Nearly one in five Americans faces a substance use disorder in their lifetime. If you’re covered by Medicaid, you have access to vital addiction care without the high price tag. Over 71 million Americans enrolled in Medicaid as of November 2024, and Medicaid funds a broad range of substance use services [1]. Good news, the Affordable Care Act requires Medicaid to cover drug addiction treatment, so you don’t have to delay getting help.
A 2020 analysis found that 7.2 percent of Medicaid enrollees had a diagnosed substance use disorder, and about 63 percent of those with an opioid use disorder received medication treatment—a proven route to better health outcomes [2]. This data shows that Medicaid isn’t just coverage, it’s a pathway to lasting recovery.
Here’s the key idea: you can tap into comprehensive heroin rehab at Metro Rehab with Medicaid, often on the same day you reach out, and build a treatment plan that evolves with you.
Understand Medicaid coverage for addiction treatment
Medicaid enrollment and SUD financing
More than 71 million Americans rely on Medicaid for health coverage. If you include CHIP, enrollment tops 79 million as of late 2024. Medicaid is the largest payer for substance use disorder treatment in the U.S. It covers screening, counseling, medications, and more [3].
Essential benefits under the ACA
The ACA mandates that Medicaid plans include these core services for substance use disorders:
- Screening and assessment
- Outpatient counseling and therapy
- Intensive outpatient and partial hospitalization
- Inpatient and residential treatment
- Medication-assisted treatment (MAT)
- Follow-up and aftercare support
You’ll pay little to nothing out of pocket for these services in most states. That means you can focus on your recovery, not on bills.
Levels of care covered
Medicaid follows the ASAM continuum, matching treatment intensity to your needs:
- Regular outpatient services (LOC 1)
- Intensive outpatient or partial hospitalization (LOC 2)
- Residential or inpatient treatment (LOC 3)
- Medically managed—inpatient detox or intensive inpatient (LOC 4)
You and your care team decide which level fits best. As you progress, you may move from residential care into outpatient programs or telehealth support.
Explore Metro Rehab Medicaid-accepting programs
Metro Rehab offers a full spectrum of heroin rehab services that accept Medicaid. You can pick and choose programs that match your recovery goals.
| Program type | What it is | Internal link |
|---|---|---|
| Medication-assisted treatment (MAT) | Medications + counseling to ease cravings | suboxone treatment program that accepts medicaid |
| methadone treatment that accepts medicaid | ||
| brixadi injections that accept medicaid | ||
| Outpatient rehab | Regular clinic visits for therapy and check-ins | outpatient rehab that accepts medicaid |
| Intensive outpatient program (IOP) | Structured daily therapy, up to 20 hours weekly | intensive outpatient program that accepts medicaid |
| Residential (inpatient) treatment | 24/7 care in a supportive live-in setting | drug rehab that accepts medicaid |
| Individual counseling | One-on-one therapy to address triggers and goals | individual addiction counseling that accepts medicaid |
| Group substance use therapy | Peer support and skill-building in a group | group substance use therapy that accepts medicaid |
| Relapse prevention planning | Strategies and tools to stay on track | relapse prevention planning that accepts medicaid |
| Dual diagnosis treatment | Care for addiction plus co-occurring mental health issues | dual diagnosis treatment that accepts medicaid |
| Case management services | Help navigating benefits, housing, legal aid | case management services that accept medicaid |
| Telehealth addiction counseling | Virtual therapy sessions | telehealth addiction counseling that accepts medicaid |
This table highlights just a few Metro Rehab programs covered by Medicaid. Each service includes evidence-based approaches and licensed clinicians who specialize in opioid addiction.
Medication-assisted treatment in detail
MAT combines FDA-approved medications with counseling. Medications like buprenorphine (Suboxone), methadone, and extended-release buprenorphine (Brixadi) reduce cravings and withdrawal symptoms. A 2023 guideline update made it easier for Medicaid programs to cover these meds plus behavioral therapy [1]. Good news, MAT can start in outpatient or same-day clinic settings.
Outpatient and intensive outpatient care
Outpatient rehab lets you live at home while attending therapy sessions. If you need more structure, Metro Rehab’s IOP offers up to 20 hours weekly of group and individual therapy, medical check-ins, and peer support. Studies show IOP can cut relapse rates by nearly 20 percent compared to standard outpatient care.
Residential treatment advantages
When you need 24/7 support, residential care is a strong step. You’ll stay in a safe environment, attend therapy every day, and get medical supervision. Medicaid often covers 30 days per admission, with options to extend based on medical necessity.
Counseling, therapy, and case management
Therapy services help you tackle underlying issues. You can choose individual sessions, group workshops, or family counseling. Case managers work with you on housing, employment, and legal needs. This holistic approach boosts your chances of long-term success.
Navigate admissions and same-day access
Check eligibility and verify benefits
- Call Metro Rehab’s hotline or visit your local center.
- Provide your Medicaid ID and any state plan details.
- Our admissions team confirms your coverage in minutes.
Most Medicaid plans accept services at Metro Rehab, from medical detox through aftercare. If you have questions, our staff will walk you through your benefits.
Complete the intake process
Once coverage is verified we’ll schedule an assessment. In one short visit, you’ll:
- Describe your substance use history
- Undergo a medical and psychiatric evaluation
- Discuss which level of care fits you best
This thorough intake means we tailor your plan from day one.
Same-day admission tips
Many Metro Rehab locations offer same-day or next-day slots for Medicaid patients. To speed things up:
- Have your Medicaid card ready
- Bring photo ID and any previous treatment records
- Ask about telehealth intake if you can’t travel
You don’t have to wait weeks for help. Call early in the day to secure the fastest opening.
Benefit from personalized long-term support
Build a relapse prevention plan
Relapse prevention planning uses evidence-based tools to spot warning signs, manage stress, and adjust your environment. You’ll work with a counselor to create a custom plan. Studies show that structured relapse prevention cuts recurrence by up to 50 percent.
Address dual diagnosis needs
If you have co-occurring mental health issues such as depression or PTSD, Metro Rehab offers integrated care. You can access dual diagnosis treatment that accepts medicaid and medication management therapy that accepts medicaid in one coordinated program. This ensures both conditions get the right attention.
Engage family and peer support
Recovery thrives when you have a support network. Metro Rehab provides family counseling sessions, peer support groups, and community meet-ups. You can also tap into peer support programs that accept medicaid for ongoing encouragement.
Plan for aftercare and follow-up
Your care doesn’t end at discharge. Medicaid covers many aftercare services, including:
- Outpatient therapy sessions
- Telehealth check-ins
- Medication management
- Ongoing case management
This layered support helps you transition back into daily life with confidence.
Quick recap and next steps
- Review your Medicaid benefits for addiction care.
- Explore Metro Rehab’s Medicaid-accepting MAT, outpatient, residential, and therapy programs.
- Call for a same-day eligibility check and intake.
- Build a personalized plan with relapse prevention and aftercare.
You’ve already taken a big step by looking for heroin rehab that accepts Medicaid. Now reach out to Metro Rehab and start your path to recovery today. You’re not alone, and you’ve got this.
