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Medicaid Insurance for Addiction Services by State

Medicaid Insurance for Addiction Services by State

Drug Rehab Centers in the United States covered by Medicaid

Many people and families in the United States do not have the extra income to pay for health care. Medicaid is set up for low-income families with little to no resources available to them. Medicaid is available to people of all ages who fit the criteria and are eligible for coverage. The program is funded by the state and the federal government and currently all of the states within the US participate in the program. Each state does not have to follow the eligibility criteria, specifically as to what is laid out. Each person applying must be a US citizen or a legal permanent resident, and this also applies to low income adults, their children, and persons with disabilities. Having a low income is not the only requirement needed for eligibility and coverage.

Medicaid Insurance in the Different USA States

Each state has category defined statutes; for example, there are low-income seniors, parents enrolled in Medicaid of low-income children, pregnant woman, and low-income children of a particular age. Persons with disabilities fall into certain categories as well, if they receive supplemental security income and have no work history they are enrolled in Medicaid to ensure they have health coverage. A person must prove they have a disability, such as blindness, deafness, mental illness, or a physical disability that prevents them from working.

Each state is not required to participate in Medicaid, although every state currently does and complies with federal Medicaid laws. Each state sets standards of eligibility, how much is paid into it, the types of services covered, and all of these changes from state to state as each state administers its own program. In the year 2002, there were close to 40 million Americans enrolled in the program, with the majority of them being children. By the year 2009, there were close to 63 million Americans enrolled in Medicaid and receiving different services and coverage.

Medicaid Insurance for Substance Abuse Treatment Throughout the United States

Medicaid is utilized all throughout the United States and helps provide basic health coverage to those in need. It is a program that has been changed over the years, and each state modifies and changes its enrollment requirements, but people who fall into the different categories can receive Medicaid coverage. Having basic health coverage does certainly help increase the well-being of an individual, and for many Americans, Medicaid does help and provides the basic services needed.

Medicaid is still the largest payer for mental health and addiction treatment services in the United States. The Mental Health Parity and Addiction Equity Act makes it easier for Americans to get the care they need for drug addiction, per the Medicaid website. This piece of legislation requires coverage to be no more restrictive than coverage for medical or surgical conditions. For example, this requirement applies to co-pays, out of pocket maximums and coinsurance. It also applies to limitations on services or limits on the number of inpatient days or outpatient visits. The use of care management tools and criteria for medical necessity determinations also applies to this requirement.

Drug Use Statistics

Substance abuse does impact many Americans who are enrolled in the Medicaid program. Per the Medicaid website, roughly 12% of Medicaid beneficiaries over 18 years of age have a substance abuse problem. Their site also states that around 6700 people seek treatment every-day in the emergency department of hospitals because of drug abuse. In 2010, Medicaid reported drug overdose as the leading cause of death for people between 25 and 64 years old. Medical also provides coverage to 27 million children under the age of 18 within the country.

Per the information provided by Medicaid, the drug use among youth ages 12 to 17 is 25% higher than those 18 years and older. Children who are exposed to trauma such as maltreatment are more likely to abuse drugs and alcohol. Many of the adolescent drug and alcohol treatment programs in the United States will accept Medicaid. When you start to search for drug treatment centers, it is important to find the right one. According to the Center for Disease Control, 25.5% of Americans had public health insurance in 2018. These are Americans who are 65 years old and younger covered by programs like Medicaid.

This same report indicated that 41.8% of children under the age of 18 had public health insurance. Along with this, adults between 18 and 64 accounted for 19.4% of people who had public health insurance such as Medicaid. Public health insurance is used by millions of Americans and is accepted at many drug and alcohol treatment services.

Works cited – “Medicaid”: wikipedia.org

CONTRIBUTORS TO THIS ARTICLE


marcel gemme author

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Marcel Gemme

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Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people.