Rehabs That Take Florida Complete Care

Does Florida Complete Care Cover Drug and Alcohol Rehab?

Yes. The plan manages mental health and substance use services for members carrying a DSM-5 diagnosis through its own care managers, and the covered behavioral services named in its provider manual include residential treatment, acute inpatient hospitalization, partial hospitalization, intensive outpatient services, assertive community treatment, electroconvulsive therapy and psychological testing.

Outpatient substance use sessions, individual and group, and opioid treatment program services both appear on the 2026 prior authorization list, which is in itself the clearest sign in the published documents that they are benefits of the plan. Behavioral health is also a standing care area in each member’s individualized care plan and one of the disease management program areas, so the care manager is usually the quickest route into a conversation about treatment. Because every product is a Medicare Advantage plan, Medicare national and local coverage determinations set the floor underneath the plan’s own rules.

What Does Florida Complete Care Pay For at Each Level of Care?

The published list covers the ladder from hospital care down to outpatient sessions, with the level matched to clinical need at assessment. Medical necessity is judged against InterQual criteria together with Medicare coverage determinations, and authorization sits on almost every rung.

Medical Detox

Withdrawal management is not named in the plan’s published authorization list or the provider manual sections available, so this is a question for member services on 1-833-322-7526 before anything is booked. Acute inpatient hospitalization is covered, which is the setting medical detox usually sits in. Alcohol and benzodiazepine withdrawal can produce seizures, and acute withdrawal belongs in an emergency department whatever the network answer turns out to be.

Residential and Inpatient

Residential treatment and acute inpatient psychiatric hospitalization are both covered, both with prior authorization, and both subject to concurrent review once a stay begins. The admissions team normally files the request and manages the reviews, so ask how continued stay is handled before the admission date rather than during it. Listings for residential rehab and Medicare inpatient rehab are a reasonable starting shortlist.

PHP, IOP and Outpatient

Partial hospitalization and intensive outpatient services are named as covered behavioral services, and individual and group sessions, both mental health and psychiatric, are covered as well. No visit limit appears in the published material. Telemedicine provisions in the provider manual let a member be seen by phone or computer, which matters where the member is homebound or in a facility, so telehealth is worth raising early with the clinic.

Does Florida Complete Care Need Prior Authorization for Rehab?

Yes. The provider manual states that mental health specialty services and substance use services require prior authorization, and the 2026 list covers inpatient psychiatric care, partial hospitalization, individual and group sessions, outpatient substance use sessions and opioid treatment program services. Authorization is separate from, and in addition to, any network question.

Utilization management runs on 1-833-322-7526, option 2, with a fax line on 1-305-675-6138 and authorization forms posted in English and Spanish. Standard pre-service decisions are made within 7 calendar days, expedited decisions within 48 hours and concurrent reviews within 24 hours. An emergency admission has to be notified to the plan within one business day, so a weekend admission still needs a Monday phone call.

Do I Need a Referral to See a Specialist?

Independent Living Systems describes FC2 as a point-of-service special needs plan whose members can see specialists without a referral, in or out of the plan’s network, for covered services anywhere in Florida. In The Community and Duals VIP are HMO-POS products; the base I-SNP is an HMO without the point-of-service feature, so out-of-network use is the narrowest there. A referral waiver does not waive authorization.

How Much Does Rehab Cost With Florida Complete Care?

It turns on the plan. For 2026, the base I-SNP (H9986-001) carries a $4.80 monthly premium on top of the Part B premium, a $0 medical deductible, a $3,400 in-network out-of-pocket maximum and a $615 Part D deductible. Inpatient psychiatric care costs $0 a day for days 1–60, $419 a day for days 61–90 and $838 a day for days 91–150, with outpatient individual and group therapy at 20% coinsurance in network.

The 2027 listings show a $0 plan premium on both institutional plans, the same $3,400 maximum, inpatient psychiatric days at $434 and $868 in the later bands, outpatient mental health therapy at 20% and telehealth between 0% and 20%. Duals VIP is the cheapest door: $0 a day for inpatient psychiatric care across days 1–150 and $0 for individual and group therapy, in network and out, in both the 2026 and 2027 listings. Outpatient substance use cost sharing is not shown on those listings, so ask member services for the figure attached to your plan.

Those are the sums a program bills without coverage. With FC2 the member pays the cost share above until the $3,400 in-network maximum is reached, which is the figure that matters most for a long stay, and the plan then picks up covered services for the rest of the year.

Does Florida Complete Care Cover Suboxone, Methadone and Other Addiction Medication?

Methadone is on the 2026 formulary at Tier 1 as solution, tablets and concentrate, each with prior authorization and a quantity limit, and opioid treatment program services sit on the plan’s authorization list, which is how methadone for opioid use disorder is dispensed. Sublingual buprenorphine-naloxone could not be read in the published formulary text, so check that one directly on 1-844-740-0625.

Where the Prescription Is Filled

CVS Caremark administers the Part D side, including coverage determinations, the member drug portal and medication therapy management, with Part D appeals on 1-855-344-0930 and the medication therapy line on 1-844-635-3406. Medication given inside an opioid treatment program is authorized as a program service rather than a pharmacy fill, which is why it never shows on the drug claim history. For Suboxone and buprenorphine, ask which formulation and strength the formulary lists before discharge.

The Drug Management Program

FC2 runs a drug management program covering opioid pain medication and benzodiazepines, and the provider manual says authorization is applied to opioids under Florida’s Opioid State Targeted Response project. A member already on long-term opioid or benzodiazepine prescriptions may be contacted under that program, and the pharmacy line answers on it around the clock.

Which Rehab Centers in Florida Are In-Network With Florida Complete Care?

A program is in network when it holds a contract with Florida Complete Care covering the member’s specific plan, not merely the H9986 contract in general, and when it is licensed in Florida for the level of care being delivered. Network status is settled in the plan’s online provider directory or by calling 1-833-322-7526, since contracts change through the year.

Florida has 740+ listed treatment programs, 404 of which accept Medicare, concentrated in Miami, FL, Orlando, FL, Fort Lauderdale, FL and Tampa, FL. Programs that accept Florida Complete Care are gathered on the Florida Complete Care page, with wider lists for rehabs in Florida, Medicare IOP and Medicare mental health treatment. 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 shortlist can be drawn up before the call that settles network status. Counts updated October 2026.

How Do I Find a Rehab That Takes Florida Complete Care?

Search the plan’s online provider directory, or call member services on 1-833-FC2-PLAN, which is 1-833-322-7526, TTY 711. The line runs 8 a.m. to 8 p.m. seven days a week from October 1 to March 31, except Thanksgiving and Christmas, and Monday to Friday from April 1 to September 30. There is no separate behavioral health number; the same line handles mental health and substance use questions.

Then ask the admissions team three things: whether it contracts with Florida Complete Care for your plan number, whether it will file the authorization request, and what the expected cost share is for the level of care proposed. A care manager can often move that process faster than a cold call, because behavioral health already sits in the member’s care plan.

Is Florida Complete Care the Same as Florida Community Care?

No, although both belong to Independent Living Systems and the names are easily swapped. Florida Community Care is the Medicaid managed care plan, holding a six-year Agency for Health Care Administration contract for managed medical assistance and long-term care across all 67 counties. Florida Complete Care is the Medicare Advantage side. A Duals VIP member commonly holds Florida Medicaid through a plan such as Florida Community Care, and billing then runs across both.

References and Citations

• Florida Complete Care — provider manual, 2026 prior authorization requirements list, 2026 comprehensive formulary and provider and member contact pages.
• Independent Living Systems — corporate history, plan descriptions and leadership announcements.
• Third-party Medicare plan listings for contract H9986, plans 001, 002 and 004, 2026 and 2027 premiums, cost sharing and service areas; no Evidence of Coverage or Summary of Benefits was published on the plan site.
• Florida Agency for Health Care Administration — 2024 Medicaid managed care contract awards naming Florida Community Care.
• RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.