Nearly 57 percent of substance use disorder treatment facilities offered telehealth by January 2021, up from just 24 percent a year earlier [1]. If you’re looking for telehealth addiction counseling that accepts Medicaid, you’ve come to the right place. Virtual substance use counseling can break down barriers like transportation, childcare, and work schedules, so you can focus on recovery without worrying about coverage. We’ll explain how Medicaid supports telemedicine, share evidence on its effectiveness, and show why Metro Rehab’s telehealth programs are a lifeline for Medicaid enrollees.
Key takeaway: you can access comprehensive, Medicaid-friendly addiction treatment from home—with same-day intake and long-term support.
Benefits of telehealth counseling
Expanded reach for underserved
Telemedicine uses two-way audio-video or audio-only options to connect you with licensed providers at a distance [2]. That flexibility helps people in rural areas, those without reliable transport, and anyone juggling work or family care. For example, the University of Maryland’s mobile RV unit pairs telehealth with on-site support to reach underserved communities. Good news, this is easier than it sounds—most smartphones and home internet setups work fine.
Convenience and flexibility
In April 2023, 68.4 percent of U.S. adults sought virtual mental health services, often for convenience and privacy [3]. You can join individual sessions, group therapy, or family meetings from your living room, a quiet office, or wherever you feel safe. No commute, no waiting room. You’ll save time and reduce stress around scheduling.
Comparable treatment outcomes
A 2022 review found no significant difference in patient satisfaction, retention rates, or substance-use outcomes between telehealth and in-person addiction counseling [3]. That means you’re just as likely to build rapport with your therapist, stay engaged in treatment, and see positive results from your home setup.
Medicaid coverage details
Covered telehealth services
Medicaid supports a wide range of outpatient addiction services when delivered via telemedicine. Covered options often include:
- Psychoeducational and therapy groups (see online substance use counseling that accepts medicaid)
- One-on-one therapy (learn more about individual addiction counseling that accepts medicaid)
- Psychiatry sessions and medication checks (see psychiatric evaluations that accept medicaid)
- Opioid withdrawal management (explore opioid withdrawal management that accepts medicaid)
- Dual diagnosis care for co-occurring disorders (find out about dual diagnosis treatment that accepts medicaid)
- Case management and resource coordination [4]
State plan approvals
Under Title XIX of the Social Security Act, states design telehealth delivery through their Medicaid state plan or state plan amendment (SPA). Many states include telehealth in existing benefit sections without a separate SPA. If a state reimburses telehealth differently than face-to-face care, it must file a reimbursement SPA. This flexibility helps providers adopt virtual addiction services more quickly.
Billing and documentation
To ensure smooth reimbursement, providers add a telehealth modifier (for example, 95 or GT) and use place-of-service code 02 on claims [5]. Addiction treatment often uses HCPCS Level II codes H0001–H0040. Thorough documentation of treatment plans and progress notes is crucial to justify medical necessity, since payers may question behavioral health claims.
Metro Rehab telehealth services
Comprehensive program offerings
Metro Rehab’s virtual platform delivers a full spectrum of Medicaid-friendly addiction support. You can choose from:
| Program type | What’s included |
|---|---|
| Individual counseling | One-on-one therapy for triggers, coping skills, relapse prevention [6] |
| Group therapy | Peer support and skills practice in small groups [7] |
| Medication management | Telepsychiatry for prescribing and monitoring [8] |
| Case management | Coordinated care, referrals, benefits assistance [9] |
| Family counseling | Sessions to rebuild trust and communication [10] |
Same-day virtual intake
We know you need help now. Metro Rehab offers same-day telehealth intake (when openings allow), so you won’t wait weeks for your first appointment. After a quick eligibility check, you’ll complete an online assessment and set personalized goals. It’s simple, streamlined, and designed to remove barriers to care.
Hybrid care coordination
Telehealth works best as part of an integrated plan. Metro Rehab teams coordinate virtual sessions with in-person check-ins when needed for lab tests, medication administration, or group workshops. You’ll get seamless referrals to local support groups, mobile-care units, and community resources.
Prepare for virtual sessions
Check your technology
Before your first appointment, confirm you have:
- A smartphone, tablet, or computer with a camera and microphone
- A reliable internet connection (Wi-Fi or wired)
- A quiet, private space where you feel comfortable
Most platforms are browser-based—no downloads needed—so setup takes just minutes.
Understand session flow
Your first virtual visit typically includes:
- Verification of identity and Medicaid eligibility
- Clinical assessment of substance use history and goals
- Discussion of treatment options and scheduling
- Agreement on a care plan and follow-up sessions
Subsequent visits focus on therapy, skill-building, medication checks, or case management.
Engage actively
Maximize your telehealth experience by:
- Testing audio and video before each session
- Keeping a journal of triggers and wins
- Setting reminders for appointments
- Inviting a support person to join family sessions
- Asking questions about your care plan
You’re in the driver’s seat, and a little prep goes a long way.
Quick recap and next step
- Take advantage of telehealth’s convenience, flexible hours, and proven outcomes.
- Medicaid covers many virtual addiction services—from therapy groups to medication management.
- Metro Rehab offers same-day intake, a full suite of telehealth programs, and hybrid care coordination.
- Prepare by checking your tech, knowing what to expect, and engaging fully in sessions.
Ready to start? Contact Metro Rehab today for a free benefits check and schedule your first telehealth intake. You’ve got this, and we’re here to support every step of your recovery journey.
References
- (National Library of Medicine)
- (Medicaid.gov)
- (American Addiction Centers)
- (case management services that accept medicaid)
- (Behave Health)
- (individual addiction counseling that accepts medicaid)
- (group substance use therapy that accepts medicaid)
- (medication management therapy that accepts medicaid)
- (case management services that accept medicaid)
- (family counseling that accepts medicaid)


