Do treatment centers need to be In-Network?

Medicaid plans may cover out-of-network rehab, but the specific coverage will depend on the individual's insurance plan and policy. Some Medicaid plans have out-of-network benefits that allow members to receive coverage for services from providers not in the plan's network. However, this coverage is usually lower than in-network coverage, and members may have to pay more out-of-pocket costs.

How much does Medicaid cover?

The amount that Medicaid covers will depend on several factors, including: The type of plan you have: Medicaid’s coverage details will vary depending on your plan and what you qualify for on a state-by-state basis. The type of health service you need: Medicaid plans typically cover a range of health services, including preventive care, doctor visits, hospital stays, and prescription drugs. However, the specifics of what is covered and to what extent will vary depending on your plan. Your annual deductible: A deductible is the amount you pay out-of-pocket each year before your insurance begins to cover the costs of your care. Deductibles can vary depending on your insurance plan and the type of care you need. Your copayments and coinsurance: In addition to a deductible, you may also be responsible for copayments (a set amount you pay for a service) and coinsurance (a percentage of the cost of a service you pay). It is important to note that Medicaid plans may also limit coverage for certain types of services or treatments. To find out how much your Medicaid plan covers, you can look at your plan's coverage details or contact Medicaid directly

How do I pay for costs not covered by Medicaid?

If you have received health services that are not covered by your Medicaid plan, you may be responsible for paying for those costs out of pocket. There are several options for paying for these costs, including: Paying directly: You can pay the healthcare provider directly for the costs that are not covered by your insurance plan. Using a health savings account (HSA) or flexible spending account (FSA): If you have an HSA or FSA, you can use these tax-advantaged accounts to pay for out-of-pocket healthcare expenses. Applying for financial assistance: Depending on your financial situation, you may be eligible for financial assistance from the healthcare provider or another government program. Negotiating with the healthcare provider: In some cases, you may be able to negotiate a payment plan with the healthcare provider to help make the costs more manageable. It is important to understand that the options available will depend on the type of healthcare services you receive, the cost, and your financial situation. If you have questions about paying for costs not covered by your Medicaid plan, you may want to contact Medicaid or the healthcare provider directly.

How is a Medicaid Advantage HMO different from a PPO?

In a Medicaid Managed Care Plan plan, you can choose between HMO (Health Maintenance Organization) and PPO (Preferred Provider Organization) plans. They’re both offered by Medicaid in some states but differ in handling healthcare providers and costs. In a Medicaid HMO, you typically choose a primary care physician (PCP) who acts as a gatekeeper to the healthcare system. To see specialists or receive treatments, you usually need a referral from your PCP. Additionally, HMOs usually have a smaller network of healthcare providers, and you may need to pay more if you receive care outside of the network. In a Medicaid Advantage PPO, you have more flexibility in choosing healthcare providers without needing referrals. PPOs often have a larger network of healthcare providers, but you may need to pay more if you receive care outside of the network. When it comes to costs, HMOs often have lower monthly premiums and out-of-pocket costs than PPOs. However, with a PPO, you may have more flexibility to choose your healthcare providers, which can be an advantage if you value having more control over your healthcare decisions. When choosing between a Medicaid Managed Care Plan HMO and PPO, consider your individual needs and preferences. You can also compare the features and costs of different plans to determine which plan is the best fit for you.

Can you get a single case agreement with Medicaid?

Yes, it is possible to request a single case agreement (SCA) with Medicaid for coverage of a specific medical treatment or procedure (such as inpatient drug and alcohol rehab) that is not otherwise covered by your insurance plan. An SCA is a request for a one-time exception to Medicaid’s usual coverage policies. To request an SCA with Medicaid, you will typically need to provide medical documentation to support your case and demonstrate that the treatment or procedure is medically necessary. Medicaid will then review your request and make a determination about whether to grant the SCA. It is important to note that SCAs are not guaranteed and are subject to approval by Medicaid. Additionally, the decision to grant an SCA is based on a number of factors, Medicaid's coverage policies. If you are interested in requesting an SCA with Medicaid, you can contact Medicaid's customer service department to learn more about the process and what information you will need to provide.

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Best Rehabs Accepting Medicaid in Charlotte

Yes, Medicaid covers treatment for addiction and mental health. Our independent research team compiled information on the 24 centers in Charlotte, NC that accept Medicaid. Find the rehab best aligned with your needs by filtering by location, condition, substance, therapies, and approach.

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Centers are ranked according to their verified status, relevancy, popularity, specializations and reviews. Additionally, compensation from advertisers is also a factor taken into consideration when determining the order of similar centers.

Detox

1089 X-Ray Dr., Gastonia, NC 28054

Freedom Detox & Recovery Center

Joint Commission Accredited

The Joint Commission accreditation is a voluntary, objective process that evaluates and accredits healthcare organizations (like treatment centers) based on performance standards designed to improve quality and safety for patients. To be accredited means the treatment center has been found to meet the Commission's standards for quality and safety in patient care.

Best Rehabs Accepting Medicaid in Charlotte

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Freedom Detox & Recovery Center

Joint Commission Accredited

Provider's Policy

Zenith Hope Center

CARF Accredited

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Top Treatment Locations

New Season Treatment Center - Charlotte

CARF Accredited

Provider's Policy

Harmony Ridge Recovery Center

Insurance Accepted

New Season Treatment Center - Gastonia

CARF Accredited

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Eleanor Health Hickory North Carolina

CARF Accredited

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Novant Presbyterian Medical Center Behavioral Health

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Amity Medical Group

Provider's Policy

Innervision

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Absolute Advocacy Charlotte

Provider's Policy

Carolina Outreach Charlotte

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Anuvia Prevention and Recovery Center

CARF Accredited

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Pathways to Life

CARF Accredited

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Family First Community Servs Charlotte

CARF Accredited

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Highland Mist Home

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Water Mill Home

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A Caring Home Bonnies Home for Youth

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Monarch Behavioral Health Outpatient Office - Charlotte

Joint Commission Accredited

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McLeod Centers for Wellbeing

CARF Accredited

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Atrium Health Addiction Services Ballantyne

Joint Commission Accredited

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Genesis Project 1

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Atrium Health Mercy

Joint Commission Accredited

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