Achieve Whole Recovery – The Benefits of Medicaid for Substance Abuse Treatment in Colorado

What is Medicaid?

Medicaid is a government-funded assistance program that provides affordable health insurance for individuals using qualifying criteria. Funding is provided through the state and federal governments. Each state is permitted to set provisions on their state’s program. This means each state can have varying criteria for eligibility or program specifications.

Does Medicaid Cover Substance Abuse Treatment?

As the biggest payer for mental health services in the U.S., Medicaid covers inpatient and outpatient substance abuse treatment, behavior health services, and social services for low-income families and many other eligible people. This means that using Medicaid for Substance Abuse Treatment in Colorado is possible.

In 2014, the Affordable Care Act enabled qualified members of Medicaid to be covered for drug and alcohol rehabilitation services. The Centers of Medicare and Medicaid Services (CMS) acknowledged that a data report from 2013 showed that approximately 14.6% of adult Medicaid members had a substance use disorder and that providing coverage will reduce the unmet need for treatment. A more recent report shows that the number is now around 12%.

Today, Medicaid in Colorado provides coverage for psychiatry, therapy, medication-assisted treatment, detoxification centers, hospitalizations, and mental health care services for those in need. As these services continue to expand each year, Medicaid works to cover the ever-changing need of mental health care in the U.S., including Medicaid for substance abuse treatment in Colorado.

Colorado Medicaid Eligibility

Colorado’s Medicaid provides low-cost health insurance and assistance to people who meet certain requirements. These people include:

  • Low-income adults ages 19-65
  • Pregnant women
  • Children in families
  • Children in foster care
  • Those with disabilities
  • Parents of children with disabilities
  • Adults 65+
  • Caregivers
  • Veterans

For adults 19-65 to qualify for low-income eligibility in Colorado, a gross income limit must be met.

  • Individual: up to $1,507
  • Family of 2: up to $2,030
  • Family of 3: up to $2,553
  • Family of 4: up to $3,076
  • Family of 5: up to $3,599
  • Family of 6: up to $4,122

Even if you don’t fit the income criteria, you may still be eligible for Medicaid for substance abuse treatment in Colorado. Examples include caretakers, pregnant women, and parents of eligible children.

Addiction Treatment Services Covered by Colorado Medicaid

Colorado’s Medicaid program, also known as Health First Colorado, provides financial coverage for substance use disorder, mental health, and behavioral health services. These include:

  • Alcohol, drug, and mental health assessments
  • Physical detox assessment
  • Safety/suicide risk assessment
  • Drug screening
  • Case management
  • Individual and group counseling
  • Family therapy
  • Inpatient and outpatient treatment
  • Residential treatment
  • Medication-assisted treatment (MAT)
  • Drug withdrawal care
  • Crisis services
  • Pharmacy
  • School-based mental health services
  • Telemedicine

Our Services

At Achieve Whole Recovery, in Colorado, we provide drug and alcohol addiction services tailored to each individual’s specific needs. We offer services such as medication assisted treatment, psychiatry, and counseling for substance use and mental health disorders. Our strategy is to include all aspects of the individual, such as their mental health, other medical conditions, as well as family member involvement to ensure we are taking a comprehensive approach that can result in the best possible outcome.

Our treatment centers are entirely outpatient, and we are conveniently located in Denver, Westminster, Lakewood, and Colorado Springs.

We are proud to accept many different types of health insurance, including Medicaid for substance abuse treatment, Medicare, Beacon Health Options, Colorado Access, Behavioral Healthcare Inc., Tricare, United Healthcare, Aetna, Anthem/Blue Cross Blue Shield, Humana, Pacificare, Colorado Health Partnership, Cofinity, Kaiser, Friday Health Plan, Rocky Mountain Health, Beacon Health Options, and Cigna insurance.

If you or a loved one is seeking help with addiction, contact us online today or call for an appointment at (719) 373-9703 only here at Achieve Whole Recovery.

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