Rehab Centers That Accept Medicaid in New York
If you have New York Medicaid, you may have access to comprehensive addiction treatment at little to no cost. Medicaid typically covers medical detox, residential rehab, outpatient counseling, and medication-assisted treatment (MAT) - often with minimal copays. Many OASAS-licensed facilities across New York accept Medicaid, though coverage details vary by plan type (Managed Care vs Fee-for-Service).
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Rehab Centers That Accept Medicaid in New York
Featured 30 Centers Accepting Medicaid
From 584 facilities that accept Medicaid, we've highlighted 30 starting points based on clear criteria.
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Showing 30 of 584 total facilities accepting Medicaid
What Medicaid Covers
New York Medicaid generally provides comprehensive addiction treatment coverage. Unlike many private insurances, Medicaid typically has low or no copays and no deductibles for substance abuse services. However, specific benefits depend on your plan type and provider.
Deductible Status
Whether you've met your annual deductible
Example range: Typically $0 (varies by plan) (varies by plan)
Network Status
In-network vs out-of-network rates
Per-Session Costs
Copays or coinsurance amount
Example range: $0-3 copay or 0% coinsurance
Level of Care
Inpatient vs outpatient rates differ
Get your exact costs: Call 1-800-541-2831
Common Plan Structures
- HMO:Requires in-network care, lower costs
- PPO:Can use out-of-network, higher flexibility
- EPO:In-network only, no referrals needed
- POS:Hybrid of HMO and PPO
Plan Source Matters
- Employer plan:Group benefits vary by company
- Marketplace:ACA plans with metal tiers
- Managed care:Must use plan's network
- No or very low copays
- Comprehensive substance abuse coverage
- Prior auth varies by plan (Managed Care vs Fee-for-Service)
- Covers transportation to treatment
- Widely accepted at NY facilities
- Covers long-term MAT (Suboxone, Methadone)
- Must meet income requirements
- Some facilities have waiting lists
- May need Medicaid Managed Care plan
- Prior authorization may be required for inpatient (Managed Care)
What to Have Ready Before Calling
💡 Having this ready reduces call time and ensures you get accurate information
1Call Your Benefits Line
Call 1-800-541-2831 or the number on your card
1-800-541-28312Ask These Questions
- • What is my deductible and how much have I met?
- • What is my copay for outpatient therapy?
- • Does my plan cover inpatient treatment?
- • Do I need prior authorization?
- • General coverage information for the insurance plan
- • Whether a specific facility is in-network
- • Typical copays and deductibles for the plan
- • Prior authorization requirements
- • General admission process questions
- • Specific treatment history or records
- • Whether someone is currently in treatment
- • Details about their specific claims
- • Dates of service or diagnoses
- • Any personal health information
How to Talk to Insurance as a Family Member:
"Hi, I'm calling to understand what addiction treatment benefits are covered under [plan type]. I'm not asking about a specific person's claims, just what the policy covers in general." This approach gets you the information you need while respecting privacy laws.
Ask for a formal denial letter that includes:
- Specific reason for denial
- Policy section reference
- Appeal rights and deadlines
You have the right to appeal. Most insurers have 2-3 levels of appeals. The facility's billing team can often help you with this process.
- Different level of care (e.g., IOP instead of inpatient)
- In-network facility alternatives
- Single-case agreement for out-of-network
Federal law requires insurers to cover mental health and substance abuse treatment at the same level as medical/surgical care. If denied, ask if the same restriction would apply to medical treatment.
Frequently Asked Questions About Medicaid
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