Medicaid is an insurance program for low-income households that because of the Affordable Care Act must provide insurance coverage for basic substance abuse treatment. Medicaid is presently the single largest payer for mental health treatment services in the U.S., and is beginning to play a significant role in the reimbursements of treatment for drug and alcohol treatment. Medicaid holders will want to consider that while this is the case, not all rehab programs accept 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. Rehabilitation services covered by Medicaid consist of screenings, intervention, medication maintenance, counseling, inpatient, detox, outpatient, long-term residential and behavioral health services.
If someone in Exchange is interested in getting Medicaid to pay for rehabilitation, they must fulfill the following guidelines: 1) Be over 65 years of age or under 19 years of age 2) be pregnant or a parent and 3) fit within a specific income bracket. Each state also has their own guidelines, restrictions and qualification requirements and these vary each year. So, an individual who didn't qualify for Medicaid in their state last year may qualify this year.
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