Molina Healthcare is a health care organization which offers services and health information management services to families receiving their care through Medicaid, Medicare, and other government-funded programs. Serving fifteen states through the nation, Molina has nearly five million members. Molina Healthcare offers Medicare, Medicaid, Medicare/Medicaid combination plans, and marketplace insurance policies, which can facilitate members’ ability to transition from Medicaid to marketplace without financial barriers and keep out-of-pocket expenses minimal.
Since Molina is largely a provider of government-funded healthcare programs, the benefit standards for addiction treatment services are relatively uniform. Molina also offers providers a Behavioral Health Toolkit, which refers to metrics from the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), to assess behavioral health and substance use disorders (SUDs). Additionally, Molina Healthcare states its dedication to addressing the opioid crisis affecting the United States, offering providers a wide array of resources and informational fact sheets on safe pain management practices from sources like the Centers for Disease Control and Prevention (CDC) and the American Society of Addiction Medicine (ASAM).
Molina Healthcare members can check their benefits and find local addiction treatment resources through the member portal, for the details of their coverage. Depending on the state and type of health care coverage, drug treatment service varies. Just as with private medical health care plans, service providers are in contract with certain networks, which keeps costs down for members utilizing their benefits. Finding an addiction treatment program for your needs can be done through Molina’s website or through the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) substance abuse program locator. SAMHSA maintains an enormous database of government-funded treatment programs that work with your Medicaid or Medicare health plan.
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However, Molina itself does not cover substance abuse treatment or detox, so members must seek benefits through the Medicaid or Medicare programs. Using the government-funded health plans requires that treatment services be in your home state, and in some cases, care may be restricted to local counties.
Another important factor to consider is the level of care available through these programs. Outpatient, partial hospitalization, and residential inpatient treatment programs are a part of government-funded health care plans, so it is necessary to check your benefits and service area to determine what levels of care are available to you. It may also be necessary to get an assessment of your condition for a diagnostic determination of the level of care your insurance provider deems medically necessary. This will directly affect what your benefits will cover, thereby specifying your search criteria for a treatment program.
Finding addiction treatment help through government-funded programs like Medicaid and Medicare can be a daunting task, and locating programs that have the therapies and levels of care necessary for effective recovery can be even more difficult. At AllTreatment.com, we understand the urgency of getting the help you need, as well as the barriers of understanding your health care plan and its implications for your treatment availability. Addiction is a serious illness that must be treated, as it is chronic and will continue to get worse as it goes unaddressed.
If you or a loved one is struggling with substance abuse or addiction and are currently provided healthcare through Medicare or Medicaid, call us for assistance with your benefits. We will help you understand your options and assist you with your search in finding the most effective treatment program for your needs. The complex health care systems of Medicaid and Medicare shouldn’t stand in the way of your recovery from addiction, and we can help ensure that they won’t.
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