Medicaid is an insurance option for low-income households that because of the Affordable Care Act must provide insurance coverage for basic substance abuse rehabilitation services. Medicaid is presently the single largest payer for mental health treatment services in the country, and is starting to play an important role in the reimbursements of substance abuse treatment services. Medicaid subscribers may want to consider that while this is the case, not all rehabilitation centers will take Medicaid. At facilities which do accept Medicaid, individuals won't have co-payments in most states. For states which do charge co-pays, there are limits to the out-of-pocket expenses for recipients. Services covered by Medicaid include intervention, screenings, medication maintenance, counseling, inpatient, detox, long-term residential, outpatient and mental health services.
If an individual in Santa Margarita wants to get Medicaid to pay for treatment, they must meet the following criteria: 1) Be over 65 years of age or under 19 years old 2) be pregnant or a parent and 3) fall within a specified income bracket. Each state also has their own guidelines, restrictions and qualification requirements and these vary every year. So, someone who didn't get accepted for Medicaid in their state in the previous year just might qualify this year.
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