Have you been searching for methadone treatment that accepts Medicaid? Opioid use disorder can feel isolating, especially when insurance hurdles stand in the way. A 2023 study found Medicaid coverage of methadone maintenance increased planned opioid agonist therapy by 33 percentage points among pregnant women [1]. That’s clear evidence: Medicaid can open the door to life-saving care.
Key idea: You deserve easy, Medicaid-approved methadone care—and Metro Rehab makes it happen.
Methadone maintenance benefits
Methadone maintenance is a cornerstone of medication-assisted treatment for opioid dependence. Here’s why it matters:
- Stabilizes brain chemistry, reducing cravings and withdrawal (you’ll feel more balanced day to day).
- Blocks euphoric effects of opioids, helping you focus on recovery rather than on getting high.
- Improves retention in treatment programs, giving you time to build coping skills and support networks.
- Lowers risk of overdose—programs that include methadone see significantly fewer fatal events.
You may have read that only 52.9 % of Medicaid-insured pregnant women had planned opioid agonist therapy in states without coverage, versus 85.8 % in states with methadone maintenance benefits [1]. That jump shows how access transforms outcomes. When your treatment plan includes methadone, you’re far more likely to stay engaged and safe.
Medicaid coverage benefits
Medicaid’s role in addiction treatment goes beyond covering the medication itself. Ohio’s rules specify that Medicaid reimburses for a spectrum of services under the ASAM levels of care [2]:
| Service type | ASAM level | Coverage details |
|---|---|---|
| Outpatient services | LOC 1 | Covered without prior authorization |
| Intensive outpatient/partial hospitalization | LOC 2 / 2.5 | Covered with prior authorization; 20 hours/week requirement for LOC 2.5 |
| Residential treatment | LOC 3 | First two admissions per year covered without prior authorization; subsequent admissions require approval |
| Case management and counseling | Across levels | Covered outside per diem rates for residential programs |
Medicaid also covers drug screening analysis at no cost to you [3]. That means you get the testing you need without worrying about surprise bills. Having these services under one insurance plan simplifies your recovery journey.
Metro Rehab accessibility
Unlike many clinics, Metro Rehab welcomes Medicaid for methadone treatment—and we make getting started easy:
- Same-day admission option. Walk in or call, and our team can often begin intake and dosing on that very day. If you need a same-day methadone clinic that accepts Medicaid, you’re in the right place [4].
- Expanded prescriber network. Ohio now allows physician assistants and nurse practitioners to prescribe methadone within opioid treatment programs, aligning with federal rules meant to boost access [5].
- Take-home flexibilities. New guidelines let you earn additional take-home doses (as long as it’s safe), reducing daily travel—and we support trusted third-party pickup if you need it.
- Mobile and delivery units. If you can’t make it to the clinic, our mobile teams and medication delivery options bring methadone to you (including to carceral or residential settings).
A quick internet search found 58 methadone clinics in Ohio, yet none were initially listed as accepting Medicaid [6]. Metro Rehab fills that gap, making treatment both affordable and immediate.
Treatment process and support
Process overview
Your journey begins with a thorough intake and assessment (we verify benefits and develop your plan). Here’s what you can expect:
- Pre-admission screening. We confirm your Medicaid eligibility, review your medical history, and outline the methadone protocol.
- Initial dosing. Under medical supervision, we find the right dose to ease withdrawal and cravings.
- Stabilization phase. Frequent visits (often daily at first) help us fine-tune your dose until you feel steady.
- Maintenance phase. Once stabilized, you may qualify for take-home doses and less frequent clinic visits.
This structure keeps you safe, supported, and moving forward.
Support options
Medication is just one part of recovery. Metro Rehab integrates counseling and peer support—covered by Medicaid—to build a strong foundation:
- Outpatient rehab that accepts Medicaid, offering individual and group sessions so you can learn coping strategies and life skills [7].
- Group substance use therapy, where you’ll connect with peers facing similar challenges [8].
- Relapse prevention planning, helping you identify triggers and build a toolbox of healthy responses [9].
You can tailor your support mix as your needs change, and Medicaid will cover ongoing counseling or case management in most ASAM levels.
Next steps
You deserve a methadone program that welcomes your Medicaid benefits without delay. Here’s what to do next:
- Reach out to Metro Rehab’s admissions team by phone or our online form.
- Prepare your Medicaid card and ID for a smooth intake.
- Ask about same-day admission or telehealth options if you need flexible scheduling.
No more waiting or wondering if you’ll face surprise costs. Metro Rehab is ready to guide you through every step, so you can focus on building a healthier, more stable future. You’ve already taken a bold step by exploring your options—now let us help you move forward.


