Does Healthy Blue cover rehab in North Carolina?

Yes. Healthy Blue is one of North Carolina Medicaid's four statewide Standard Plans and covers substance use treatment including outpatient care, intensive outpatient, partial hospitalization, withdrawal management, outpatient opioid treatment and peer support; Residential substance use treatment is not part of the Standard Plan and runs through a Behavioral Health and I/DD Tailored Plan or NC Medicaid Direct instead.

Does Healthy Blue cover detox in North Carolina?

Yes. As an NC Medicaid Standard Plan, Healthy Blue covers ambulatory withdrawal management, clinically managed residential withdrawal management (social setting detox), medically monitored inpatient withdrawal management and medically supervised detox, the same list NC Medicaid applies to all Standard Plans.

Does Healthy Blue cover inpatient or residential rehab in North Carolina?

It depends on the level of care. Inpatient behavioral health and medically monitored inpatient withdrawal management are covered under Healthy Blue's Standard Plan, but longer residential substance use programs such as Clinically Managed Residential Services sit only in a Tailored Plan or NC Medicaid Direct.

Does Healthy Blue cover intensive outpatient (IOP) in North Carolina?

Yes. Healthy Blue covers the Substance Abuse Intensive Outpatient Program (SAIOP), 9 to 19 hours a week for adults, and the Substance Abuse Comprehensive Outpatient Treatment program (SACOT) for more hours a week, both added to Standard Plans statewide in late 2023.

Does Healthy Blue cover Suboxone in North Carolina?

Yes. Healthy Blue follows NC Medicaid's rule assuring coverage of buprenorphine, methadone and naltrexone in all FDA-approved forms. Non-preferred buprenorphine products need prior authorization, and there is no copay on drugs for opioid use disorder.

Does Healthy Blue cover methadone in North Carolina?

Yes. Methadone is covered through licensed Opioid Treatment Programs, which also provide counseling and case management alongside the medication. An opioid use disorder diagnosis is required and Medicaid covers this for adults 18 and over.

Does Healthy Blue need prior authorization for rehab in North Carolina?

Less than before for many services. NC Medicaid removed prior authorization and concurrent review from many behavioral health policies effective January 1, 2025, and SUD coverage policies follow The ASAM Criteria, 3rd edition across all Standard Plans including Healthy Blue; Opioid treatment programs do not require prior approval to start care.

How much does rehab cost with Healthy Blue in North Carolina?

Behavioral health services have no copay under NC Medicaid plans including Healthy Blue. Other covered services carry a copay no higher than $4 per visit or prescription, and drugs for opioid use disorder have no copay at all.

How many therapy sessions does Healthy Blue cover in North Carolina?

NC Medicaid removed unit, hour, day and visit limits from its behavioral health clinical coverage policies effective January 1, 2025, a change that applies to Healthy Blue and the other Standard Plans along with NC Medicaid Direct.

Is Healthy Blue the same as a Tailored Plan in North Carolina?

No. Healthy Blue is one of NC Medicaid's four Standard Plans, serving most beneficiaries. Tailored Plans are separate, regional plans for individuals with serious mental illness, severe substance use disorder, intellectual or developmental disability, or traumatic brain injury, run by the four LME/MCOs.

What phone number do I call for Healthy Blue in North Carolina?

Healthy Blue members can call 844-594-5070 for member services, or the behavioral health crisis line at 844-594-5076. These numbers are specific to Healthy Blue as an NC Medicaid Standard Plan.

How do I move from Healthy Blue to a Tailored Plan in North Carolina?

A member or provider can submit the form 'Request to Move to NC Medicaid Direct or LME/MCO,' or call the NC Medicaid Enrollment Broker at 1-833-870-5500 to ask about switching from a Standard Plan like Healthy Blue to a Tailored Plan.

Is Healthy Blue available statewide in North Carolina?

Yes. Healthy Blue is listed as a statewide prepaid health plan under NC Medicaid, alongside AmeriHealth Caritas, UnitedHealthcare Community Plan and Carolina Complete Health, so it covers members in all North Carolina counties.

How do I find a rehab that takes Healthy Blue in North Carolina?

Use the NC Medicaid Provider and Health Plan Lookup Tool at ncmedicaidplans.gov/en/find-provider, or call Healthy Blue member services directly at 844-594-5070 to confirm a program is in network before scheduling.

Rehabs in North Carolina That Take Blue Local

Genesis A New Beginning – Concord

245 Le Phillip Court NE, Concord, North Carolina, 28025

3.8★★★★☆23

State licensed

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts TRICARE+3

Trauma-informedVeteransTeens+7

Spanish spokenDeaf and HoH

Genesis A New Beginning – Concord operates from 245 Le Phillip Court NE in Concord, Cabarrus County, North Carolina, offering outpatient services (OP). Care is provided on an outpatient basis, so people continue living at home. Anyone searching around Concord may want to check availability and admission criteria directly. This location appears in the federal treatment locator maintained by the Substance Abuse and Mental Health Services Administration. Provision shifts over time, so listings are reviewed…

10 miWest Branch Rocky River7.4 miConcord-Padgett Regional AirportServes9 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 · +30 more

Levels of care

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

Therapies

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

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · DUI and DWI Programs · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Men's TRICARE Rehab · Rehab for Domestic Violence Survivors · Senior MAT · +20 more

Support services

Case Management · Education and Job Training · Health and Wellness Support · Housing and Employment Support · Practical Support · Recovery Support Services · Suicide Prevention Services · Waitlist Interim Services

Languages

Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Spanish Speaking Rehab

Insurance accepted

Aetna · AmeriHealth · BCBS (Blue Cross Blue Shield) · Healthy Blue · Medicaid · Partners Health Plan (PHP Cares) · TRICARE · UnitedHealthcare (UHC) · WellCare (Centene)

Genesis A New Beginning – Salisbury

629 West Innes Street, Suite 214, Salisbury, North Carolina, 28144

3.7★★★★☆9

State licensed

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts TRICARE+3

Trauma-informedVeteransTeens+7

Spanish spokenDeaf and HoH

Treatment at Genesis A New Beginning – Salisbury runs from 629 West Innes Street, Suite 214 in Salisbury, Rowan County, North Carolina, covering outpatient services (OP). Care is provided on an outpatient basis, so people continue living at home. Anyone searching around Salisbury may want to check availability and admission criteria directly. This location appears in the federal treatment locator maintained by the Substance Abuse and Mental Health Services Administration. Program availability moves, so we…

5.1 miSouth Yadkin River41 miCharlotte Douglas International AirportServes9 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Support services

Languages

Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Spanish Speaking Rehab

Insurance accepted

Aetna · AmeriHealth · BCBS (Blue Cross Blue Shield) · Healthy Blue · Medicaid · Partners Health Plan (PHP Cares) · TRICARE · UnitedHealthcare (UHC) · WellCare (Centene)

Rehabs in North Carolina That Take Blue Local

Drug and Alcohol Rehab Centers in North Carolina That Accept Blue Local

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