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Adoption Subsidy Program

Rehabs That Take Adoption Subsidy Program

The Adoption Subsidy Program is Michigan’s adoption assistance program, run by the Michigan Department of Health and Human Services. Medical support through the program can help with health care costs, and many children in it also qualify for Medicaid, which can cover drug and alcohol treatment for young people. Coverage varies with the child’s eligibility, the provider network and the level of care.Michigan centers listed here name the program on their websites. Before admission, families should ask the center and their caseworker or Medicaid plan about network status, approvals and any cost.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept Adoption Subsidy

List Psychological Services PLC – Bay City

126 Washington Avenue, Bay City, MI, 48708

4.7★★★★★~~189~~

COA accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTrauma-informedTeens+9

Deaf and HoH

The provider's premises are at 126 Washington Avenue, Bay City, Michigan. Services on file are intensive outpatient and outpatient care. Substance use and mental health conditions are both treated here. Treatment is delivered without an overnight stay, around existing commitments. Telehealth is listed, so some contact can happen without traveling in. Group and family work are both recorded. Both federal registration through SAMHSA and Michigan Department of Health and Human Services licensing are on record.

1.6 miMiddle Ground11 miMBS International AirportServes4 towns

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · +32 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Overdose Prevention Education · Recurrence Prevention · Weekend Rehab

Therapies

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

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Social Skills Training · Trauma Treatment

Groups served

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

Support services

Case Management · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · Suicide Prevention Services · Waitlist Interim Services

Languages

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

Insurance accepted

AARP Health Care Options · Adoption Subsidy Program · Aetna · Assurant Health · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · ComPsych · Golden Rule Insurance Company · Health Alliance Plan (HAP) · +16 more

List Psychological Services PLC – Lapeer

624 West Nepessing Street, Lapeer, MI, 48446

4.7★★★★★~~138~~

COA accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTrauma-informedTeens+8

Deaf and HoH

Records place List Psychological Services PLC at 624 West Nepessing Street, Lapeer, Michigan. The record shows intensive outpatient and outpatient care. Medication-assisted treatment is recorded, combining prescribing with regular clinical contact. This is outpatient provision, so daily life continues around the appointments. Video appointments are recorded as an option here. Trauma care appears on the record alongside the rest. Federal registration is held through SAMHSA, and licensing sits with the Michigan Department of Health and…

4.6 miSkinner Lake22 miBishop International AirportServes8 towns

Substances treated

Levels of care

Therapies

Mental health

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 Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · +33 more

Support services

Practical Support · Suicide Prevention Services · Waitlist Interim Services

Languages

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

Insurance accepted

List Psychological Services PLC – Saginaw

5024 North Center Road, Saginaw, MI, 48604

4.5★★★★★~~160~~

COA accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTrauma-informedTeens+8

Deaf and HoH

The site sits at 5024 North Center Road in Saginaw, Michigan. It is recorded as offering intensive outpatient and outpatient care. Co-occurring treatment is listed, which matters where both are present. Provision is outpatient, so no overnight stay is involved. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. The record notes group sessions alongside individual work. Federal registration is held through SAMHSA, and licensing sits with the Michigan…

5.1 miCarrollton Bar5.0 miMBS International AirportServes4 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Support services

Case Management · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · Suicide Prevention Services · Waitlist Interim Services

Languages

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

Insurance accepted

List Psychological Services PLC – Pigeon

7484 West Michigan Avenue, Pigeon, MI, 48755

4.5★★★★★13

COA accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTrauma-informedTeens+8

Deaf and HoH

The provider's premises are at 7484 West Michigan Avenue, Pigeon, Michigan. The facility is listed for intensive outpatient and outpatient care. Medication-assisted treatment appears on the record, pairing approved medication with counseling and review. Provision is outpatient, so no overnight stay is involved. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. The listing notes trauma-focused treatment. Both federal registration through SAMHSA and Michigan Department of Health and Human…

6.7 miLittle Pigeon River45 miMBS International AirportServes3 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Support services

Case Management · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · Suicide Prevention Services · Waitlist Interim Services

Languages

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

Insurance accepted

List Psychological Services PLC – Caro (467 North State Street)

467 North State Street, Caro, MI, 48723

4.8★★★★★81

COA accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTrauma-informedTeens+9

Deaf and HoH

The address on record is 467 North State Street in Caro, Michigan. Listed provision covers intensive outpatient and outpatient care. Co-occurring treatment is listed, which matters where both are present. Provision is outpatient, so no overnight stay is involved. Remote appointments appear on the record, useful where travel is difficult. Group and family work are both recorded. The facility is federally registered and licensed by the Michigan Department of Health and Human Services.

13 miNorth Branch Cass River35 miMBS International AirportServes3 towns

Substances treated

Levels of care

Therapies

Mental health

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

Groups served

Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Medicare Rehab · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · DUI and DWI Programs · Hepatitis Support Services · +47 more

Support services

Case Management · Community Outreach · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · Suicide Prevention Services · Transportation to Rehab · +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

List Psychological Services PLC – Caro (651 North State Street)

651 North State Street, Caro, MI, 48723

4.7★★★★★~~176~~

COA accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTrauma-informedTeens+9

Deaf and HoH

List Psychological Services PLC operates from 651 North State Street in Caro, Michigan. The facility is listed for intensive outpatient and outpatient care. Medication-assisted treatment is part of what is listed, which for opioid dependence means buprenorphine, methadone or naltrexone alongside counseling. Treatment is delivered without an overnight stay, around existing commitments. Telehealth is listed, so some contact can happen without traveling in. Trauma care appears on the record alongside the rest. SAMHSA holds the…

13 miNorth Branch Cass River35 miMBS International AirportServes3 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Medicare Rehab · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · DUI and DWI Programs · Hepatitis Support Services · +47 more

Support services

Case Management · Community Outreach · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · Self Help Groups · Suicide Prevention Services · +2 more

Languages

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

Insurance accepted

List Psychological Services PLC – Bad Axe

110 East Huron Avenue, Bad Axe, MI, 48413

4.6★★★★★48

COA accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTrauma-informedTeens+8

Deaf and HoH

List Psychological Services PLC occupies 110 East Huron Avenue in Bad Axe, Michigan. According to the federal listing this provider runs intensive outpatient and outpatient care. Both addiction and mental health conditions appear on the record. Treatment runs on an outpatient footing, with people returning home between appointments. Remote appointments appear on the record, useful where travel is difficult. Family involvement is listed as part of the provision. The facility is federally registered and licensed…

10 miSouth Fork Cass River57 miMBS International AirportServes2 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Support services

Case Management · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · Suicide Prevention Services · Waitlist Interim Services

Languages

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

Insurance accepted

List Psychological Services PLC – Sandusky

33 Sanilac Road, Sandusky, MI, 48471

2.6★★★☆☆25

COA accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTrauma-informedTeens+8

Deaf and HoH

List Psychological Services PLC operates from 33 Sanilac Road in Sandusky, Michigan. The facility is listed for intensive outpatient and outpatient care. Provision spans substance use and mental health together. Treatment runs on an outpatient footing, with people returning home between appointments. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. Registration is federal, through SAMHSA; licensing is held with the Michigan Department of Health and Human Services.

14 miMiddle Branch Cass River56 miBishop International AirportServes1 town

Substances treated

Levels of care

Therapies

Mental health

Groups served

Support services

Practical Support · Suicide Prevention Services · Waitlist Interim Services

Languages

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

Insurance accepted

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Common questions

Answered from what is listed here.

What is the Adoption Subsidy Program?

The Adoption Subsidy Program is public adoption assistance for children with special needs adopted mainly from foster care. Each state's child welfare agency runs it under federal Title IV-E or state funds, paying adoptive families a monthly amount, reimbursing one-time adoption costs, and bringing Medicaid eligibility for the child.

It is not an insurance company. Health care, including treatment for substance use, is billed to the child's state Medicaid program rather than to the subsidy.

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

Does the Adoption Subsidy Program cover rehab?

No, the subsidy itself does not pay treatment centers. Rehab for a child with an adoption subsidy is covered through the child's state Medicaid. Under EPSDT rules, Medicaid enrollees under 21 must get every medically necessary service Medicaid can cover for a physical or mental condition.

A few states add their own help: Arizona's special services subsidy can pay for residential treatment when Medicaid cannot, with prior authorization from the Adoption Subsidy Program.

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

Does a child with an adoption subsidy get Medicaid?

Yes. Medicaid is mandatory for any child with a Title IV-E adoption assistance agreement in effect, whether or not payments are being made. There is no income or resource test and no separate Medicaid application; eligibility follows the IV-E agency's determination.

Children on state-funded, non-IV-E agreements get Medicaid at the state's option, usually when they have special medical or rehabilitative needs; the state that had custody decides.

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

Does the Adoption Subsidy Program cover inpatient or residential rehab?

Yes, when the child's state Medicaid program finds the stay medically necessary. TennCare, for example, covers residential treatment when medical necessity is documented. In California, an increased adoption assistance payment can support a residential treatment placement for up to 18 months per episode.

Arizona's special services subsidy can also pay for residential treatment tied to a pre-existing special need, but it must be authorized before services start.

Medicaid Residential Rehabhttps://rehabseekers.com/insurance-accepted/medicaid/medicaid-residential-rehab/

Does the Adoption Subsidy Program cover therapy?

Yes, through the child's Medicaid rather than the subsidy payment. Florida adopted youth receive individual and family therapy and psychiatric services through Medicaid and local providers, and California covers counseling, psychiatric care, medication and family treatment for adoption assistance children through Medi-Cal.

No visit limits come from the subsidy itself; any limits are set by the state Medicaid program or the child's managed care plan.

Counseling and Therapyhttps://rehabseekers.com/therapies/counseling-and-therapy/

Does the Adoption Subsidy Program cover Suboxone or methadone?

Yes, these medications are covered through the child's Medicaid. Since October 2020 state Medicaid programs must cover all FDA-approved forms of methadone, buprenorphine and naltrexone for opioid use disorder along with related counseling, and the Consolidated Appropriations Act, 2024 made that benefit permanent.

Methadone for opioid use disorder is dispensed only by a licensed Opioid Treatment Program; the drug list itself follows the state Medicaid formulary or plan.

Suboxone and Buprenorphine Rehab That Takes Medicaidhttps://rehabseekers.com/medications/mat/suboxone-and-buprenorphine-medicaid/

Does the Adoption Subsidy Program need prior authorization for rehab?

Prior authorization comes from the child's state Medicaid program or managed care plan, not from the subsidy program, which sets no treatment criteria of its own. Residential and inpatient levels of care are the ones usually reviewed before an admission starts.

Two exceptions are state add-ons: Arizona's special services subsidy and Michigan's adoption medical subsidy must each be authorized in advance by the adoption subsidy office.

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

Does adoption subsidy Medicaid work in another state?

Yes. A subsidized child is enrolled in Medicaid by the state where the child lives, even if another state or Tribe signed the adoption assistance agreement, and the Interstate Compact on Adoption and Medical Assistance covers 48 states plus DC to move that coverage.

New York Medicaid cards are not accepted in other states, so a family moving should ask the destination state about its rules early; state-funded coverage may not transfer.

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

How long does adoption subsidy Medicaid last?

Usually until the child turns 18. States may elect a higher age, and coverage can run to 21 for a child with a mental or physical disability or, in Texas and Florida, when the child was 16 or older when the agreement was signed and meets school or work rules.

In New York, subsidy Medicaid ends at 18, or 21 if the child is handicapped, and is followed by automatic community Medicaid for up to four months.

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

How much is the adoption subsidy?

California's basic rate is $1,301 a month, Florida's standard subsidy is $416.66, and New York paid $959 to $1,319 by age and region in 2024-25. Amounts are negotiated per child and cannot exceed the foster care rate the child would have received.

One-time adoption costs are reimbursed too, up to $2,000 federally, though states set lower caps: $400 in California, $1,200 in Texas and $1,500 in Tennessee.

Payment Assistance Availablehttps://rehabseekers.com/payment/payment-assistance-available/

Who runs the Adoption Subsidy Program?

Each state's child welfare agency runs it: New York's Office of Children and Family Services through local social services districts, Arizona DCS, Michigan MDHHS, California's CDSS with county agencies, Texas DFPS, Florida DCF and Tennessee DCS. The Administration for Children and Families oversees Title IV-E federally.

There is no corporate owner and no provider network; care is paid by whichever Medicaid program or managed care plan the child is enrolled in.

State Funded Rehabhttps://rehabseekers.com/payment/state-funded/

What states have an adoption subsidy program?

All 50 states, the District of Columbia and Puerto Rico run adoption assistance, and Canadian provinces have equivalents. Program names differ: New York, Michigan and Arizona call it the Adoption Subsidy Program, while California uses Adoption Assistance Program and Florida uses Maintenance Adoption Subsidy.

Families Rising keeps a profile of the program for each state, and its Adoption Subsidy Resource Center can be reached at 1-800-470-6665 x115.

State Insurance Rehabhttps://rehabseekers.com/insurance-accepted/state-insurance/

Is the adoption subsidy the same as KinGAP?

No. Kinship Guardianship Assistance, or KinGAP, is a separate subsidy paid to relatives who become a child's legal guardian rather than adopting. Both are Title IV-E programs, and children in either one fall in the same mandatory Medicaid group as Title IV-E foster care children.

Other similarly named programs, including state medical subsidies and private adoption agency grants, are separate too and do not follow the same rules.

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

Which health plan covers adopted children in Florida?

Florida adopted children can enroll in the Sunshine Health Child Welfare Specialty Plan, a Centene Medicaid plan added for them in 2015 that combines physical and behavioral health with a care coordination team and serves more than 23,000 children. The Agency for Health Care Administration may send parents a letter about choosing it.

Members reach the plan, including its 24/7 behavioral health crisis and nurse line, at 1-855-463-4100; the 988 Lifeline handles any mental health or substance use crisis.

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

How do I find a rehab that takes the Adoption Subsidy Program?

Look for a program that accepts the child's state Medicaid or Medicaid managed care plan, since that is the payer. Search the plan's provider directory or call the state Medicaid line, then ask the program whether it treats adolescents at the level of care needed.

Michigan centers listed here name the program on their websites, so a family should still ask the caseworker or Medicaid plan about network status and authorizations.

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

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The Adoption Subsidy Program is the public adoption assistance benefit a state child welfare agency pays to families who adopt a child with special needs, mostly from foster care. It is not an insurer or a health plan. The monthly payment goes to the adoptive parents, and treatment is billed to the child’s Medicaid coverage rather than to the subsidy.

Two versions of the benefit exist. A Title IV-E adoption assistance agreement is federally funded, overseen by the Administration for Children and Families at HHS, and brings mandatory Medicaid with no income or resource test and no separate Medicaid application. A state-funded, non-IV-E agreement leaves Medicaid to the state’s option for children under 21 with special medical or rehabilitative needs. A child receives one or the other, never both, and the agreement itself names which.

State agencies brand the benefit differently: the Adoption Subsidy Program in New York and Michigan, the DCS Adoption Subsidy Program in Arizona, the Adoption Assistance Program in California. This guide covers what the subsidy pays for and what Medicaid pays for, where authorization applies, what the monthly rates and treatment costs look like, how addiction medication is handled, and how a family finds a program that bills the right payer.

Does the Adoption Subsidy Program Cover Drug and Alcohol Rehab?

Not directly. The subsidy does not pay treatment programs. Detox, residential care, partial hospitalization, intensive outpatient and counseling are covered through the child’s Medicaid, and for anyone under 21 the EPSDT rule requires Medicaid to pay for every Medicaid-coverable service that is medically necessary to treat a physical or mental condition found on screening.

A few states layer something on top of that. Arizona’s special services subsidy can pay for residential treatment and respite tied to a pre-existing special need when Medicaid and other resources cannot. Michigan’s Adoption Medical Subsidy covers conditions that existed, or whose cause existed, before the adoption, once other funding is exhausted. In California an increased AAP payment can support a Residential Treatment Facility placement, only where returning home is part of the plan, and for up to 18 months per episode. Florida takes the opposite line and excludes group or residential rates from the subsidy negotiation.

Which coverage is the child actually on? With a Title IV-E agreement in effect, Medicaid is enrolled by the state where the child lives, even if another state or Tribe signed the agreement. In Texas, coverage shifts from STAR Health to traditional fee-for-service Medicaid at the end of the month the adoption is finalized. In Florida, adopted children were added to the Sunshine Health Child Welfare Specialty Plan in 2015, and AHCA may write to parents about choosing it.

What Does Medicaid Pay For at Each Level of Care?

The full ladder is covered where the state Medicaid program finds the care medically necessary, and the level is set at clinical assessment rather than chosen in advance. TennCare, for example, covers residential treatment when medical necessity is documented, and enrollees receive inpatient, outpatient and supported housing services through their managed care organization.

Medical Detox

Withdrawal management is a Medicaid service, delivered in hospital, residential or outpatient settings. A young person in acute alcohol or benzodiazepine withdrawal belongs in an emergency department regardless of network questions, and medical detox is then arranged from there with the plan on the phone.

Residential and Inpatient

Inpatient hospital care and rehabilitative services sit on the covered list in state programs such as Texas HHSC’s children’s behavioral health services. Medicaid residential rehab runs on medical necessity and concurrent review, and the admitting program usually files the request.

PHP, IOP and Outpatient

Partial hospitalization, intensive outpatient and outpatient chemical dependency counseling are the common step-down levels, and Florida adopted youth also receive individual and family therapy and psychiatric services through Medicaid and local providers. No visit limits come from the subsidy; any limits are set by the state Medicaid program.

Does the Adoption Subsidy Program Need Prior Authorization for Rehab?

For treatment billed to Medicaid, authorization rules come from the state Medicaid program or the child’s managed care plan, not from the subsidy office. Where the subsidy itself pays, the office does authorize: Arizona’s special services subsidy requires prior authorization before residential treatment starts, and Michigan’s medical subsidy must be authorized in advance by the Adoption Subsidy Office.

Arizona also sets timelines worth knowing. AHCCCS RBHA contractors must decide requests for behavioral health out-of-home treatment, such as a Behavioral Health Residential Facility, within 72 hours, and must pay medically necessary inpatient psychiatric days even where no safe discharge plan is in place. Under Jacob’s Law, enacted in March 2016, a family may use any AHCCCS-registered provider when a service is not delivered within 21 days, claims cannot be denied solely because the provider is out of network, and payment runs at the lesser of 130% of the AHCCCS fee-for-service rate or the provider’s standard rate. The AHCCCS Clinical Resolution Unit takes those access calls on 602-364-4558 or 1-800-867-5808.

Three questions for the caseworker. Is the agreement Title IV-E or state funded? Which Medicaid program or plan is the child enrolled in right now, and in which state? Does the subsidy office have to authorize anything before the admission date, or does the request go to the Medicaid plan alone?

How Much Does Rehab Cost With the Adoption Subsidy Program?

The subsidy pays the family, not the program. Monthly maintenance is negotiated case by case, can be renegotiated as the child’s needs grow, and cannot exceed the foster care maintenance payment the child would have received in a foster family home. Treatment charges go to Medicaid, so the family’s share is whatever the state’s Medicaid program sets.

Published rates show the range. California pays a basic $1,301 a month on agreements from January 1, 2017, rising through $1,447 and $1,596 at higher levels of care, with dual agency rates up to $4,707. Florida’s standard subsidy is $5,000 a year, or $416.66 a month, with more negotiable up to the child’s foster care board rate. New York maintenance rates for July 2024 to June 2025 run from $959.18 upstate for ages 0–5 to $1,318.95 in the metro region for ages 12 and over. Arizona pays $19.68 a day for ages 0–11 at adoption and $27.15 a day for ages 12–20, with specialized rates to $44.69. Tennessee starts at $29.91 a day for ages 0–11, and Michigan pays $20.69 a day to age 12 and $24.71 from 13, plus difficulty of care add-ons of $5–$18 a day. One-time adoption expenses are reimbursed up to $2,000 federally, with lower state caps: $400 in California, $1,500 in South Carolina and Tennessee, $1,200 per child in Texas.

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 a program bills without coverage. Title IV-E Medicaid carries no income test, and Florida’s Child Welfare Specialty Plan is offered at no cost to children adopted from that state’s child welfare system. Per-service cost sharing, where any exists, comes from the state Medicaid program and should be asked about by name.

Does the Adoption Subsidy Program Cover Suboxone, Methadone and Other Addiction Medication?

Yes, through Medicaid. Since October 2020 every state Medicaid program must cover all FDA-approved forms of methadone, buprenorphine and naltrexone for opioid use disorder, along with the counseling that goes with them. The Consolidated Appropriations Act, 2024 removed the September 2025 end date, making that medication benefit permanent.

Where the Prescription Is Filled

The subsidy has no formulary of its own, so drug coverage follows the state Medicaid drug list or the managed care plan’s. Methadone for opioid use disorder is dispensed only through an opioid treatment program, which is why it never shows up as a pharmacy fill, while buprenorphine on Medicaid is written by a prescriber and filled at a pharmacy.

How Long the Coverage Lasts

Payments generally end at 18, or at a higher age the state elects, and may run to 21 for a child with a mental or physical handicap. New York subsidy Medicaid ends at 18, or 21 where the child is handicapped, followed by automatic community Medicaid for up to four months. Texas Medicaid runs to 18, or to 21 where the child was 16 or older at signing and meets education or vocational requirements. Florida coverage usually ends the month of the 18th birthday. Michigan non-IV-E Medicaid ends at 18.

Which Rehab Centers Are In-Network With the Adoption Subsidy Program?

The subsidy has no provider network. A program is in-network when it holds a contract with the child’s state Medicaid program or that child’s Medicaid managed care plan, and holds the state license or certification for the level of care. Network status is settled in the plan’s provider directory or with state Medicaid, using the plan named on the child’s card.

Programs that accept the Adoption Subsidy Program are gathered on the Adoption Subsidy Program page, alongside the wider Medicaid rehab and Medicaid detox listings. Each listing shows the payments the program says it accepts, its licensing and accreditation, and how far it sits from the nearest airport, so a family can shortlist before the call that settles network status and authorization.

Does Medicaid From an Adoption Subsidy Work in Another State?

For a Title IV-E child, yes: the state of residence enrolls the child, and the Interstate Compact on Adoption and Medical Assistance moves the coverage between member states, listed by Missouri as 48 states plus the District of Columbia. New York Medicaid cards are not accepted elsewhere, so a family moving should contact the new state early. For a state-funded agreement, the state that held custody decides what medical coverage travels, and South Carolina routes those requests through its ICAMA mailbox.

How Do I Find a Rehab That Takes the Adoption Subsidy Program?

Search the child’s Medicaid plan directory or the state Medicaid provider list, then ask the admissions team whether it contracts with that exact plan. In Florida that means the Sunshine Health Child Welfare Specialty Plan, run by Centene, on 1-855-463-4100; in Tennessee, the TennCare MCO; in Arizona, an AHCCCS Complete Care or RBHA contractor.

For questions about the agreement itself, the Families Rising Adoption Subsidy Resource Center answers on 1-800-470-6665 extension 115. State lines include Michigan MDHHS on 517-256-1060, California CDSS on (916) 651-8089, Arizona DCS on (602) 771-6470 in Phoenix and (520) 885-8002 in Tucson, NYC ACS on 212-676-2825, Tennessee’s post-adoption helpline on 1-888-848-2727 and the Texas Medicaid client hotline on 800-252-8263. For a mental health, substance use or suicidal crisis at any hour, 988 is the number. A residential treatment center for teens is worth asking about by age range, since programs built for adults rarely fit an adolescent.

Is the Adoption Subsidy Program the Same as KinGAP or a Medical Subsidy?

No. Kinship Guardianship Assistance is a separate subsidy for relatives who become legal guardians, although IV-E guardianship children sit in the same mandatory Medicaid group. A medical subsidy, such as Michigan’s, is an add-on for pre-existing conditions rather than the maintenance payment itself. ICAMA is the interstate compact that carries Medicaid across state lines, and private adoption agency grants are not part of the public benefit at all.

Before the first call: have the adoption assistance agreement to hand, the child’s Medicaid number and plan name, and the state that signed. Those three settle who pays for treatment, who authorizes it and which directory to search.

References and Citations

U.S. Department of Health and Human Services, Administration for Children and Families — Title IV-E adoption assistance requirements, applicable-child eligibility guidance and Child Welfare Information Gateway adoption assistance materials.
Centers for Medicare & Medicaid Services — mandatory Medicaid eligibility for children with adoption assistance agreements, EPSDT guidance, and State Medicaid Director letters on medication for opioid use disorder.
State child welfare and Medicaid agencies — New York OCFS, Arizona DCS and AHCCCS, Michigan MDHHS, California CDSS, Florida DCF and AHCA, Tennessee DCS and TennCare, Texas DFPS and HHSC, South Carolina DSS, Missouri Children’s Division.
Families Rising Adoption Subsidy Resource Center — state adoption assistance profiles, payment rates and nonrecurring expense limits.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.