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.

All Centers

Medicaid

New York

Best Rehabs Accepting Medicaid in New York

Yes, Medicaid covers treatment for addiction and mental health. Our independent research team compiled information on the 789 centers in New York that accept Medicaid. Find the rehab best aligned with your needs by filtering by location, condition, substance, therapies, and approach.

789 Results

How we sort our results

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.

Residential

159 Glenwood Drive, Saranac Lake, New York 12983

St Josephs ATRC Inpatient Program

(57)

2.9(57)

CARF Accredited

CARF stands for the Commission on Accreditation of Rehabilitation Facilities. It's an independent, non-profit organization that provides accreditation services for a variety of healthcare services. To be accredited means that the program meets their standards for quality, effectiveness, and person-centered care.

CARF Accredited

Insurance Accepted

This center accepts insurance, exact cost can vary depending on your plan and deductible.

Insurance Accepted

Substance Use

Co-Occurring Mental Health

Drug Addiction

Trauma

An inpatient treatment center for addiction and co-occurring disorders featuring trauma-informed, holistic treatment, MAT, and self-help meetings... More

Residential

5901 Lac De Ville Blvd., Rochester, NY 14618

The Highlands at Brighton

Medicaid and Medicare Accepted

Provider's Policy

UR Medicine contracts with most major health insurance carriers. Please call your insurance company and ask if you have access to health care services at UR Medicine locations, and what (if any) co-payments, co-insurances, and deductibles will be your responsibility.

Medicaid and Medicare Accepted

Mental Health

Clients With Alzheimer or Dementia

Older Adults

Supporting older adults with Alzheimer’s and memory loss through compassionate care, routine guidance, and skills that promote safe, independent daily living... More

Top Treatment Locations

530 1st Avenue 10th Floor, New York NY

Inpatient Psychiatry at Tisch Hospital

(37)

2.5(37)

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.

Joint Commission Accredited

Medicaid and Medicare Accepted

Provider's Policy

You can look online to see if your doctors work for NYU Langone and if your doctors are part of the same networks as the hospital.

Medicaid and Medicare Accepted

Offering round-the-clock inpatient care, the treatment center supports emotional healing through therapies, creative engagement, and spiritual guidance... More

Residential

Walker, West Virginia, United States

Harmony Ridge Recovery Center

(453)

4.9(453)

Insurance Accepted

This center accepts insurance, exact cost can vary depending on your plan and deductible.

Insurance Accepted

Substance Use

Co-Occurring Mental Health

Nestled in the hills of West Virginia, Harmony Ridge Recovery Center treats adults with substance use disorders and co-occurring mental health conditions... More

Customized Treatment Plans
Perfect for Professionals
On-site Medical Detox

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Outpatient

620 Erie Blvd W, Syracuse, NY 13204

Erie West VA Clinic

CARF Accredited

Insurance Accepted

Provider's Policy

If you have another form of health coverage—like Medicare, Medicaid, TRICARE, or a private insurance plan through your spouse’s employer—please bring your insurance card with you to your health care appointment.

Insurance Accepted

Substance Use and Mental Health

Depression

Drug Addiction

Justice Involved

Post Traumatic Stress Disorder

Veterans

An outpatient center providing mental health and substance use disorder services to veterans with counseling, and support for housing, trauma and recovery needs... More

Residential

107-20 Northern Blvd. Corona, New York 11368

Elmcor Youth & Adult Activities, Inc. Behavioral Health Services

(9)

3.1(9)

Medicaid Accepted

Provider's Policy

Treatment services are covered by Medicaid and private insurance. For uninsured individuals, services remain affordable through sliding scale for fees.

Medicaid Accepted

Substance Use

Co-Occurring Mental Health

Drug Addiction

Opioids

Trauma

Comprehensive care for mental health and substance use concerns through outpatient, residential, crisis support, family services, and trauma-informed care... More

Outpatient

3911 Richmond Ave., New York, NY 10312

YMCA Counseling Service - South Shore Center

(93)

3.6(93)

Insurance Accepted

Provider's Policy

Although we may not be in network with your insurance company, you may have out-of-network benefits. Please contact your insurance company to determine information about benefits and eligibility. Treatment is important and recovery is possible. Ability to pay should not be a barrier from seeking needed services. At the YMCA Counseling Services, because of support from OASAS and our Annual Campaign, financial assistance is available and no one will be turned away from treatment because of an inability to pay.

Insurance Accepted

Substance Use

Co-Occurring Mental Health

Alcohol

Drug Addiction

Reclaim life from addiction through teen, youth, adult, and family programs for individuals and families struggling with substance use... More

Outpatient

New Brunswick, New Jersey, United States

Guardian Recovery - Counseling New Brunswick

(29)

4.9(29)

Insurance Accepted

This center accepts insurance, exact cost can vary depending on your plan and deductible.

Insurance Accepted

Substance Use and Mental Health

Anxiety

Depression

Licensed Primary Mental Health

Drug Addiction

Intensive Outpatient Program

Gender-specific groups

Family Involvement

Alcohol

Offers dynamic addiction and mental health care through flexible intensive outpatient programs. Evidence-based therapies in a supportive setting pave the way for lasting recovery... More

Customized Treatment Plans
Co-Occurring Disorders Treatment
Trauma-Informed Care

View Verify Insurance

Outpatient

100 Highlands Blvd, Ste. 201, Port Jefferson, NY 11777

Northwell Health Mather Hospital

(9)

3.2(9)

Joint Commission Accredited

Insurance Accepted

Provider's Policy

Our admissions team will work with you to explore the right payment options based on your needs, ensuring you get the best possible treatment.

Insurance Accepted

Mental Health

Co-Occurring Substance Use

Day Treatment

Personality Disorders

Post Traumatic Stress Disorder

Provides structured partial hospitalization and outpatient therapy for adults and adolescents, providing a 24/7 crisis support alternative to inpatient care... More

Residential

68 West 106th Street, New York, NY 10025

Samaritan Daytop Village - Veritas House

(4)

4.0(4)

Medicaid and Medicare Accepted

Provider's Policy

We accept Medicaid. We will work with you on a sliding scale payment plan to accommodate your needs.

Medicaid and Medicare Accepted

Substance Use

Co-Occurring Mental Health

Adolescents

Alcohol

Anger

A community residence that empowers recovery from substance use disorders with comprehensive therapy and structured transitional housing that rebuilds lives... More

Outpatient

19 Union Square West 7th Floor, New York NY

Realization Center Outpatient - Manhattan

(8)

3.9(8)

Medicaid and Medicare Accepted

Provider's Policy

Our admissions team will work with you to explore the right payment options based on your needs, ensuring you get the best possible treatment.

Medicaid and Medicare Accepted

Substance Use

Co-Occurring Mental Health

Alcohol

Drug Addiction

Comprehensive outpatient addiction treatment services, including counseling, therapy, and specialized programs, all under one roof for integrated, personalized care... More

Outpatient

Hoboken, New Jersey, United States

Guardian Recovery - Counseling Hoboken

(26)

4.5(26)

Insurance Accepted

This center accepts insurance, exact cost can vary depending on your plan and deductible.

Insurance Accepted

Substance Use and Mental Health

Anxiety

Depression

Cognitive Behavioral Therapy

Licensed Primary Mental Health

Drug Addiction

Intensive Outpatient Program

Gender-specific groups

Alcohol

Offers dynamic addiction and mental health care through flexible intensive outpatient programs. Evidence-based therapies in a supportive setting pave the way for lasting recovery... More

Customized Treatment Plans
Wellness Emphasis
Trauma-Informed Care

View Verify Insurance

Outpatient

175 Remsen St., 2nd Floor, New York, NY 11201

Realization Center Outpatient - Brooklyn

(85)

4.7(85)

Medicaid and Medicare Accepted

Provider's Policy

Our admissions team will work with you to explore the right payment options based on your needs, ensuring you get the best possible treatment.

Medicaid and Medicare Accepted

Substance Use

Co-Occurring Mental Health

Alcohol

Drug Addiction

Comprehensive outpatient addiction treatment services, including counseling, therapy, and specialized programs, all under one roof for integrated, personalized care... More

Outpatient

6120 Woodside Avenue Woodside, NY 11377

Mental Health Providers of Western Queens

(9)

2.8(9)

Medicaid and Medicare Accepted

Provider's Policy

Mental Health Providers of Western Queens accepts Medicaid and Medicare, offering affordable care with a sliding scale for eligible clients.

Medicaid and Medicare Accepted

Substance Use and Mental Health

Adolescents

Anxiety

Co-Occurring Disorders

Depression

Drug Addiction

Offers multilingual therapy, psychiatry, school-based and recovery services—supporting NYC families with compassionate care and hope for lasting wellness... More

Outpatient

35 East 110th Street, 4th Floor, New York, NY 10029

Center for Comprehensive Health Practice

CARF Accredited

Insurance Accepted

Provider's Policy

We accept most insurances. If you do not see your insurance listed below, please contact our Front Desk to see if we are a participating provider.

Insurance Accepted

Substance Use and Mental Health

Opioids

Pregnant Women

Trauma Informed

Offers substance-use treatment, behavioral health, and support services for a family-focused community healthcare in East Harlem... More

Virtual

Maine, Vermont, Florida, New Jersey, Colorado, and New Hampshire

Guardian Recovery - Virtual Counseling

Insurance Accepted

This center accepts insurance, exact cost can vary depending on your plan and deductible.

Insurance Accepted

Substance Use and Mental Health

Licensed Primary Mental Health

Drug Addiction

Virtual

Alcohol

Offers flexible, effective outpatient treatment for substance use and primary mental health disorders through a virtual app, focusing on personalized care and holistic healing... More

Customized Treatment Plans
Holistic Approach
Trauma Treatment

View Verify Insurance

Outpatient

1860 South Avenue 1st and 2nd Floor Rochester, NY 14620

Provider's Policy

They accept Medicaid and Medicare insurance.

Medicaid and Medicare Accepted

Substance Use and Mental Health

Co-Occurring Disorders

Drug Addiction

Licensed Primary Mental Health

Trauma

Specialized care offering integrated mental health and substance use treatment, group therapy, housing and recovery services for all ages... More

Outpatient

969 Ellicott St, Buffalo, NY 14209

Boston Neurobehavioral Associates New York

Joint Commission Accredited

Insurance Accepted

Provider's Policy

We are an insurance-based psychiatric practice that provides medication management, which is covered by most major carriers. When insurance coverage is not approved or available, we help patients obtain financial assistance.

Offers in person and virtual medication management, counseling, and evaluations for adults with conditions like depression, anxiety, and ADHD... More

Need help finding care?

Let us point you in the right direction.

Residential

790 Ridge Road, Lackawanna, New York 14218

OLV Human Services Residential Treatment Facility

(9)

3.6(9)

Medicaid Accepted

Insurance Accepted

This center accepts insurance, exact cost can vary depending on your plan and deductible.

Medicaid Accepted

Mental Health

Co-Occurring Substance Use

Adolescents

Eye Movement Therapy (EMDR)

Licensed Primary Mental Health

Offers residential treatment for adolescents facing emotional and social challenges, providing tailored therapy, EMDR, and a supportive, private environment... More

Hospital

3424 Kossuth Ave., New York, NY 10467

NYC Health + Hospitals - North Central Bronx

(359)

3.1(359)

Joint Commission Accredited

Medicaid and Medicare Accepted

Provider's Policy

Our admissions team will work with you to explore the right payment options based on your needs, ensuring you get the best possible treatment.

Medicaid and Medicare Accepted

Substance Use and Mental Health

Co-Occurring Disorders

Drug Addiction

Older Adults

Smoking Cessation

A behavioral health program offering crisis response and long-term care for all ages with community-based support in a diverse, compassionate environment... More

Hospital

101 Hospital Road, Patchogue, New York

NYU Langone Hospital - Suffolk

(513)

2.2(513)

Medicaid and Medicare Accepted

Provider's Policy

You can look online to see if your doctors work for NYU Langone and if your doctors are part of the same networks as the hospital.

Medicaid and Medicare Accepted

Mental Health

Depression

Older Adults

Inpatient psych care with evaluations, crisis help, medication management, and therapy for older adults, including those with complex medical needs... More

Why Trust Recovery.com

Evidence and ethics matter to us. Since 2013, our expert team has built comprehensive resources you can trust to find the right treatment for you.

Frequently Asked Questions

Does Medicaid cover drug and alcohol rehab?

Medicaid may cover drug and alcohol rehab, but the coverage depends on the individual's insurance plan and policy. Medicaid plans typically have benefits for addiction treatment, including inpatient and outpatient rehab, counseling, and therapy.

How can I verify my Medicaid benefits?

There are several ways to verify your Medicaid benefits:

Check your Medicaid card. Your card will typically contain information about your plan, including the services it covers.

Log into your online account: If you have an online account with Medicaid, you can log in to view your insurance information, including your coverage details, claims history, and copayment amounts.

Contact customer service: You can call Medicaid’s customer service department to speak with a representative who can provide information about your coverage, including what services are covered and what your out-of-pocket expenses may be.

Check your plan's summary of benefits: Medicaid provides a summary of benefits for each insurance plan, which you can view online or request a printed copy of. The summary of benefits provides an overview of your plan's coverage, including what services are covered, what your out-of-pocket expenses may be, and any limitations or exclusions that apply.

Ask your healthcare provider: If you have any questions about your coverage, you can also ask your healthcare provider. They may be able to provide information about what services are covered by your Medicaid plan and what your out-of-pocket expenses may be.

Does Medicaid cover outpatient addiction treatment?

Medicaid typically covers a range of outpatient treatments for substance abuse, including individual and group therapy, medication-assisted treatment, and support groups. Coverage may also include access to a network of licensed mental health and addiction specialists.

Does Medicaid cover inpatient drug and alcohol rehab?

Medicaid plans may cover the cost of inpatient drug and alcohol rehab. The extent of coverage for inpatient rehab will depend on your specific Medicaid plan and any exclusions or limitations that apply to that plan.

Does Medicaid cover inpatient mental health?

Medicaid insurance plans may cover inpatient mental health treatment for conditions such as depression, anxiety, and other mental health conditions. The extent of coverage for inpatient mental health treatment will depend on your specific Medicaid plan and any exclusions or limitations that apply to that plan.

Recovery Guide

More About Rehabs Accepting Medicaid

Many rehab centers are away from the hustle and bustle of the big city in areas like Arizona and Utah, and consequently, New York only plays host to a few treatment centers, but they’re worth investigating. Specializing in drug addiction, New York luxury treatment centers are the perfect home away from home.

The city itself is steeped in American history and is home to iconic monuments including the Empire State building, the Statue of Liberty and the famous "charging bull" on Wall Street. There’s certainly an abundance of opportunity for engaging and stimulating activities, too, that take the mind off of addiction and help you or your loved one connect with the right communities. See below to find out more about treatment centers in New York.

Best Rehabs Accepting Medicaid in New York

Why Trust Recovery.com

789 Results

How we sort our results

St Josephs ATRC Inpatient Program

CARF Accredited

Insurance Accepted

The Highlands at Brighton

Provider's Policy

Top Treatment Locations

Inpatient Psychiatry at Tisch Hospital

Joint Commission Accredited

Provider's Policy

Harmony Ridge Recovery Center

Insurance Accepted

Erie West VA Clinic

CARF Accredited

Provider's Policy

Elmcor Youth & Adult Activities, Inc. Behavioral Health Services

Provider's Policy

YMCA Counseling Service - South Shore Center

Provider's Policy

Guardian Recovery - Counseling New Brunswick

Insurance Accepted

Northwell Health Mather Hospital

Joint Commission Accredited

Provider's Policy

Samaritan Daytop Village - Veritas House

Provider's Policy

Realization Center Outpatient - Manhattan

Provider's Policy

Guardian Recovery - Counseling Hoboken

Insurance Accepted

Realization Center Outpatient - Brooklyn

Provider's Policy

Mental Health Providers of Western Queens

Provider's Policy

Center for Comprehensive Health Practice

CARF Accredited

Provider's Policy

Guardian Recovery - Virtual Counseling

Insurance Accepted

Strong Memorial Hospital - South Avenue

Provider's Policy

Community Missions of Niagara Frontier, Inc.

Provider's Policy

Boston Neurobehavioral Associates New York

Joint Commission Accredited

Provider's Policy

OLV Human Services Residential Treatment Facility

Insurance Accepted

NYC Health + Hospitals - North Central Bronx

Joint Commission Accredited

Provider's Policy

NYU Langone Hospital - Suffolk

Provider's Policy

Why Trust Recovery.com

More About Rehabs Accepting Medicaid

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