Rehabs That Take Health Integrated

Does Health Integrated Cover Drug and Alcohol Rehab?

Not directly. Health Integrated paid no claims and issued no benefits. It performed medical and behavioral utilization review and care management for the health plans that did pay. Coverage for detox, residential treatment, partial hospitalization, intensive outpatient and outpatient care comes from the plan named on the member card, under that plan’s rules.

The service list behind the name was case management, utilization management, disease management, special needs programs and multichronic care management, together with chronic condition analysis, transitions of care, physician review and payment integrity. Its customers were health plans, state-funded health programs and self-insured employers, which is why the name turns up on an authorization letter or a case manager’s voicemail rather than on an insurance card.

Which Levels of Care Does the Health Plan Pay For?

The full ladder is normally covered where it is medically necessary, and the level is matched to clinical need at assessment. Where a plan hands utilization review to an outside company, that company reviews the request against the plan’s criteria; the benefit itself still belongs to the plan. The Arizona Medicaid examples below show what those rules look like in practice.

Medical Detox

Withdrawal management is a covered behavioral health service under Arizona’s Medicaid plans. Mercy Care requires a notification and authorization form for subacute detox admissions, faxed to 855-825-3165, carrying an ASAM score with dimensions, initial urine drug screen results, a treatment plan with the detox protocol and a medication list. The admissions team at a medical detox program usually files that paperwork.

Residential and Inpatient

Mercy Care requires prior authorization for SUD residential care, billed as H0018, using its Notification of SUD Residential Admission form to the same fax number, with an ASAM score and dimensions, a clinical rationale, an assessment, a treatment plan, a medication list and a discharge plan. The BCBSAZ Health Choice handbook lists hospital stays and residential treatment among its substance use benefits.

PHP, IOP and Outpatient

The BCBSAZ Health Choice handbook names outpatient clinics, intensive outpatient programs, counseling, and peer and recovery support. Members can reach counseling, therapy and crisis providers without a referral, and an initial behavioral health assessment is due within 7 calendar days of referral. Mercy Care’s authorization rules for IOP and partial hospitalization were not stated in the published material, so ask the plan before the first session.

Does Health Integrated Need Prior Authorization for Rehab?

Prior authorization is the plan’s requirement, and a care management vendor is often the party that answers the request. Health Integrated’s published material names no medical necessity criteria set, so the admissions team should ask the plan which criteria apply, which company performs the review and how long a decision takes before an admission date is set.

The consequence of skipping the step is spelled out in the Mercy Care provider manual, which lists as non-covered any service that required prior authorization but was not prior authorized. That is the ordinary rule across managed care lines: the request goes in before the bed is taken, not after.

Who Reviews a Rehab Request Now?

EXL took the business into EXL Healthcare and offers behavioral utilization management alongside medical and pharmacy review, with teams of nurses, physicians and behavioral specialists. EXL states that it is URAC accredited for health utilization management and NCQA accredited for case and utilization management, and EXL Healthcare announced its NCQA Utilization Management accreditation on September 12, 2017, before the Health Integrated deal closed.

How Much Does Rehab Cost With Health Integrated?

Health Integrated billed nothing to a member, so the cost comes entirely from the health plan: its deductible, copay or coinsurance, its out-of-pocket maximum and its out-of-network terms. The 2026 BCBSAZ Health Choice handbook gives no behavioral health copay amounts, so an Arizona Medicaid member should ask member services on 1-800-322-8670 what applies at each level of care.

The figures below are what a program would bill without any coverage behind it. They are the starting point for a self-pay quote and the reason the authorization step matters more than the advertised rate.

On a Medicaid line the member’s share is usually far below these numbers, and outpatient rehab is the level where a long course of care is least likely to run into a dollar cap. Ask the plan for the figure in writing before admission rather than reading it off a brochure.

Does Health Integrated Cover Suboxone, Methadone and Other Addiction Medication?

Medication is paid for by the health plan, through its pharmacy or medical benefit, not by a care management vendor. In Arizona, the Mercy Care provider manual lists opioid agonist treatment among its behavioral health services, and the BCBSAZ Health Choice handbook states that medications for opioid use disorder are free through trained providers.

Medication assisted treatment is delivered in two different places, and the billing follows the setting. A dose given inside a licensed opioid treatment program is part of that program’s service, while a prescription taken to a pharmacy runs through the plan’s drug list with its own tiers and rules.

Where the Prescription Is Filled

Drug lists change, and older rules show how much. In 2018, Health Choice Arizona required prior authorization for buprenorphine products, Bunavail and Probuphine, with preferred drugs tried first, while Narcan Nasal was available to AHCCCS members without a prescription. Check the current list before discharge if a buprenorphine or Suboxone prescription is part of the plan.

Methadone and Opioid Treatment Programs

Mercy Care’s published rules for methadone and buprenorphine were not stated in the available material, so a member starting at a methadone clinic should ask the plan how dosing is authorized and whether the clinic holds a contract for that product. Counseling and medical monitoring are normally billed by the program itself.

Which Rehab Centers Are In-Network With Health Integrated?

No program is in network with Health Integrated, because a care management company holds no provider contracts and pays no claims. Network status belongs to the health plan on the member card, for that specific product, and it is settled in that plan’s own provider search or by its member services line, not by the name on an authorization letter.

Programs that accept Health Integrated are gathered on the Health Integrated page, alongside the directory’s detox centers and IOP 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 shortlist can be drawn up before the call that settles network status with the plan.

How Do I Find a Rehab That Takes Health Integrated?

Work from the card outward. Call the health plan’s member services line, ask which company handles its behavioral health authorizations, then ask for licensed substance use programs in network near you. Finish by calling the admissions team and asking whether it still works with that plan and that review company, since vendor contracts change without any notice to a member.

Programs listing this name on their own sites sit mainly among the rehabs in New Jersey, while the searches that lead here are usually about Arizona plans and the rehabs in Arizona that serve them. In an Arizona crisis, the statewide behavioral health line is 1-844-534-4673, or text HOPE to 44673.

Is Health Integrated the Same as Mercy Maricopa Integrated Care or Health Choice Integrated Care?

No. Mercy Maricopa Integrated Care was the Maricopa County Regional Behavioral Health Authority, a nonprofit scheduled to take over from Magellan on April 1, 2014 after a contract protest produced a stay order in May 2013. Its successor brand, Mercy Care ACC-RBHA, now provides Medicaid physical and behavioral health care, including substance use care, in Maricopa, Pinal and Gila counties. Mercy Care is co-owned by Ascension and Dignity Health and has been administered by Aetna Medicaid Administrators since 2002, with about 404,000 members; in September 2026 Aetna agreed to buy Ascension’s stake, pending regulatory approval. Member services is 1-800-624-3879, and the line for members with a serious mental illness designation is 1-800-564-5465.

Health Choice Integrated Care was a separate joint venture of Health Choice and NARBHA that ran the northern Arizona RBHA from October 1, 2015, covering Mohave, Coconino, Apache, Navajo, Gila, Yavapai and parts of Graham counties. It merged into Steward Health Choice Arizona on October 1, 2018, and Blue Cross Blue Shield of Arizona announced its acquisition of Health Choice on November 3, 2020, renaming Health Choice Generations as Health Choice Pathway from January 1, 2021. From October 1, 2022, northern SMI members moved to Care1st and Gila and Pinal SMI members to Mercy Care. As of June 30, 2026, AHCCCS lists the ACC-RBHA plans as Arizona Complete Health-Complete Care Plan on 1-888-788-4408 and Mercy Care in the Central region. Cenpatico Integrated Care, the southern RBHA from 2015, is another separate organization with a similar name.

References and Citations

• ExlService Holdings, Inc. — press release on the acquisition of Health Integrated’s assets and Form 10-K disclosure of the transaction and Healthcare segment.
• EXL Healthcare — utilization management service pages, behavioral review description and URAC and NCQA accreditation statements.
• Health Integrated, Inc. — company website, service descriptions and corporate profile material, Tampa, Florida.
• Arizona Health Care Cost Containment System — ACC-RBHA plan assignments, regional behavioral health agreement notices and plan transition announcements.
• Mercy Care — provider manual, SUD residential and subacute detox notification and authorization forms, and member services contacts.
• Blue Cross Blue Shield of Arizona Health Choice — 2026 member handbook, behavioral health benefits and pharmacy policy material.
• RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.