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Medicaid PHP

Medicaid PHP Coverage

Partial hospitalization runs like a hospital day and sends you home at night. Expect clinical hours across most weekdays, psychiatric oversight and daily group work. Programs here record day treatment alongside Medicaid acceptance, putting an intensive level of care within reach without residential billing.

Schedules and transport are the practical sticking points. Some plans cover rides to appointments, some sites run shorter days, and starting hours differ enough to matter if you work or have children at home. Ask about both when you compare what is listed.

Rehab Centers Near You

Top 12 Drug and Alcohol Rehab Centers That Accept Medicaid PHP

Recovery Unplugged Nashville – Brentwood

255 Wilson Pike Circle, Brentwood, Tennessee, 37027

4.9★★★★★~~386~~

Joint Commission

DetoxHospital detoxInpatient+6

Accepts InsuranceAccepts MedicaidSelf-Pay

Co-occurring DisordersMATTrauma-informed+9

Spanish spoken

The facility sits on Wilson Pike Circle, in the Maryland Farms area of Brentwood — an affluent Williamson County suburb immediately south of Nashville. The facility offers addiction detox, alcohol withdrawal management, drug withdrawal management and dual diagnosis treatment. Both residential and outpatient care are recorded at this location. Recorded credentials include The Joint Commission, DEA and State substance use agency licence.Treatment addresses substance use alongside co-occurring mental health conditions, including anxiety disorders, co-occurring disorders…

3.7 miWhitfield Park8.9 miNashville International AirportServes13 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · Carfentanil Rehab · +50 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · +62 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · +5 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Psychosocial Rehab Services · +4 more

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Adult Rehab · Couples Rehab · +74 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · +8 more

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · ComPsych · Humana · Magellan Health · Optum · Sendero Health Plans · UnitedHealthcare (UHC)

Northstar Recovery Center – Southborough

132 Turnpike Road, Southborough, Massachusetts, 1772

5.0★★★★★~~183~~

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts TRICARE+1

Co-occurring DisordersMATTrauma-informed+6

Northstar Recovery Center is located at 132 Turnpike Road in Southborough, within a few minutes of Cordaville and Framingham. The practical catchment runs to roughly 6 miles, covering Framingham, Marlborough, Hopkinton and Westborough. Southborough is in Worcester County, which shapes which public funding routes apply. The facility runs partial hospitalization, intensive outpatient and outpatient care. Buprenorphine, methadone or naltrexone can be prescribed alongside therapy. Substance use and mental health are treated together rather than in…

2.3 miHopkinton State Park Swimming Pool Reservoir17 miLaurence G Hanscom FieldServes45 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · +30 more

Levels of care

Aftercare and Continuing Care · Clonidine and Lofexidine Detox · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Online Rehab and Telehealth · Outpatient MAT Clinic · +6 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · EMDR Therapy · Evidence-Based Therapy · Family Therapy · +6 more

Mental health

Groups served

Adult Rehab · Couples Rehab · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's PTSD Rehab · Men's Rehab · Men's Telehealth · Men's Trauma Rehab · Men's TRICARE Rehab · Senior IOP · +16 more

Support services

Case Management · Housing and Employment Support · Housing Assistance · Practical Support · Recovery Support Services · Self Help Groups · Suicide Prevention Services · Waitlist Interim Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Harvard Pilgrim Health Care · Health Plans Inc · Humana · Medicaid · Optum · TRICARE · Tufts Health Plan · +1 more

Rancho Recovery – Rancho Cucamonga

13684 Jeremy Court, Rancho Cucamonga, California, 91739

5.0★★★★★64

Joint Commission

DetoxHospital detoxInpatient+6

Accepts InsuranceAccepts MedicaidAccepts TRICARE+2

Co-occurring DisordersMATTrauma-informed+8

Spanish spokenDeaf and HoH

Rancho Recovery – Rancho Cucamonga is based on 13684 Jeremy Court in Rancho Cucamonga, San Bernardino County. The facility offers addiction detox, medically supervised detox, alcohol withdrawal management, drug withdrawal management, polysubstance detox and opioid withdrawal management. Care is provided on both a residential and outpatient basis. This location is registered for both substance use and mental health treatment. Details on this page are drawn from the federal treatment locator maintained by the Substance Abuse…

6.7 miBonita Falls7.6 miOntario International AirportServes4 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · +54 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · +67 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Community Reinforcement Approach · Contingency Management · Counseling and Therapy · Couples Counseling · +10 more

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +4 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Detox · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Hepatitis Support Services · HIV and Hepatitis Care · +46 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · Intervention Services · +8 more

Languages

Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Residential Rehab · Spanish Speaking Rehab

Insurance accepted

Medicaid · TRICARE

South Shore Recovery Center – Plymouth

182 Standish Avenue, Plymouth, Massachusetts, 2360

5.0★★★★★76

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts TRICARE+3

MATSeniorsYoung adults+5

Deaf and HoH

South Shore Recovery Center is at 182 Standish Avenue in Plymouth. North Plymouth is 0.5 miles away and Kingston 2.6. Anyone within about 7 miles can reach it without a major journey, which takes in South Duxbury, Duxbury, Green Harbor and The Pinehills. Plymouth County is the relevant authority here, which matters for anyone using state-funded care. South Shore Recovery Center offers partial hospitalization, intensive outpatient and outpatient care. Medication for opioid dependence is available…

0.8 miNelson Beach25 miNew Bedford Regional AirportServes18 towns

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · +35 more

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · +9 more

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Psychosocial Rehab Services · Social Skills Training

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Legal Advocacy Support · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · +15 more

Support services

Languages

Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Harvard Pilgrim Health Care · Humana · Medicaid · Optum · TRICARE · Tufts Health Plan

Pillars Health Group – Tewksbury

890 East Street, Tewksbury, Massachusetts, 1876

5.0★★★★★74

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts TRICARE+1

MATYoung adultsWomen+3

Deaf and HoH

Pillars Health Group is at 890 East Street in Tewksbury. Andover is 3.7 miles away and Wilmington 4.1. That radius takes in Andover, Wilmington, Lawrence and Pinehurst, all within 6 miles. Middlesex County is the relevant authority here, which matters for anyone using state-funded care. Pillars Health Group offers intensive outpatient and outpatient care. Buprenorphine, methadone or naltrexone can be prescribed alongside therapy. Remote appointments are offered, useful for anyone without transport. Trauma-focused work forms…

3.9 miSkug River11 miLaurence G Hanscom FieldServes55 towns

Substances treated

Levels of care

Aftercare and Continuing Care · Clonidine and Lofexidine Detox · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Non-12-Step Rehab · Online Rehab and Telehealth · +6 more

Therapies

Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Matrix Model Treatment · Motivational Interviewing · +1 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management

Groups served

Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Women's Dual Diagnosis Rehab · Women's Outpatient Rehab · +3 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Support Services · Suicide Prevention Services · +1 more

Languages

Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

ComPsych · Humana · TRICARE

Ocean State Recovery Center – Johnston

1524 Atwood Avenue, Johnston, RI 02919

4.9★★★★★~~365~~

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+9

Spanish spoken

Ocean State Recovery Center operates from 1524 Atwood Avenue in Johnston. The site sits in Providence County, which shapes which public funding routes apply. Nearby communities include Cranston and Greenville. Rhode Island draws people across long distances for treatment, so travel time is worth weighing against waiting time. Partial hospitalization, intensive outpatient and outpatient care are delivered here, alongside medication-assisted treatment, telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on…

3.6 miSlacks Pond Beach8.1 miRhode Island T. F. Green International AirportServes35 towns

Substances treated

Levels of care

Therapies

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +4 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · +72 more

Support services

Case Management · Chronic Illness Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · +12 more

Languages

Spanish Speaking Rehab

Insurance accepted

Medicaid · Medicare · TRICARE

Gateway Treatment Facility – Pineville

210 Laurel Street, Pineville, Louisiana, 71360

5.0★★★★★36

CARF accredited

DetoxResidentialPHP+3

Accepts InsuranceAccepts MedicaidAccepts State Insurance+2

MATVeteransSeniors+6

Gateway Treatment Facility operates from 210 Laurel Street in Pineville, close enough to Ball and Alexandria to serve both. People travelling from Ball, Alexandria, Creola and Prospect are all inside 10 miles. Rapides County is the relevant authority here, which matters for anyone using state-funded care. Gateway Treatment Facility offers detox, residential treatment, partial hospitalization and sober living. Federal registration is held through SAMHSA and licensing through the Louisiana Department of Health. Buprenorphine, methadone or…

4.2 miLake Buhlow10 miAlexandria International AirportServes2 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Serious Mental Illness Treatment · Social Skills Training

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Rehab · Men's Residential Rehab · Men's Telehealth · +20 more

Support services

Case Management · Community Outreach · Education and Job Training · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Intervention Services · +7 more

Insurance accepted

Medicaid · TRICARE

Coastal Detox Inc – Stuart

1131 SE Indian Street, Stuart, FL, 34997

4.8★★★★★~~290~~

Joint Commission

DetoxHospital detoxInpatient+5

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATMethadone+10

Spanish spoken

The address on record is 1131 SE Indian Street in Stuart, Florida. It is recorded as offering residential treatment, partial hospitalization and intensive outpatient. This is recorded as treating co-occurring conditions rather than one in isolation. Care runs on site, with accommodation included for the duration. Family involvement is listed as part of the provision. Federal registration is held through SAMHSA, and licensing sits with the Florida Department of Children and Families.

3.0 miSouth Fork Saint Lucie River34 miPresident Donald J. Trump International AirportServes7 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · +8 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Social Skills Training · +1 more

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · +78 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · HIV Treatment · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · Peer Support · Practical Support · +5 more

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · AmeriHealth · Avmed · CarePlus Health Plans · Cigna Healthcare · ComPsych · Emblem Health · First Health · Golden Rule Insurance Company · +10 more

Detox5 photos

Bayview Recovery Center

2515 Camino del Rio S suite 300, San Diego, CA 92108, United States

5.0★★★★★~~152~~

Joint Commission

DetoxPHPIOP+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+1

Co-occurring DisordersSeniorsMen+1

Bayview Recovery Center provides specialized substance use and mental health treatment services designed to meet the unique needs of men in Southern California. Located in San Diego, the center emphasizes a clinical, evidence-based approach to recovery, integrating medical care with psychological support to address the root causes of addiction. The facility maintains accreditation from The Joint Commission, reflecting its commitment to high-quality healthcare standards and patient safety. Since its establishment, Bayview Recovery Center has offered…

4.4 miSan Diego River3.9 miSan Diego International AirportServes13 towns

Substances treated

Adderall Rehab · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · Fentanyl Patch (Duragesic) Rehab · Fentanyl Rehab · Heroin Rehab · Hydrocodone Rehab · Hydromorphone (Dilaudid) Rehab · +22 more

Levels of care

Aftercare and Continuing Care · Detox Centers · Evening Treatment · Intensive Outpatient Program (IOP) · Medical Detox · Non-12-Step Rehab · Outpatient Rehab · Partial Hospitalization Program (PHP) · Recurrence Prevention · Rehab Transfers · +1 more

Therapies

Counseling and Therapy · Evidence-Based Therapy · Individual Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Treatment

Groups served

Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · Senior Detox · Senior IOP · Senior MAT · Senior Outpatient Rehab · Senior PHP · Senior Rehab

Insurance accepted

Aetna · Anthem / Elevance Health · Blue Shield of California · Cigna Healthcare · Covered California · Kaiser Permanente · Medicare · TRICARE · TriWest Healthcare Alliance · UnitedHealthcare (UHC) · +1 more

Comprehensive Wellness Centers – Lake Worth

660 South Dixie Highway, Lake Worth, FL, 33462

4.8★★★★★~~201~~

Joint Commission

DetoxInpatientResidential+6

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

Co-occurring DisordersMATTrauma-informed+8

Spanish spoken

The provider's premises are at 660 South Dixie Highway, Lake Worth, Florida. Provision here is recorded as residential treatment, partial hospitalization, intensive outpatient and sober living. Provision spans substance use and mental health together. This is residential provision, so someone lives at the facility throughout. Remote appointments appear on the record, useful where travel is difficult. Group and family work are both recorded. Both federal registration through SAMHSA and Florida Department of Children and Families…

1.3 miSouth Palm Beach7.7 miPresident Donald J. Trump International AirportServes10 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · +37 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Anxiety Retreat · Clonidine and Lofexidine Detox · +32 more

Therapies

Mental health

Groups served

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intervention Services · Nutrition and Fitness Counseling · +9 more

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · AmeriHealth · Avmed · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Devoted Health · Magellan Health · Medicare · Optum · +4 more

Royal AZ LLC – Prescott (655 West Gurley Street)

655 West Gurley Street, Prescott, Arizona, 86305

4.9★★★★★68

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts TRICARE+3

Co-occurring DisordersMATTrauma-informed+8

Deaf and HoH

You will find Royal AZ LLC on West Gurley Street, within Downtown Prescott, the courthouse square district, with Whiskey Row on its western side. Levels of care recorded for this provider include medication-assisted detox, partial hospitalization program (PHP) and PHP (day treatment program), with 8 others listed. Care is provided on an outpatient basis, so people continue living at home. The program holds accreditation from The Joint Commission.Treatment addresses substance use alongside co-occurring mental health…

4.6 miSierra Prieta8.4 miPrescott Regional Airport - Ernest A. Love FieldServes4 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Group Therapy · +6 more

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Psychosocial Rehab Services · +4 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Court Ordered Dual Diagnosis Rehab · +64 more

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · Nutrition and Fitness Counseling · Practical Support · +6 more

Languages

Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

BCBS (Blue Cross Blue Shield) · CareFirst · Cigna Healthcare · ComPsych · Optum · TRICARE · TriWest Healthcare Alliance · UnitedHealthcare (UHC) · VA Community Care · Wellpoint (formerly Amerigroup)

Northpoint Recovery – Seattle

2111 North Northgate Way, Seattle, WA, 98133

4.8★★★★★~~368~~

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts TRICARE+3

Co-occurring DisordersMATTrauma-informed+7

Deaf and HoH

The site sits at 2111 North Northgate Way in Seattle, Washington. The facility is listed for partial hospitalization and outpatient care. Substance use and mental health conditions are both treated here. Care is provided on an outpatient basis, so people continue living at home. Telehealth is listed, so some contact can happen without traveling in. The record notes group sessions alongside individual work. The facility is federally registered and licensed by the Washington State Health…

3.0 miMatthews Beach13 miKing County International Airport - Boeing FieldServes20 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Cognitive Remediation Therapy · Community Reinforcement Approach · Contingency Management · Counseling and Therapy · +11 more

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Early HIV Intervention · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · +21 more

Support services

Languages

Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

BCBS (Blue Cross Blue Shield) · Kaiser Permanente · Premera Blue Cross · TRICARE · UnitedHealthcare (UHC)

More Addiction Rehabs That Take Medicaid PHP 13–80 of 2,131

The Recovery Team – East Falmouth

279 Brick Kiln Road, East Falmouth, Massachusetts, 2536

4.8★~~(292)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Northstar Recovery Center – West Springfield

1319 Riverdale Street, West Springfield, Massachusetts, 1089

4.9★~~(58)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Aftermath Addiction Treatment Ctr LLC – Wakefield

607 North Avenue, Wakefield, Massachusetts, 1880

5.0★~~(214)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+2

Pomarri Outpatient Services – Orem

1472 East 820 North, Orem, Utah, 84097

4.8★~~(205)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Clear Recovery of Cache Valley – Providence

277 North Spring Creek Parkway, Providence, Utah, 84332

5.0★~~(104)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+4

Palms Recovery Florida LLC – Lake Worth

3444 South Congress Avenue, Lake Worth, FL, 33461

4.8★~~(141)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+4

BeBold Recovery – Norfolk

5423 Henneman Drive, Suite C, Norfolk, Virginia, 23513

4.9★~~(216)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+4

Elevate Recovery Center – North Billerica

267 Boston Road, North Billerica, Massachusetts, 1862

4.8★~~(104)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Principles Recovery Center – Fort Lauderdale

4343 South State Road 7, Fort Lauderdale, FL, 33314

4.9★~~(199)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

Clearbrook Treatment Center – Wilkes Barre

1100 East Northampton Street, Wilkes Barre, PA, 18706

4.7★~~(447)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+3

East Coast Recovery – Cohasset

215 Chief Justice Cushing Highway, Cohasset, Massachusetts, 2025

4.8★~~(73)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+3

Avenues Recovery Center at Norfolk – Norfolk

1516 Harmon Street, Norfolk, Virginia, 23518

4.7★~~(226)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts Medicaid+3

Adolescent Wellness Academy (AWA) – Miami

9350 Sunset Drive, Miami, FL, 33173

4.9★~~(82)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

Reflections Outpatient – Lindon

20 South State Street, Lindon, Utah, 84042

5.0★~~(33)~~

DetoxPHPIOP+2Accepts InsuranceAccepts Medicaid+2

Decision Point LLC – Prescott

505 Whipple Street, Prescott, Arizona, 86301

4.7★~~(173)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+2

Washington Street Hope Center Inc – Marksville

118 South Washington Street, Marksville, Louisiana, 71351

4.8★~~(40)~~

ResidentialPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Harbor Wellness and Recovery Ctr LLC – Holmdel

2139 Highway 35 North, Holmdel, NJ, 7733

4.9★~~(54)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+4

Adolescent Wellness Academy (AWA) – Fort Lauderdale

4343 South State Road 7, Fort Lauderdale, FL, 33314

4.9★~~(158)~~

PHPOutpatientTelehealthAccepts InsuranceAccepts Medicaid+3

Social Recovery Center – Springfield

841 Mountain Avenue, Springfield, NJ, 7081

4.9★~~(49)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+4

Alliance Wellness Center – Minneapolis

8040 Old Cedar Avenue South, Minneapolis, Minnesota, 55425

4.7★~~(77)~~

ResidentialPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Royal WA Lacey – Olympia

8645 Martin Way East, Olympia, WA, 98516

4.7★~~(101)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

Evolutions Treatment Center – Fort Lauderdale

2901 West Cypress Creek Road, Fort Lauderdale, FL, 33309

4.7★~~(922)~~

DetoxPHPIOP+2Accepts InsuranceAccepts Medicaid+5

A Brighter Start Health and Wellness – New Bern

1414 McCarthy Boulevard, New Bern, North Carolina, 28562

4.8★~~(38)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+6

Hartford Dispensary – Branford

6-12 Business Park Drive, Branford, Connecticut, 6405

4.8★~~(2,324)~~

PHPOutpatientTelehealthAccepts InsuranceAccepts Medicaid+3

Milton Palm Beach Recovery – North Palm Beach

521 Northlake Blvd, North Palm Beach, FL, 33408

4.7★~~(86)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+3

Clean Recovery Centers – Tampa

508 West Fletcher Avenue, Tampa, FL, 33612

4.6★~~(460)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts Medicaid+2

Aftermath Behavioral Health – Wakefield

50-D Audubon Road, Wakefield, Massachusetts, 1880

4.9★~~(60)~~

PHPOutpatientTelehealthAccepts InsuranceAccepts Medicaid+1

Banyan Delaware – Milford

21 West Clarke Avenue, Milford, DE 19963

4.6★~~(407)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+2

California Prime Recovery – Fountain Valley

17330 Newhope Street Unit A, Fountain Valley, California, 92708

4.7★~~(307)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

Liberty Bay Recovery Center – Portland

343 Forest Avenue, Portland, ME 04101

4.6★~~(154)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+4

Amazing Care Mental Health/SUD Servs – Gwynn Oak (5512 Wesley Avenue)

5512 Wesley Avenue, Gwynn Oak, MD, 21207

4.9★~~(17)~~

DetoxInpatientResidential+4Accepts InsuranceAccepts Medicaid+4

Another Chance Clinical Services LLC – Portland

12670 NW Barnes Road, Suite 200, Portland, Oregon, 97229

4.8★~~(80)~~

PHPIOPOutpatient+1Accepts InsuranceAccepts Medicaid+4

I Am Recovery LLC – Pleasant Grove

3784 West Valley View Drive, Pleasant Grove, Utah, 84062

4.6★~~(110)~~

DetoxResidentialPHP+5Accepts InsuranceAccepts Medicaid+3

Recovery Team – East Falmouth

279 Brick Kiln Road, East Falmouth, Massachusetts, 2536

4.8★~~(292)~~

PHPOutpatientAccepts InsuranceAccepts Medicaid+2

A Brighter Start – Wilmington

5710 Oleander Drive, Suite 100, Wilmington, North Carolina, 28403

4.6★~~(107)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+6

Coral CMHC Inc – Miami

2141 SW 1st Street, Miami, FL, 33135

5.0★~~(23)~~

PHPOutpatientTelehealthAccepts InsuranceAccepts Medicaid+4

Oregon Trail Recovery LLC – Portland

10600 SE McLoughlin Boulevard, Suite 207, Portland, Oregon, 97222

4.6★~~(109)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+3

WisHope Recovery Center – Waukesha

223 Wisconsin Avenue, Waukesha, Wisconsin, 53186

4.6★~~(103)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+5

Silver Linings Recovery Center – Langhorne

1262 Wood Lane, Langhorne, PA, 19047

4.6★~~(98)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+5

Silver Sands Recovery – Prescott

3636 Crossings Drive, Prescott, Arizona, 86305

4.6★~~(85)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+2

Nexstep Medical Detox – Orem

1080 East 800 North, Orem, Utah, 84057

4.6★~~(65)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts Medicaid+3

Better Life Recovery and Wellness – Florham Park

25A Hanover Road, Florham Park, NJ, 7932

4.8★~~(21)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Safe Refuge – Long Beach (3125 East 7th Street)

3125 East 7th Street, Long Beach, California, 90804

4.7★~~(29)~~

ResidentialPHPIOP+3Accepts MedicaidAccepts TRICARE+4

Safe Refuge – Long Beach (4510 East Pacific Coast Hwy)

4510 East Pacific Coast Hwy, Long Beach, California, 90804

4.7★~~(29)~~

ResidentialPHPIOP+3Accepts MedicaidAccepts TRICARE+4

ChoicePoint – Fair Lawn

23-00 Route 208, Fair Lawn, NJ, 7410

4.6★~~(77)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

Bloom Health Centers – Windsor Mill

7001 Johnnycake Road, Windsor Mill, MD, 21244

4.7★~~(143)~~

PHPOutpatientTelehealthAccepts InsuranceAccepts Medicaid+5

BrightView Health – Henderson

500 North Green Street, Henderson, Kentucky, 42420

4.7★~~(40)~~

DetoxPHPOutpatient+2Accepts InsuranceAccepts Medicaid+5

Gateway Foundation – 2323 Stevenson Drive, Springfield

2323 Stevenson Drive, Springfield, Illinois, 62703

4.8★~~(18)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+7

Prime Healthcare Services – Passaic

530 Main Avenue, Passaic, NJ, 7055

4.7★~~(35)~~

ResidentialPHPOutpatient+1Accepts InsuranceAccepts Medicaid+5

Twin Town Treatment Centers – Los Alamitos

4281 Katella Avenue Suite 117, Los Alamitos, California, 90720

4.7★~~(48)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

Iris Health Clinic – Waukesha

255 West Broadway, Waukesha, Wisconsin, 53186

5.0★~~(9)~~

DetoxResidentialPHP+5Accepts InsuranceAccepts Medicaid+5

Harbor Care – Nashua (45 High Street)

45 High Street, Nashua, NH 03060

4.5★~~(211)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+7

Bloom Health Centers DC – Washington

1660 L Street NW, Washington, DC 20036

4.7★~~(48)~~

PHPOutpatientTelehealthAccepts InsuranceAccepts Medicaid+5

Complete Healthcare – Columbus (1539 West Broad Street)

1539 West Broad Street, Columbus, OH, 43222

4.6★~~(32)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+5

Sanative Recovery and Wellness – Cincinnati

9912 Carver Road, Cincinnati, OH, 45242

5.0★~~(11)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

McKinley Hall Inc – Springfield

2624 Lexington Avenue, Springfield, OH, 45505

4.7★~~(17)~~

DetoxResidentialPHP+5Accepts InsuranceAccepts Medicaid+5

Amazing Care Mental Health/SUD Servs – Baltimore (4813 Seton Drive)

4813 Seton Drive, Baltimore, MD, 21215

4.9★~~(17)~~

PHPOutpatientTelehealthAccepts InsuranceAccepts Medicaid+6

Amazing Care Mental Health/SUD Servs – Gwynn Oak (5906 Howard Place)

5906 Howard Place, Gwynn Oak, MD, 21207

4.9★~~(17)~~

PHPOutpatientTelehealthAccepts InsuranceAccepts Medicaid+3

NYC/HHC Queens Hospital Center – Jamaica

82-68 164 Street, Jamaica, NY, 11432

4.7★~~(1,799)~~

InpatientPHPOutpatient+2Accepts InsuranceAccepts Medicaid+5

MedStar Saint Marys Hospital – Leonardtown

25500 Point Lookout Road, Leonardtown, MD, 20650

4.5★~~(2,658)~~

InpatientPHPOutpatient+1Accepts InsuranceAccepts Medicaid+5

Nana House inc – Fort Lauderdale

2053 North University Drive, Fort Lauderdale, FL, 33322

5.0★~~(7)~~

ResidentialPHPIOP+4Accepts InsuranceAccepts Medicaid+5

Lennard Clinic Inc – Newark

461 Frelinghuysen Avenue, Newark, NJ, 7114

4.4★~~(165)~~

DetoxPHPIOP+3Accepts MedicaidAccepts Medicare+4

Amherst H Wilder Foundation – Saint Paul

451 Lexington Parkway North, Saint Paul, Minnesota, 55104

4.4★~~(136)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

Riverbend – Lowell

101 Jackson Street, Lowell, Massachusetts, 1852

4.5★~~(61)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+6

Faith Recovery – Williamsburg

325 Ewell Road, Williamsburg, Virginia, 23188

4.4★~~(52)~~

DetoxResidentialPHP+3Accepts InsuranceAccepts Medicaid+4

Memorial Health Univ Medical Center – Savannah

4700 Waters Avenue, Savannah, Georgia, 31404

4.4★~~(7,331)~~

InpatientPHPOutpatient+1Accepts InsuranceAccepts Medicaid+5

NYC HHC Bellevue Hospital Center – New York

462 1st Avenue, New York, NY, 10016

4.4★~~(6,473)~~

InpatientPHPOutpatient+1Accepts InsuranceAccepts Medicaid+6

Wausau Comprehensive Treatment Center – Wausau

210 Washington Street, Wausau, Wisconsin, 54403

4.4★~~(101)~~

DetoxPHPOutpatient+2Accepts InsuranceAccepts Medicaid+5

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Common questions

Answered from what is listed here.

Does Medicaid cover PHP for substance use?

Yes, in most states. In KFF's July 2022 survey of fee-for-service Medicaid for adults, 34 states covered ASAM level 2.5 partial hospitalization, 11 did not and 6 did not report. Where fee-for-service does not cover it, a managed care plan may still offer it as an in-lieu-of service.

Coverage rules sit with each state, so the benefit may be named day treatment or high intensity outpatient rather than partial hospitalization.

Medicaid Rehabhttps://rehabseekers.com/insurance-accepted/medicaid/

What is a partial hospitalization program for addiction?

A partial hospitalization program is structured daytime treatment of about 20 or more hours a week, ASAM level 2.5, delivered in an outpatient setting while you return home at night. Virginia's Medicaid rule requires at least 20 hours a week, five service hours on each service day, and emergency services available around the clock.

Virginia lists individual and group psychotherapy, substance use counseling, medication management, education groups and occupational and recreational therapy as the planned format.

Partial Hospitalization Program (PHP)https://rehabseekers.com/programs/outpatient/php/

Which states do not cover PHP under Medicaid?

Eleven states reported no fee-for-service coverage of ASAM 2.5 in KFF's 2022 survey: Colorado, Florida, Illinois, Kansas, Louisiana, Massachusetts, Nebraska, Pennsylvania, Texas, Washington and Wyoming. Florida and Texas both reported that managed care plans may offer partial hospitalization as an in-lieu-of service instead.

State plans change, and Colorado's Medicaid agency now lists level 2.5 within its substance use continuum, so check with the state before assuming a gap.

Medicaid Rehabhttps://rehabseekers.com/insurance-accepted/medicaid/

How many hours a week is PHP under Medicaid?

Around 20 hours a week is the standard. Virginia, North Carolina and Alaska each set a 20-hour weekly minimum for ASAM level 2.5, and Virginia adds a five-hour minimum per service day. Maine's covered partial hospitalization uses a lower floor of three hours a day on three days a week.

Schedules differ between sites, so ask about start times and day length when you ask about funding.

Partial Hospitalization Program (PHP)https://rehabseekers.com/programs/outpatient/php/

What is the difference between PHP and IOP on Medicaid?

Hours are the dividing line. North Carolina's intensive outpatient benefit, ASAM 2.1, runs 9 to 19 hours of treatment a week for adults, while its partial hospitalization benefit, ASAM 2.5, runs 20 or more hours a week and adds access to psychiatric, medical and laboratory services.

Both are outpatient, so you sleep at home either way, and a state may authorize a step down from one to the other.

Intensive Outpatient Program (IOP)https://rehabseekers.com/programs/outpatient/iop/

Does Medicaid require prior authorization for PHP?

Often, yes. Indiana, Mississippi, Nevada, Ohio, South Carolina, Virginia and Wisconsin reported prior or service authorization for partial hospitalization in 2022, and West Virginia reported limits based on medical necessity. Virginia's ARTS provider manual lists ASAM 2.5 as requiring service authorization.

Under federal managed care rules a plan must decide a standard request within 14 days and an expedited request within 72 hours.

Medicaid Rehabhttps://rehabseekers.com/insurance-accepted/medicaid/

Is there a copay for Medicaid PHP?

Usually nothing or a few dollars. Only four states reported a partial hospitalization copay in KFF's 2022 survey: Maine at $0.50 to $2 a day up to $20 a month with youth under 21 exempt, Mississippi at $3 outside community mental health centers, and Oklahoma at $3.

Federal rules cap cost sharing at nominal amounts, generally $4 for an outpatient service for members at or below the poverty level.

Low Cost Rehabhttps://rehabseekers.com/payment/low-cost/

How much does PHP cost without Medicaid?

Partial hospitalization usually costs $7,000 to $15,000 a month, or roughly $230 to $500 a day, before insurance. Program length, staffing and whether psychiatric and laboratory services are included move the figure, and some sites run higher or lower than that band.

Self pay is recorded at nearly all day treatment programs here, with state funding at the larger part and sliding scale fees at a minority.

Self Pay Rehabhttps://rehabseekers.com/payment/self-pay/

How long does Medicaid pay for PHP?

There is no fixed federal number of days. Length is set by each state's medical necessity and authorization rules, reviewed as treatment continues, and states that use authorization reauthorize based on progress. Weekly hour minimums, such as Virginia's 20 hours, define the program rather than its total length.

New Hampshire's managed care contract goes the other way and requires partial hospitalization to be offered within a set number of days of the ASAM assessment.

Continuing Carehttps://rehabseekers.com/programs/aftercare-and-continuing/continuing/

Does Medicaid cover PHP for teens?

Yes, where the service is medically necessary. Youth under 21 are entitled to medically necessary behavioral health services under Medicaid's EPSDT benefit, which can reach adolescent partial hospitalization. Alaska publishes separate adolescent and adult standards for ASAM 2.5, while North Carolina's SACOT policy covers ages 18 and older.

Ask the state agency which adolescent day program is authorized, since the benefit name and age range differ by state.

Teen PHPhttps://rehabseekers.com/specialized/teen-rehab/teen-php/

Does Medicaid cover medication during PHP?

Yes. Medication is a separate Medicaid benefit, and all or nearly all states reported covering buprenorphine, naltrexone and methadone for substance use treatment in KFF's 2022 survey. North Carolina's SACOT includes medication management through consultation and referral alongside the counseling schedule.

Methadone must be dispensed through a certified opioid treatment program, so a day program may coordinate dosing with a separate clinic.

Medication Assisted Treatment (MAT)https://rehabseekers.com/medications/mat/

Does Medicaid cover hospital-based PHP?

Not always. Alaska's Medicaid level of care training says the program will not reimburse hospital-based ASAM 2.5, even though the level itself is covered in non-hospital outpatient settings, and members receiving it must also get substance use care coordination under the state's 1115 waiver.

Other states route the same service through community clinics, so confirm the setting with the plan before admission.

Hospital Rehabhttps://rehabseekers.com/type/hospital/

Does Medicaid managed care cover PHP?

Sometimes, and sometimes only as an in-lieu-of service. Texas told KFF that its plans may offer intensive outpatient and partial hospitalization if the Health and Human Services Commission approves their operational plan, and Florida makes partial hospitalization available through managed care rather than traditional Medicaid.

A 2024 review of managed care contracts for opioid use disorder found partial hospitalization among the services written explicitly into contracts less often.

Medicaid Rehabhttps://rehabseekers.com/insurance-accepted/medicaid/

What is ASAM level 2.5 called now?

High Intensity Outpatient. ASAM's own FAQ says the fourth edition of the criteria uses that term for level 2.5, and the edition adds level 2.7, medically managed intensive outpatient, which requires both clinical and medical services for 20 or more hours a week while 2.5 has no medical component.

State Medicaid manuals often still say partial hospitalization, day treatment or SACOT for the same level.

Partial Hospitalization Program (PHP)https://rehabseekers.com/programs/outpatient/php/

What if Medicaid denies my PHP?

You receive written notice giving the reason and your appeal rights. In fee-for-service Medicaid a state must allow a reasonable time, no more than 90 days from the denial notice, to request a fair hearing. Managed care members appeal to the plan first.

Asking for an appeal before an existing service is cut may let you keep attending while the decision is pending.

Medicaid Rehabhttps://rehabseekers.com/insurance-accepted/medicaid/

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Partial hospitalization, printed as PHP on most benefit lists, is structured day treatment for a substance use disorder that runs at least 20 hours a week while someone keeps sleeping at home. In the ASAM Criteria it is level 2.5, and Alaska’s Medicaid training materials describe it as the step for someone who does not meet an inpatient level of care but still needs intense monitoring in a structured outpatient setting. Emergency help has to be reachable by telephone around the clock when the program is not in session.

Whether Medicaid pays for it is a state question rather than a federal one, and that is the whole hinge of this page. Inpatient hospital, outpatient hospital and physician services are the behavioral health services every state has to cover; partial hospitalization reaches a member through a state’s rehabilitation option or its outpatient benefit, and a state may leave both out. In a July 2022 survey of fee-for-service Medicaid for adults, 34 states covered level 2.5, 11 did not and 6 did not report.

This guide covers which states reported no fee-for-service coverage and what they offer instead, what a Medicaid-funded day program has to deliver each week, how long an authorization runs, what a member pays, where prior authorization and service authorization apply, how a cut in days is appealed, and how to reach a program that bills a state Medicaid agency.

Does Medicaid Cover PHP?

Yes, in most states, though as an optional benefit rather than a federal requirement. In the 2022 fee-for-service survey, 34 states covered ASAM level 2.5 partial hospitalization for adults, 11 reported none and 6 did not report. Where fee-for-service leaves it out, a managed care plan may still arrange it.

The pattern behind that count is worth knowing before a call to a state agency. As substance use services get more intensive across the ASAM levels, more states attach day limits or authorization rules to them, and partial hospitalization sits in the middle of that range. An older federal review found that as of 2018 only 12 states covered every one of the nine ASAM levels, so a state that stops short of day treatment is not unusual.

Which States Do Not Cover PHP Under Medicaid?

In the 2022 survey, Colorado, Florida, Illinois, Kansas, Louisiana, Massachusetts, Nebraska, Pennsylvania, Texas, Washington and Wyoming reported no fee-for-service coverage of level 2.5. Benefit designs move, and Colorado’s agency now lists 2.5 partial hospitalization inside its substance use continuum, so a current answer has to come from the state.

Where the Benefit Sits in the State Plan

Intensive non-hospital care such as partial hospitalization can be written into a state plan under the rehabilitation option or under outpatient services, and both are optional. The rehabilitation option is also what lets a state pay for recovery-oriented work in community settings, which is why one state’s Medicaid rehab benefit can list a day program while a neighboring state’s does not.

How Managed Care Changes the Answer

Texas told surveyors its managed care plans may offer intensive outpatient and partial hospitalization as in-lieu-of services where the state health agency signs off on the operational plan, and Florida reported the same route, with traditional Medicaid not covering it. A 2024 review of managed care contracts for opioid use disorder found partial hospitalization among the services written in least often, alongside Medicaid residential rehab questions that plans handle case by case. New Hampshire’s contract goes the other way and requires the level to be offered within a set number of days of the ASAM assessment.

What Happens in a Medicaid Partial Hospitalization Program?

At least 20 hours a week of skilled treatment, built around individual, group and family counseling, substance use counseling, medication management, education groups and occupational or recreational therapy. Virginia requires at least five service hours on each service day, and time spent outside clinically intensive treatment cannot be billed.

North Carolina’s comprehensive outpatient treatment policy for substance use, dated January 1, 2026, is the clearest published picture of what a state buys at this level. It defines the service as clinically intensive partial hospitalization of 20 or more programming hours a week for enrollees aged 18 and older with a primary substance use diagnosis, and requires individual, group and family counseling, medication management through consultation and referral, service coordination, and direct access to psychiatric, medical and laboratory services. Standard Plans, local management entities, Tailored Plans and the Child and Family Specialty Plan all cover it, and co-occurring disorder treatment that takes Medicaid is handled inside the same benefit array.

Who Delivers the Care

An interdisciplinary team of credentialed addiction professionals staffs the level: addiction counselors, psychologists, social workers and addiction-credentialed physicians. Virginia expects the physicians to hold specialty training or experience in addiction medicine or addiction psychiatry, and those treating adolescents to have adolescent medicine experience. Medical and psychiatric consultation is expected within eight hours by telephone and within 48 hours in person.

Medication During the Program

Virginia requires a program at level 2.5 to deliver medication assisted treatment on site or through referral, so a day program cannot simply leave the prescribing question to someone else. In the 2022 survey, all or nearly all states reported covering buprenorphine, naltrexone and methadone for substance use treatment, which is why a plan of care can hold both a daily group schedule and a Suboxone or buprenorphine prescription that takes Medicaid.

How Long Does Medicaid Pay for PHP?

No federal or survey source gives a fixed number of days. Length follows each state’s authorization and medical necessity rules, and the ASAM Criteria ask for a formal reassessment every month at this level, so the question in practice is how often the plan wants to look again rather than when a clock runs out.

The weekly hours are what keep a stay at this level rather than a lower one. Maine reported a covered minimum of three hours a day on three days a week, Alaska sets a 20-hour weekly minimum with a four-hour daily floor, and North Carolina’s separate level 2.1 policy runs 9 to 19 hours a week for adults, which is where an intensive outpatient program picks up. Names drift too: the fourth edition of the ASAM Criteria calls level 2.5 High Intensity Outpatient and adds a level 2.7 that carries a medical component, while state manuals still print partial hospitalization.

Twenty hours is the line. North Carolina pays intensive outpatient at 9 to 19 hours a week and partial hospitalization at 20 or more, with psychiatric, medical and laboratory access attached to the higher level. If a schedule on offer comes to fifteen hours, it is the lower benefit being authorized, whatever the brochure calls it, and the authorization request should say so.

How Much Does Medicaid PHP Cost?

Usually nothing, or a few dollars a day. Four states reported a level 2.5 copayment in 2022: $0.50 to $2 a day up to $20 a month in Maine, with youth under 21 exempt, $3 outside a community mental health center in Mississippi, $3 in Oklahoma, and an unstated amount in Alabama. Federal rules cap the rest.

That cap is worth stating plainly, because it is the reason this level of care rarely produces a bill. For a member with income at or below the federal poverty level, nominal cost sharing runs to $4 for most outpatient services, which is the usual ceiling for an outpatient day. Premiums and copays together for a whole Medicaid household may not exceed 5% of family income, and no cost sharing at all may be charged for emergency or pregnancy-related services.

Typical US market rates before insurance
Level of care	Monthly	Daily
Medical detox (7–14 days)	$1,500 – $5,200 per week	$215 – $745
Residential inpatient	$6,200 – $26,000	$205 – $865
PHP	$7,200 – $14,000	$240 – $465
IOP	$2,700 – $9,200	$90 – $305
Outpatient	$1,300 – $5,200	$45 – $175

Those are the sums billed without coverage, and across the states the middle half of partial hospitalization prices runs $7,000 to $15,000 a month, or $230 to $500 a day. Medicaid pays nothing like that: a state agency or its plan pays its own rate and the member meets only a nominal charge. Medicare applies its Part B deductible and daily coinsurance, TRICARE pays a cost share, private plans apply a deductible and coinsurance, and self-pay is where the full rate lands on a household.

What the Day Rate Does Not Include

Room and board is not part of this benefit, since nobody stays the night. Where an adolescent program runs during school hours, Alaska notes that educational services are offered or coordinated with the school system and that Medicaid does not pay for the schooling itself. Transportation is a separate optional Medicaid service, so rides to a daily program are a question for the state or plan rather than for the program’s own rate.

Does Medicaid Require Prior Authorization for PHP?

Yes, in a number of states, though no national rule exists. Indiana, Mississippi, Nevada, Ohio and South Carolina reported prior authorization for level 2.5 in 2022, Wisconsin reported services subject to prior authorization, Virginia’s provider manual lists service authorization, and West Virginia reported limits set by medical necessity instead.

What the reviewer is measuring against varies as well. In a state running a substance use demonstration waiver, placement has to follow published patient placement criteria with independent utilization review, and residential providers have to meet ASAM standards. New York routes the decision through a level of care determination tool built by its addiction services agency, with a concurrent module for ongoing review. California delivers substance use care through county systems built on an ASAM continuum rather than through its health plans, so the county is where a day treatment question goes.

What If Medicaid Denies PHP?

A written notice has to give the reason. A managed care member has 60 days to appeal to the plan, and the plan has no more than 30 calendar days to resolve a standard appeal or 72 hours for an expedited one. In fee-for-service the state must allow up to 90 days from the notice to request a fair hearing.

Ask before the cut date. A member who files an appeal or hearing request before a service is actually reduced may be able to keep attending while the appeal is pending. Mid-treatment refusals of further day treatment are the moment that rule matters, so the date on the notice is the thing to act on rather than the date the days run out.

How Do I Find a PHP That Takes Medicaid?

Start with the state Medicaid agency, which is where federal health agencies direct a member to find a Medicaid provider; there is no national Medicaid member line. In a managed care state, call the plan printed on the member card. Ask the admissions team which ASAM level the program bills and whether it holds a state contract.

Two credentials are worth asking about by name. A program billing at level 2.5 has to be licensed by the state behavioral health or health department, and in Virginia it also has to be contracted with the state Medicaid agency or a managed care plan before it can bill at all. Government treatment registers list state-licensed substance use programs and are a reasonable way to build a shortlist, after which the state or plan confirms the payment side.

Programs that accept Medicaid for day treatment are gathered on the Medicaid PHP page, with related pages for Medicaid detox, outpatient rehab and case management. Each listing shows the levels of care offered, the payments the program says it accepts, licensing and accreditation shown where The Joint Commission or CARF lists the facility, and how far the site sits from the nearest airport.

References and Citations

KFF — July 2022 survey of state fee-for-service Medicaid coverage of substance use disorder services for adults: ASAM level coverage counts, copayments, limits and authorization rules by state.
Virginia Department of Medical Assistance Services — Addiction and Recovery Treatment Services provider manual and licensing regulations for level 2.5 partial hospitalization: weekly and daily hours, components, staffing and service authorization.
North Carolina Division of Health Benefits — clinical coverage policies for comprehensive outpatient treatment and intensive outpatient treatment of substance use disorders: hour thresholds, required services and covering plan types.
Centers for Medicare & Medicaid Services and MACPAC — Medicaid mandatory and optional benefits, the rehabilitation option, cost-sharing maximums and the household cap, managed care appeal timeframes and fair hearing deadlines.
American Society of Addiction Medicine — level 2.5 criteria and the fourth edition renaming to High Intensity Outpatient, staffing and consultation expectations, and monthly reassessment.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.