Addiction therapy is only one of the many mental health therapies covered by the Arizona Health Care Cost Containment System (AHCCCS, pronounced as “access”). Professional addiction treatment may be fully or partially covered by your AHCCCS health insurance plan if you are eligible. There are various rehabs that accept AHCCCS, but not all are equally effective in providing quality mental health and addiction treatment services.
Keep reading to find out if your health insurance will cover addiction treatment and how to apply for AHCCCS coverage to get treatment with Catalina Behavioral Health!
How Does AHCCCS Work?
Arizona’s Medicaid system goes by the acronym AHCCCS. More than two million people in Arizona have access to healthcare because to AHCCCS, which was established in 1982. Programs to treat opioid addiction are among those included in this broad category of mental health care.
Many Arizona drug and alcohol rehab clinics accept Arizona Health Care Cost Containment System (AHCCCS) health insurance, making it simple for Medicaid-eligible citizens of Arizona to access the care they need to overcome their addiction. Each person’s plan will have a different set of benefits and levels of coverage, so it’s important to know what you’ll need and if it’s covered before deciding on a provider.
What is Offered at Rehabs that Accept AHCCCS?
Residential therapy, as well as intensive outpatient and partial hospitalization programs, are all covered by AHCCCS. Individual members’ fees and coverage for these treatments will be determined by their specific health insurance and AHCCCS health plans.
Medically Assisted Detox
Medical detox is the initial step in addiction treatment for people who are physiologically dependent on substances like alcohol, opioids, and benzodiazepines, and is included in many residential recovery programs. The goal of drug and alcohol detoxification services is to mitigate withdrawal symptoms and avoid consequences. Medical detox utilizes drugs that might make the withdrawal process more tolerable for the client.
Medical detox can last from a few days to many weeks, depending on the client’s needs. For those suffering from alcohol use disorder, medical detox can last anywhere from two to five days. However, for substances like opioids and benzodiazepines, the process could last up to 20. How long it takes to complete detox depends on a number of factors, including the nature and severity of the underlying addiction.
After getting over the worst of the withdrawal symptoms, many people enter a rehabilitation center to get addiction counseling and behavioral treatment.
Residential Treatment Facilities
Patients who choose to heal from their addiction in a familiar, home-like setting away from drugs and alcohol often choose residential rehabilitation. Based on the individual’s needs, this residential treatment program might run anywhere from 30 days to 120 days or more. Residential rehabilitation program participants engage in therapeutic activities and get therapy for many hours daily. This level of care is not yet offered at Catalina Behavioral Health.
Those who are in need of a stress-free, distraction-free setting to focus on their recovery would benefit from residential rehabilitation. Those who have battled addiction for a significant amount of time (months to years) and who are looking for assistance re-establishing a positive and fruitful daily routine may benefit greatly from this treatment program as well.
Residential rehabilitation is covered by AHCCCS, albeit the number of treatment days that are actually paid for varies by plan and eligibility.
Patients with several medical issues, such as anorexia and depression, may benefit from this form of rehabilitation since it provides round-the-clock medical care and monitoring. Because in a detox setting the therapy is focused on stabilizing patients, preventing complications, and keeping patients from injuring themselves or others, it is often significantly shorter than residential care.
Psychological withdrawal symptoms from drugs like cocaine and methamphetamine include hostility and psychosis. Patients experiencing these signs and symptoms are often prescribed sedatives to help them calm down and settle. In patients with a severe alcohol use disorder, delirium tremens, a severe form of withdrawal that can trigger seizures, is a real possibility. Delirium tremens is considered a medical emergency and necessitates supervision. This side effect is potentially deadly and must be taken seriously.
Patients in outpatient programs can recover from addiction without leaving their homes or sober living environments. Some of the various options available in outpatient rehabilitation include counseling, behavioral therapy, and attendance in 12-step meeting groups. Outpatient treatments such as partial hospitalization, intensive outpatient, and traditional outpatient rehabilitation are all covered by AHCCCS.
The services provided by PHPs are the pinnacle of modern outpatient medicine. PHPs are often called day treatment programs since they typically last between four and six hours per day, five days per week. Clients who require daily therapy for many hours but who may comfortably remain at home without round-the-clock monitoring can benefit greatly from this outpatient program.
Immediately following a PHP, the next step down is an intensive outpatient program (IOP). Typically, the minimum amount of time each client spends in IOP treatment is 8 hours per day, twice per week (any combination of around 18 hours). During the course of these treatment sessions, clients get the freedom to pursue other interests, such as employment, education, or family responsibilities. Clients in intensive outpatient programs (IOPs) for substance abuse often have a wide range of counseling and other activities to pick from, both during the day and at night.
A regular outpatient program meets less frequently than an intensive outpatient program and provides the less intensive treatment. Clients who have previously developed strategies for dealing with stressors and maintaining sobriety will benefit most from traditional outpatient therapy. Clients in this category may have established habits and a sober lifestyle, but they still require assistance such as 12-step meetings, family behavior therapy, and medication management (or Medication assisted treatment).
Sober Living Facilities
Depending on the state, AHCCCS may fund a resident’s entire stay in a sober living home. Clients in recovery from substance use disorder who are homeless or who come from unstable living conditions where they were exposed to domestic violence, drugs and alcohol, and other stressful situations benefit greatly from being in such homes.
Clients in recovery might feel safer and supported at a sober living home since all of the residents are going through the same process. Curfews and frequent attendance at 12-step meetings are only two examples of the standards that residents are expected to follow.
Some halfway houses and sober communities also offer psychosocial support in the form of counseling and behavioral treatment, as well as practical resources like assistance with job searches and resume writing. Numerous halfway houses offer their clients transportation to and from neighboring drug rehab centers so they may maintain their outpatient therapy schedules while living in a sober environment.
Medication-assisted treatment (MAT) or medication management is a treatment for persons who are recovering from opioid and alcohol use disorders that combines the use of pharmaceuticals with counseling and behavioral therapy. It has been found that treating the “whole person” rather than just the addiction helps patients remain sober for longer and decreases the likelihood of relapse and overdose.
This “whole person” form of therapy can come either as holistic treatment or dual-diagnosis – or a combination of both. It ultimately depends on the client’s personalized treatment plan and how they respond.
Furthermore, MAT has been demonstrated to increase clients’ employability and decrease criminal behavior, allowing them to adjust to a life without substance abuse. The idea is to have them acclimate to a daily existence that doesn’t include chasing drugs to overcome withdrawal symptoms while their minds have time to heal.
Substance withdrawal symptoms might be lessened or eliminated altogether, thanks to the drugs used in MAT for opioid and alcohol addiction. MAT is appropriate for both in-patient and out-of-hospital care settings. MAT programs draw from a wide range of evidence-based therapies, including cognitive-behavioral therapy, motivational interviewing, and contingency management.
Many people who qualify for MAT receive financial support from AHCCCS to cover the costs of their treatment.
Where Do I Go to Verify My AHCCCS Benefits and Coverage?
As a form of behavioral health care, addiction treatment is eligible for coverage under AHCCCS. However, everyone’s coverage is not the same because it depends on factors such as income.
Addiction treatment providers can also assist you verify your AHCCCS eligibility. In order to help you get the most out of your insurance coverage, call Catalina Behavioral Health to evaluate your plan’s coverage at no cost to you.
You will learn your precise treatment alternatives based on your coverage by utilizing this way to examine your benefits. It is a confidential call and only takes a few minutes to give you coverage details and whether AHCCCS will require any out of pocket or deductibles payments on your part.
What Happens If My Addiction Treatment Isn’t Covered by AHCCCS?
Addiction treatment coverage may be available even if your application for Medicaid insurance through AHCCCS is still pending.
Women who inject drugs, mothers with children, pregnant teenagers, and adolescents can get help paying for addiction treatment via AHCCCS while they wait for coverage to take effect. Substance abuse treatment for other Arizona residents who are currently waiting for Medicaid acceptance may be covered if sufficient funds become available.
People who meet the criteria listed above may be able to access MAT, IOP treatment, counseling, and other programs designed to aid in their process of sobriety.
At Catalina Behavioral, We Work with AHCCCS Insurance
At Catalina Behavioral Health Services, we accept AHCCCS as part of Arizona Medicaid coverage for clients seeking mental health treatment combined with substance abuse. We offer complete Arizona complete health care treatment for various mental health disorders individually, in addition to single cases of substance abuse disorder.
Our addiction treatment practitioners work hard to provide professional treatment advice via intensive outpatient treatment services and other forms of therapy.
To find out more how we can assist you, or questions regarding insurance coverage, contact a member of our admissions team today!