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CommuniCare Advantage

Rehabs That Take CommuniCare Advantage

CommuniCare Advantage is a Medicare Advantage plan linked to CommuniCare, a nursing and rehabilitation provider, and is named by centers in Maryland and Ohio. Coverage for drug and alcohol treatment varies by plan, network and level of care.Centers in Maryland and Ohio name CommuniCare Advantage on their own websites. Plans built for residents of nursing facilities often coordinate care through an on-site team, so ask how outside treatment is arranged and who makes the request. Before admission, call the plan and the facility to check network status, prior authorization and whether any cost may apply.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept CommuniCare Advantage

MetroHealth – Cleveland (5208 Memphis Avenue)

5208 Memphis Avenue, Cleveland, OH, 44144

4.3★★★★☆63

Federally certified

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Trauma-informedTeensSeniors+3

5208 Memphis Avenue in Cleveland, Ohio is the address held for this provider. The record shows intensive outpatient and outpatient care. The record shows mental health treatment only. This is outpatient provision, so daily life continues around the appointments. Telehealth is listed, so some contact can happen without traveling in. The facility is federally registered and licensed by the Ohio Department of Mental Health and Addiction Services.

0.7 miBrookside Park6.9 miCleveland Hopkins International AirportServes18 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychosocial Rehabilitation · Trauma Treatment

Groups served

Adult Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Outpatient Rehab · Teen Rehab · Teen Telehealth · Teen Trauma Rehab · Trauma Informed Rehab · +2 more

Support services

Health and Wellness Support · Nutrition and Fitness Counseling

Insurance accepted

Aetna · Ambetter (Centene) · AmeriHealth · Anthem / Elevance Health · Buckeye Health Plans · Buckeye MyCare Ohio · Carelon Behavioral Health · CareSource · CHAMPVA · Cigna Healthcare · +21 more

MetroHealth – Cleveland (11100 Saint Clair Avenue)

11100 Saint Clair Avenue, Cleveland, OH, 44108

3.9★★★★☆26

Federally certified

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Trauma-informedTeensSeniors+3

The listing gives 11100 Saint Clair Avenue, Cleveland, Ohio as the location. The record shows intensive outpatient and outpatient care. Mental health rather than substance use is what appears on this listing. Treatment is delivered without an overnight stay, around existing commitments. Video appointments are recorded as an option here. The provider appears in the federal treatment register, with state licensing through the Ohio Department of Mental Health and Addiction Services.

2.7 miLeague Park15 miCleveland Hopkins International AirportServes16 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy

Mental health

Groups served

Support services

Health and Wellness Support · Nutrition and Fitness Counseling

Insurance accepted

MetroHealth – Cleveland (4757 Lorain Avenue)

4757 Lorain Avenue, Cleveland, OH, 44102

3.9★★★★☆80

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Trauma-informedTeensSeniors+3

Spanish spoken

This provider is listed at 4757 Lorain Avenue, Cleveland, Ohio. The record shows intensive outpatient and outpatient care. Provision here is recorded as mental health treatment. 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 provider appears in the federal treatment register, with state licensing through the Ohio Department of Mental Health and Addiction Services.

1.4 miEdgewater State Park8.1 miCleveland Hopkins International AirportServes18 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy

Mental health

Groups served

Support services

Health and Wellness Support · Nutrition and Fitness Counseling

Languages

Spanish Speaking Rehab

Insurance accepted

MetroHealth – Cleveland (4229 Pearl Road)

4229 Pearl Road, Cleveland, OH, 44109

3.6★★★★☆30

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersSeniorsCourt ordered+1

This location is registered at 4229 Pearl Road in Cleveland, Ohio. Provision here is recorded as intensive outpatient and outpatient care. Provision here is recorded as mental health treatment. Care is provided on an outpatient basis, so people continue living at home. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. The provider appears in the federal treatment register, with state licensing through the Ohio Department of Mental Health…

2.8 miLincoln Park7.7 miCleveland Hopkins International AirportServes18 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Integrated Dual Disorder Treatment

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychosocial Rehabilitation

Groups served

Adult Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth

Support services

Health and Wellness Support · Nutrition and Fitness Counseling

Insurance accepted

MetroHealth – Cleveland (10 Severance Circle)

10 Severance Circle, Cleveland, OH, 44118

3.5★★★★☆~~138~~

SAMHSA listed

InpatientOutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTrauma-informedTeens+6

Records place MetroHealth at 10 Severance Circle, Cleveland, Ohio. Provision here is recorded as residential treatment. Substance use and mental health conditions are both treated here. Care runs on site, with accommodation included for the duration. Federal listing is via SAMHSA, and the Ohio Department of Mental Health and Addiction Services handles licensing in this state.

4.8 miLeague Park17 miCleveland Hopkins International AirportServes17 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Smoking Cessation Medication · Stimulant Rehab · +2 more

Levels of care

Evening Treatment · Inpatient Rehab · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Rehab Transfers · Weekend Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Specialized Therapy

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen Rehab · Teen Telehealth · +4 more

Support services

Health and Wellness Support · Nutrition and Fitness Counseling

Insurance accepted

Grace Medical Center – Baltimore (1940 West Baltimore Street)

1940 West Baltimore Street, Baltimore, MD, 21223

4.0★★★★☆4

SAMHSA listed

PHPOutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

Co-occurring DisordersTrauma-informedTeens+5

1940 West Baltimore Street in Baltimore, Maryland is the address held for this provider. Provision here is recorded as intensive outpatient and outpatient care. This provider is recorded for mental health rather than addiction treatment. Provision is outpatient, so no overnight stay is involved. 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 by the Maryland Behavioral…

1.5 miOriole Park at Camden Yards7.9 miBaltimore/Washington International Thurgood Marshall AirportServes44 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Partial Hospitalization Program (PHP) · Weekend Rehab

Therapies

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 · Psychosocial Rehabilitation · PTSD Treatment · Serious Emotional Disturbance · +2 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior PHP · Senior Rehab · Senior Telehealth · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen PHP · +8 more

Support services

Education and Job Training · Health and Wellness Support · Housing and Employment Support · Nutrition and Fitness Counseling · Suicide Prevention Services

Insurance accepted

Aetna · Alterwood Health · CareFirst · Carelon Behavioral Health · Cigna Healthcare · CommuniCare Advantage · Humana · Johns Hopkins HealthCare Plan · Key Care Advantage · Magellan Health · +6 more

MetroHealth – Cleveland (12301 Snow Road)

12301 Snow Road, Cleveland, OH, 44130

3.3★★★☆☆~~208~~

Joint Commission

DetoxIOPOutpatient+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATTeens+8

Spanish spokenDeaf and HoH

The listing gives 12301 Snow Road, Cleveland, Ohio as the location. Services on file are intensive outpatient and outpatient care. This is recorded as treating co-occurring conditions rather than one in isolation. Treatment is delivered without an overnight stay, around existing commitments. Video appointments are recorded as an option here. Group and family work are both recorded. The provider appears in the federal treatment register, with state licensing through the Ohio Department of Mental Health…

5.0 miFairview Park4.0 miCleveland Hopkins International 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

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 · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +2 more

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 PTSD Rehab · +31 more

Support services

Community Outreach · Health and Wellness Support · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · Peer Support · Practical Support · PrEP Services · +3 more

Languages

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

Insurance accepted

MetroHealth – Cleveland (3838 West 150th Street)

3838 West 150th Street, Cleveland, OH, 44111

3.4★★★☆☆58

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Trauma-informedTeensSeniors+3

This location is registered at 3838 West 150th Street in Cleveland, Ohio. Listed provision covers intensive outpatient and outpatient care. Mental health rather than substance use is what appears on this listing. Care is provided on an outpatient basis, so people continue living at home. Remote appointments appear on the record, useful where travel is difficult. Federal listing is via SAMHSA, and the Ohio Department of Mental Health and Addiction Services handles licensing in this…

3.1 miFairview Park3.7 miCleveland Hopkins International AirportServes16 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy

Mental health

Groups served

Support services

Health and Wellness Support · Nutrition and Fitness Counseling

Insurance accepted

MetroHealth – Cleveland (2816 East 116th Street)

2816 East 116th Street, Cleveland, OH, 44144

3.9★★★★☆61

Federally certified

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Trauma-informedTeensSeniors+3

This location is registered at 2816 East 116th Street in Cleveland, Ohio. The facility is listed for intensive outpatient and outpatient care. Provision here is recorded as mental health treatment. People attend appointments and go home afterwards, which is how outpatient care works. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. The provider appears in the federal treatment register, with state licensing through the Ohio Department of Mental…

0.7 miShaker Square14 miCleveland Hopkins International AirportServes17 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy

Mental health

Groups served

Support services

Health and Wellness Support · Nutrition and Fitness Counseling

Insurance accepted

MetroHealth – Cleveland (2500 MetroHealth Drive)

2500 MetroHealth Drive, Cleveland, OH, 44109

3.1★★★☆☆~~548~~

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersTrauma-informedTeens+5

Spanish spoken

Records place MetroHealth at 2500 MetroHealth Drive, Cleveland, Ohio. The record shows intensive outpatient and outpatient care. The listing covers mental health treatment rather than substance use. Provision is outpatient, so no overnight stay is involved. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. Group and family work are both recorded. Federal listing is via SAMHSA, and the Ohio Department of Mental Health and Addiction Services handles licensing…

1.3 miLincoln Park8.5 miCleveland Hopkins International AirportServes19 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychosocial Rehabilitation · +3 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen PTSD Rehab · Teen Rehab · +5 more

Support services

Health and Wellness Support · Nutrition and Fitness Counseling

Languages

Spanish Speaking Rehab

Insurance accepted

MetroHealth – Brunswick

1299 Industrial Parkway North, Brunswick, OH, 44212

3.7★★★★☆29

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

TeensSeniorsYoung adults+2

MetroHealth operates from 1299 Industrial Parkway North in Brunswick, Ohio. According to the federal listing this provider runs intensive outpatient and outpatient care. Mental health rather than substance use is what appears on this listing. Treatment is delivered without an overnight stay, around existing commitments. Remote appointments appear on the record, useful where travel is difficult. Registration is federal, through SAMHSA; licensing is held with the Ohio Department of Mental Health and Addiction Services.

6.6 miNorth Branch West Branch Rocky River12 miCleveland Hopkins International AirportServes23 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Mental health

Groups served

Adult Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Outpatient Rehab · Teen Rehab · Teen Telehealth · Young Adult Rehab

Support services

Health and Wellness Support · Nutrition and Fitness Counseling

Insurance accepted

MetroHealth – Cleveland (6835 Broadway Avenue)

6835 Broadway Avenue, Cleveland, OH, 44105

3.7★★★★☆~~124~~

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersTrauma-informedTeens+5

MetroHealth occupies 6835 Broadway Avenue in Cleveland, Ohio. Listed provision covers intensive outpatient and outpatient care. The record covers addiction and mental health provision together. Provision is outpatient, so no overnight stay is involved. Remote appointments appear on the record, useful where travel is difficult. Federal registration is held through SAMHSA, and licensing sits with the Ohio Department of Mental Health and Addiction Services.

1.4 miMill Creek Falls11 miCleveland Hopkins International AirportServes19 towns

Substances treated

Levels of care

Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment

Mental health

Groups served

Adult Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered Medicare Rehab · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Dual Diagnosis Rehab · +8 more

Support services

Health and Wellness Support · Nutrition and Fitness Counseling

Insurance accepted

More Addiction Rehabs That Take CommuniCare Advantage 13–19 of 19

MetroHealth – Brecksville

9200 Treeworth Boulevard, Brecksville, OH, 44141

3.6★~~(164)~~

OutpatientTelehealthAccepts InsuranceAccepts Medicaid+5

MetroHealth – Cleveland (7800 Pearl Road)

7800 Pearl Road, Cleveland, OH, 44130

3.6★~~(193)~~

OutpatientTelehealthAccepts InsuranceAccepts Medicaid+5

MetroHealth – Beachwood

3609 Park East Drive, Beachwood, OH, 44122

3.4★~~(83)~~

OutpatientTelehealthAccepts InsuranceAccepts Medicaid+5

MetroHealth – Bedford

19999 Rockside Road, Bedford, OH, 44146

3.1★~~(27)~~

OutpatientTelehealthAccepts InsuranceAccepts Medicaid+5

Grace Medical Center – Baltimore (2000 West Baltimore Street)

2000 West Baltimore Street, Baltimore, MD, 21223

2.1★~~(135)~~

PHPOutpatientAccepts InsuranceAccepts Medicaid+3

Atrium Medical Center – Franklin

401 Medical Center Drive, Franklin, OH, 45005

3.1★~~(399)~~

InpatientAccepts InsuranceAccepts Medicaid+5

Miami Valley Hospital – Dayton

1 Wyoming Street, Dayton, OH, 45409

3.1★~~(1,362)~~

InpatientWalk-inAccepts InsuranceAccepts Medicaid+5

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Common questions

Answered from what is listed here.

What is CommuniCare Advantage?

CommuniCare Advantage is a provider-owned Medicare Advantage HMO run by OH CHS SNP, Inc. of Blue Ash, Ohio under Medicare contract H3727. It sells an Institutional Special Needs Plan for long-term nursing facility residents and a Chronic Condition Special Needs Plan in selected counties of Ohio, Indiana and Maryland.

An unrelated San Diego plan from Community Health Group uses the same name, so it helps to know which organisation a member card points to.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

What states does CommuniCare Advantage operate in?

Selected counties of Ohio, Indiana and Maryland make up the service area. The Institutional Special Needs Plan covers 13 Ohio counties, 12 Indiana counties and 10 Maryland jurisdictions. The Chronic Condition plan covers Butler, Cuyahoga, Hamilton, Lorain and Montgomery counties in Ohio plus Baltimore City, Baltimore County and Anne Arundel County.

It is not sold in Texas, Florida, New York, Arizona or Tennessee, and the San Diego plan of the same name belongs to a separate company.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

Is CommuniCare Advantage a Medicaid plan?

No, the Ohio, Indiana and Maryland plans are Medicare Advantage only: an Institutional Special Needs Plan and a Chronic Condition Special Needs Plan. OH CHS SNP, Inc. has no Medicaid managed care product, though nursing facility residents who join may separately hold Medicaid coverage.

The San Diego namesake is a dual-eligible plan that works alongside Medi-Cal for members who have both Medicare and Medi-Cal.

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

Does CommuniCare Advantage cover inpatient mental health care?

Yes, with prior authorization on both plans. On the 2026 Institutional Special Needs Plan in Ohio, inpatient mental health costs the same as inpatient hospital care: a $1,736 deductible per benefit period, $0 for days 1 to 60 and $434 a day for days 61 to 90.

On the 2026 Chronic Condition plan it is $325 a day for days 1 to 5, then $0 through day 90.

Medicare Mental Health Treatmenthttps://rehabseekers.com/insurance-accepted/medicare/medicare-mental-health-treatment/

Does CommuniCare Advantage cover therapy?

Yes, individual and group therapy visits are covered on both 2026 plans with prior authorization. The Institutional Special Needs Plan charges 20% coinsurance per visit and the Chronic Condition plan charges a $35 copay per visit. Neither Summary of Benefits states a limit on the number of visits.

How many sessions are available depends on what the authorization allows, so the care management team should request what the treatment plan calls for.

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

Does CommuniCare Advantage cover partial hospitalization?

Yes on the Chronic Condition Special Needs Plan, where 2026 partial hospitalization costs $55 per day with prior authorization. The Institutional Special Needs Plan Summary of Benefits does not itemise partial hospitalization, so members on that plan should ask Member Services at (866) 212-4582 what applies.

Intensive outpatient and outpatient substance use services are not itemised in either 2026 summary either; the full Evidence of Coverage sets them out.

Medicare PHPhttps://rehabseekers.com/insurance-accepted/medicare/medicare-php/

Does CommuniCare Advantage need prior authorization for mental health treatment?

Yes, both 2026 plans require prior authorization for all inpatient stays, including psychiatric admissions, and for outpatient mental health therapy. Requests go to Utilization Management at (833) 215-9332 or by fax to (866) 439-0065. Standard requests are processed within seven days, and an expedited option exists.

From January 1, 2026, Access Health Services oversees the provider portal where clinicians submit those authorization requests.

Medicare Inpatient Rehabhttps://rehabseekers.com/insurance-accepted/medicare/medicare-inpatient-rehab/

Does CommuniCare Advantage cover Suboxone?

Yes, the 2026 Institutional Special Needs Plan formulary lists buprenorphine-naloxone sublingual film and tablets and buprenorphine sublingual tablets at Tier 1, with no prior authorization, quantity limit or step therapy flag. Part D cost sharing is a $615 deductible, then 25% coinsurance for a 30-day supply.

Once out-of-pocket drug spending reaches $2,100, the member pays nothing for covered drugs for the rest of the year.

Medicare Suboxonehttps://rehabseekers.com/insurance-accepted/medicare/medicare-suboxone/

Does CommuniCare Advantage cover naltrexone?

Yes, oral naltrexone 50 mg tablets sit at Tier 1 on the 2026 Institutional Special Needs Plan formulary with no restrictions listed, as do acamprosate and disulfiram. Naloxone, in injection and nasal forms, is also Tier 1. Injectable Vivitrol was not found in the formulary section reviewed.

MedImpact handles Part D coverage decisions and appeals for the plan at (833) 697-8516.

Naltrexone Treatmenthttps://rehabseekers.com/medications/mat/naltrexone/

Does CommuniCare Advantage cover methadone?

Yes, methadone tablets are on the 2026 Institutional Special Needs Plan Part D formulary at Tier 1 with quantity limits. Daily dosing at an opioid treatment program is billed as a separate Medicare benefit that the 2026 summaries do not itemise, so ask Member Services at (866) 212-4582.

Because this is an HMO, an opioid treatment program normally has to be in the plan's network for the visits to be paid.

Methadone Maintenancehttps://rehabseekers.com/medications/mat/methadone/methadone-maintenance/

Does CommuniCare Advantage cover out-of-network rehab?

No, generally not. CommuniCare Advantage is an HMO, so outside of emergencies the plan may not pay when a member uses providers or pharmacies that are not in its network. New members can receive out-of-network services during a transition period of no more than 90 days.

Network status can be looked up on the MyAmethyst provider search or by calling Member Services at (866) 212-4582, TTY 711, before admission.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

How much does the CommuniCare Advantage I-SNP cost?

The 2026 monthly premium is $31.40 in Ohio, $31.20 in Maryland and $38.40 in Indiana, on top of the Medicare Part B premium. There is no medical deductible, the Part D deductible is $615 and the in-network maximum out-of-pocket is $9,250.

The Indiana and Maryland figures come from a third-party Medicare plan listing rather than the plan's own state summaries of benefits.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

Who qualifies for the CommuniCare I-SNP?

Eligibility requires Medicare Part A and Part B, US citizenship or lawful presence, and living in a participating in-network nursing facility in the service area for 90 days or more, or being expected to. Because of that rule, the plan is not a route into residential addiction treatment from the community.

The Chronic Condition plan is for individuals living in the community with diabetes, chronic heart failure or cardiovascular disease; substance use disorder is not a qualifying condition.

Medicare Residential Rehabhttps://rehabseekers.com/insurance-accepted/medicare/medicare-residential-rehab/

Is CommuniCare Advantage in San Diego the same plan?

No. Community Health Group in San Diego sells an unrelated HMO dual-eligible plan that shares the name, for San Diego County residents aged 21 or older who have Medicare Parts A and B and qualify for Medi-Cal. Its Member Services line is 1-888-244-4430, TTY 1-855-266-4584, 24 hours a day.

That plan covers network behavioral health, while specialty mental health and substance use disorder services come from County of San Diego Behavioral Health Services, reached at 1-888-724-7240.

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

How do I find a rehab that takes CommuniCare Advantage?

Use the provider search on the MyAmethyst portal, which shows the network for Medicare contract H3727, or call Member Services at (866) 212-4582, TTY 711. Because the plan is an HMO, a program should be in network and authorized before admission, and the care team arranges specialty referrals.

Programs naming the plan appear here, though network status and authorization are best settled by phone with the plan first.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

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CommuniCare Advantage is a provider-owned Medicare Advantage HMO, sold by the Ohio-licensed entity OH CHS SNP, Inc. under Medicare contract H3727 in selected counties of Ohio, Indiana and Maryland. For anyone weighing up addiction treatment, that means the benefit runs on Medicare rules, narrowed by an HMO network and a long prior authorization list.

Two products carry the name. The Institutional Special Needs Plan (ISNP) is for a member with Medicare Part A and Part B who lives, or is expected to live, 90 days or more in a participating nursing facility inside the service area. The Chronic Condition Special Needs Plan (CSNP) is for community residents with diabetes, chronic heart failure or cardiovascular disease, and substance use disorder is not a qualifying condition for it. A separate San Diego plan from Community Health Group uses the identical name and is a different organization entirely.

The guide below sets out what the 2026 plan documents pay at each level of care, which services need authorization and how long a decision takes, what the premiums and cost shares look like, how addiction medication sits on the Part D formulary, and how to work out whether a treatment program sits inside the network.

Does CommuniCare Advantage Cover Drug and Alcohol Rehab?

Yes for inpatient mental health care and outpatient individual or group therapy, both with prior authorization, and the CSNP also lists partial hospitalization at $55 a day. The 2026 Summaries of Benefits do not itemise outpatient substance use services, opioid treatment programs, intensive outpatient or detox, so those belong in a call to Member Services on (866) 212-4582.

The ISNP is the harder benefit to use for addiction treatment, because eligibility itself is tied to long-term residence in an in-network nursing facility. It is not a plan a member can generally use to enter a residential drug or alcohol program from the community, and care is coordinated by a local clinical team of physicians, nurse practitioners, physician assistants and nurses who arrange referrals for specialty care.

Which plan is on the card? The ISNP runs in 13 Ohio counties, 12 Indiana counties and 10 Maryland jurisdictions. The CSNP runs only in Butler, Cuyahoga, Hamilton, Lorain and Montgomery counties in Ohio and in Baltimore City, Baltimore County and Anne Arundel County in Maryland. Cost shares differ between the two, so settle which one applies before any admissions conversation.

What Does the Plan Pay at Each Level of Care?

Inpatient care and outpatient therapy are priced in the plan documents; the middle of the ladder is only partly described. Where a level of care is not itemised, the Evidence of Coverage or Member Services is the place to settle it, and that question is worth asking before a start date is agreed rather than after.

Medical Detox

Withdrawal management delivered as an inpatient hospital stay falls under the inpatient benefit, which carries a $1,736 deductible per benefit period on the 2026 Ohio ISNP and needs prior authorization for every admission. Freestanding medical detox is not itemised in either Summary of Benefits. Emergency care is the exception to the network rule, so acute withdrawal with seizure risk goes to an emergency department first.

Residential and Inpatient

Inpatient mental health on the ISNP is priced the same as inpatient hospital care and needs prior authorization. On the CSNP it is $325 a day for days 1 to 5 and $0 from day 6 through day 90, with lifetime reserve days at $788 a day. Freestanding residential rehab is not listed separately, which makes the authorization request the point at which the level of care is settled.

PHP, IOP and Outpatient

The CSNP lists partial hospitalization at $55 a day with prior authorization; the ISNP summary does not itemise it, and neither plan itemises intensive outpatient. Outpatient individual or group therapy is 20% coinsurance a visit on the ISNP and $35 a visit on the CSNP. No annual visit limit is stated, so the number of sessions turns on what the authorization covers.

Does CommuniCare Advantage Need Prior Authorization for Rehab?

Yes. On the 2026 ISNP every inpatient stay, including psychiatric admissions, and outpatient mental health therapy require prior authorization. The CSNP adds outpatient hospital services, ambulatory surgery and mental health services including partial hospitalization. Standard requests are processed within 7 days of receipt, and an expedited route exists where waiting would be harmful.

The treating clinician or admitting program files the request, not the member. From January 1, 2026 the provider portal where those requests are submitted is overseen by Access Health Services. The ISNP request form lists Mental Health Specialty Services as a category and Psychiatric as an admission type; substance use services are not named separately, which is worth flagging when the request is written. No named medical necessity criteria set is published, so asking which standard the reviewer applies is a fair question.

Does CommuniCare Advantage Cover Out-of-Network Rehab?

Generally no. This is an HMO, and outside an emergency the plan may not pay anything toward a provider or pharmacy that is not contracted. A new member has a transition period of no more than 90 days during which out-of-network services can be obtained, which is a window to move care rather than a standing benefit.

Before a start date is agreed. Ask the admissions team whether the program holds a contract with Medicare contract H3727 for your specific plan, whether the authorization has been filed, and what cost share the plan quoted. Member Services answers on (866) 212-4582, TTY 711, from 8:00 a.m. to 8:00 p.m. seven days a week between October 1 and March 31 and Monday to Friday the rest of the year.

How Much Does Rehab Cost With CommuniCare Advantage?

On the 2026 Ohio ISNP the Part C premium is $0, the Part D premium is $31.40 a month, the Part B deductible is $283 and the Part D deductible is $615, with a maximum out-of-pocket of $9,250. Third-party Medicare listings put the 2026 ISNP premium at $31.20 in Maryland and $38.40 in Indiana. The CSNP charges no Part C or Part D premium and carries the same $615 drug deductible and $9,250 cap. The Medicare Part B premium is still paid on either plan.

An Ohio ISNP inpatient stay runs $0 a day for days 1 to 60 after the $1,736 deductible, then $434 a day for days 61 to 90 and $868 a day for lifetime reserve days, with inpatient mental health priced identically. The CSNP charges $375 a day for inpatient hospital days 1 to 5 and $0 from day 6. Listings for the Indiana and Maryland ISNPs show $419 and $838 for the later psychiatric days, which does not match the Ohio plan document, so the state’s own Summary of Benefits is the figure to work from.

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. With an in-network authorization the member pays the cost share above, and the $9,250 annual cap is the ceiling that matters across a long stay. A non-emergency admission outside the network sits outside that cap altogether, because the plan may pay nothing toward it.

Does CommuniCare Advantage Cover Suboxone, Methadone and Other Addiction Medication?

Yes for the oral medications on the Part D formulary. The 2026 ISNP formulary lists buprenorphine sublingual tablets and buprenorphine-naloxone sublingual film and tablets at Tier 1 with no prior authorization, quantity limit or step therapy flag shown. Naloxone injection and nasal spray are also Tier 1 with no restrictions listed.

Where the Prescription Is Filled

Part D coverage decisions and appeals are handled by MedImpact on (833) 697-8516. On the ISNP the member pays the $615 deductible, then 25% coinsurance for a 30-day supply, and nothing once $2,100 of out-of-pocket drug spending is reached. The CSNP uses copay tiers instead: $6 preferred generic, $17 generic, $45 preferred brand, $92 non-preferred and 25% for specialty.

Methadone, Injectables and Alcohol Medication

Methadone is on the 2026 ISNP formulary at Tier 1 with quantity limits, but how dosing at a licensed opioid treatment program is billed was not set out in the published plan documents, so that is a Member Services question. Oral naltrexone 50 mg, acamprosate and disulfiram are Tier 1 with no restrictions listed. Long-acting injectables such as Vivitrol and Sublocade did not appear in the published formulary pages, and whether they fall under the medical or drug benefit is worth asking before a first injection is scheduled.

Which Rehab Centers Are In-Network With CommuniCare Advantage?

A program is in-network when it holds a contract with the plan for the specific product on the member’s card, ISNP or CSNP, and is licensed in the state where it operates. Network status is settled in the provider search on the MyAmethyst portal for contract H3727 or by calling Member Services, and contracts change through the year.

Programs that accept CommuniCare Advantage are gathered on the CommuniCare Advantage page, alongside the broader Medicare rehab listings and level-of-care pages for Medicare residential rehab, Medicare PHP and Medicare MAT. Each listing shows the payments a program says it accepts, its licensing and accreditation, and the distance to the nearest airport, so a shortlist can be drawn up before the call that settles contracting.

How Do I Find a Rehab That Takes CommuniCare Advantage?

Start with the provider search on the MyAmethyst portal for contract H3727, or call Member Services on (866) 212-4582, TTY 711, and ask for an in-network behavioral health provider in your county. Because mental health services are handled through the plan’s own utilization management rather than a separate behavioral health vendor, one call covers both the network and the authorization question.

For an ISNP member the route in usually begins with the nursing facility’s clinical team, which carries out the health assessment, writes the care plan and arranges referrals for specialty care. Case Management can be reached on (855) 969-5870. Bringing the admissions team and the care management team into the same conversation avoids an authorization that names the wrong level of care.

Is CommuniCare Advantage the Same as the San Diego Plan?

No. Community Health Group in San Diego County sells an HMO dual-eligible plan with the same name for residents aged 21 or older who hold Medicare Part A and Part B and qualify for Medi-Cal. It has no connection to OH CHS SNP, Inc. or the CommuniCare Family of Companies, and its Member Services number is 1-888-244-4430, TTY 1-855-266-4584, 24 hours a day.

That plan also splits the benefit differently. Its 2026 member handbook covers outpatient and inpatient behavioral health through the plan network, with no prior authorization for a mental health evaluation, and pays for one alcohol misuse screening plus up to four brief counseling sessions a year at $0. Specialty mental health and substance use disorder services, including residential treatment and narcotic treatment programs, come from County of San Diego Behavioral Health Services, reachable on the Access and Crisis Line 1-888-724-7240. For a California resident holding that card, the county system and Medicaid rules matter more than anything on this page.

Three things to have ready: the plan name and contract number from the card, the county of residence, and the level of care the assessment points to. Those settle network, cost share and which authorization form is filed, in that order.

References and Citations

CommuniCare Advantage — 2026 Summaries of Benefits, formularies, Part D criteria and prior authorization request forms for the ISNP and CSNP, Medicare contract H3727.
Ohio Department of Insurance — 2023 annual statement of OH CHS SNP, Inc. DBA CommuniCare Advantage, NAIC 16725.
CommuniCare Health — corporate description of the CommuniCare Family of Companies and its post-acute care centers.
Community Health Group — 2026 CommuniCare Advantage (HMO D-SNP) member handbook and County of San Diego Behavioral Health Services contacts.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.