North Carolina Drug Rehab Centers Accepting Medicaid

North Carolina Medicaid covers addiction treatment services like detox, inpatient and outpatient rehab, and MAT. Services are delivered through NC Medicaid Managed Care and local behavioral health networks.

For many North Carolinians, Medicaid provides a complete treatment option that removes financial barriers to needed services.

To apply for Medicaid in North Carolina, follow these steps:

1. Check Eligibility: Review the eligibility requirements for North Carolina Medicaid. Eligibility can depend on factors such as income, household size, age, disability status, and whether you are pregnant. You can check your eligibility on the North Carolina Department of Health and Human Services (NCDHHS) website.
2. Application Methods:
   • Online: You can apply online through the NC FAST portal, where you can complete and submit your application for Medicaid.
   • By Mail or In Person: You can also download a paper application or request one from your local county Department of Social Services (DSS) office, fill it out, and mail it in or submit it in person.
   • Phone: If you prefer to apply by phone, you can call the North Carolina Medicaid Division at 1-800-662-7030 for assistance.
3. More Information: For further details about Medicaid in North Carolina, including benefits and coverage options, visit the North Carolina Department of Health and Human Services (NCDHHS) website.

You can successfully apply for Medicaid in North Carolina by following these steps.

Apply for Medicaid:

• Apply for Medicaid online through the North Carolina Medicaid website or by contacting your local Department of Social Services office.
• Provide required information such as household size, income, assets, and any existing health coverage.

Determine Eligibility:

• North Carolina Medicaid covers a range of substance abuse treatment services, including inpatient and outpatient treatment, medication-assisted treatment, and recovery support services.
• Eligibility is based on income, household size, and medical needs.

Enroll in a Managed Care Plan:

• Once approved for Medicaid, you must select a managed care plan that provides substance use treatment services coverage.
• North Carolina offers several Medicaid-managed care plans to choose from.

Verify Coverage:

• Contact your selected Medicaid-managed care plan to verify that your treatment services are covered.
• Ask about prior authorization requirements, copays, or limitations on the number of visits or treatments.

Find a Provider:

• Work with your Medicaid managed care plan to find an in-network provider for your substance abuse treatment needs.
• Ensure the provider accepts your Medicaid plan and can provide the necessary services.

Remember, the specific coverage and process may vary, so working closely with your Medicaid-managed care plan to understand your benefits and access the substance use treatment services you need is essential.

When calling treatment facilities in North Carolina, ask these key questions:

1. “Do you accept my specific Medicaid plan?” North Carolina has 6 Medicaid managed care plans (AmeriHealth Caritas, Blue Cross Blue Shield, Healthy Blue, UnitedHealthcare, WellCare, and Carolina Complete Health). Facilities may only accept certain plans, so verify yours specifically.
2. “Which treatment services does my plan cover?” Ask about detox, residential treatment, outpatient programs, and medication-assisted treatment.
3. “Do I need prior authorization?” Most residential programs require approval from your managed care plan before admission.
4. “Are there any out-of-pocket costs?” North Carolina Medicaid typically covers addiction treatment with $0 copays.
5. “What documents do I need?” Bring your Medicaid ID card, photo ID, and a list of current medications.