won't have co-payments in most states. For states which do charge co-pays, there are limits to the out-of-pocket expenses for recipients. Services covered by Medicaid consist of screenings, intervention, counseling, medication maintenance, detox, inpatient, outpatient, long-term residential and behavioral health services.
If a person in Durham is interested in getting Medicaid to pay for rehabilitation, they must satisfy the following criteria: 1) Be over 65 years of age or under 19 years of age 2) be pregnant or a parent and 3) fall within a specified income bracket. Each state also has their own guidelines, limitations and qualification requirements and these vary each year. So, someone who didn't qualify for Medicaid in their state in the previous year may be approved this year.
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