Rehabs That Take MyCompass (TriADD New York, LLC)

Does MyCompass Cover Drug and Alcohol Rehab?

No. MyCompass and TriaDD pay for no level of care, including detox, residential treatment, partial hospitalization, intensive outpatient programs and medication for opioid use disorder. The partner organizations coordinate services; the treatment itself is billed to whatever coverage the enrollee holds, which for most New Yorkers eligible for OPWDD services is fee-for-service Medicaid, sometimes alongside Medicare.

What the three organizations do provide is Health Home care management. Each is a specialized Health Home under the state’s Office for People With Developmental Disabilities, and each assigns a care manager who builds an integrated care plan, called a Life Plan, covering health care, behavioral health and developmental disability services. Addiction treatment can sit inside that plan as a coordinated service, but the authorization and the payment belong elsewhere.

What Does a Care Manager Do When Addiction Treatment Is Needed?

The care manager coordinates rather than authorizes. Across the three organizations more than 2,000 care managers work with nearly 70,000 New Yorkers in all 62 counties, arranging referrals, keeping the Life Plan current and joining the conversation between a treatment provider, a primary care practice and the developmental disability agency involved. Cross-system issues between the developmental disability, mental health and addiction service agencies are worked through at quarterly state meetings that include OASAS, which is the state addiction services agency.

Medical Detox

Withdrawal management is billed to Medicaid or Medicare, not to MyCompass. Alcohol and benzodiazepine withdrawal can bring on seizures, and acute withdrawal belongs in an emergency department whatever the paperwork says. A care manager can pass on the medical history that a Medicaid detox admissions team will ask for, including seizure history and current prescriptions.

Residential and Inpatient

A residential admission runs on the rules of the paying program. For fee-for-service Medicaid that means the state’s own coverage rules and the program’s licensing category; Medicaid residential rehab and inpatient care are settled between the clinic and the payer. Ask the care manager to document any reasonable accommodations an admitting program will need to plan for.

PHP, IOP and Outpatient

Partial hospitalization, intensive outpatient and weekly counseling are the levels a care manager most often helps arrange, because they fit around an existing day program or residence. The 2017 waiver design for specialized I/DD plans listed licensed behavioral health practitioner services, crisis intervention and outpatient and residential addiction services as in scope, which indicates what the state expected such a plan to carry had it ever opened.

Does MyCompass Need Prior Authorization for Rehab?

No. There is no prior authorization process and no published medical necessity criteria, because no claims are paid under the MyCompass name. Any authorization requirement comes from the actual payer: fee-for-service Medicaid, a Medicaid managed care plan, a Medicare Advantage plan or a commercial insurer named on the member card.

New York’s Medicaid managed care chart, revised June 11, 2026, lists OPWDD-eligible individuals and OPWDD home and community based services waiver participants as exempt from Medicaid managed care and from HARP, and residents of intermediate care facilities as exempt from managed care and excluded from HARP. That exemption is why so many enrollees in this population stay in fee-for-service Medicaid, and why the admissions question is usually about state Medicaid rules rather than a plan’s utilization review.

Is MyCompass a Medicaid Plan?

No. MyCompass was tied to a proposed Specialized I/DD Plan – Provider Led, a capitated Medicaid managed care model with voluntary enrollment at the start, and that plan never opened. The qualification draft was released in August 2018 and revised in February 2020 with comments due March 27, 2020, after which it remained under review with no implementation date. The 2017 schedule of voluntary enrollment downstate in 2019 and mandatory enrollment by 2022 passed without a launch.

The direction since then has moved away from it. The Guidehouse managed care assessment released for OPWDD on September 6, 2024 did not recommend moving the whole system to full managed care, suggesting instead that any partial model cover physical and behavioral health while long-term supports stay fee-for-service through the care coordination organizations. OPWDD’s 2025 strategic plan annual report does not mention managed care at all.

How Much Does Rehab Cost With MyCompass?

There is no MyCompass cost share. No premium, copay or deductible has been published, because there is no plan to carry one, and none of the TriaDD or care coordination material states a charge for care management either. What a stay costs therefore depends entirely on the paying coverage, which for fee-for-service Medicaid is a different calculation from a Medicare Advantage plan with an annual out-of-pocket maximum.

Those are the sums a program would bill with no coverage behind it. Anyone holding both Medicaid and Medicare should ask which one is billed first for each level of care, since that order decides the balance left over. Where income makes a program unaffordable outright, sliding scale and state funded options are worth raising with the admissions team early.

Does MyCompass Cover Suboxone, Methadone and Other Addiction Medication?

No. MyCompass publishes no formulary and no medication policy, so buprenorphine, naltrexone and methadone are paid for by the enrollee’s own drug coverage. For a Medicaid enrollee that is the state pharmacy benefit; for a Medicare enrollee it is the Part D or plan drug list, with its own tiers and rules.

Where the Medication Is Dispensed

Methadone for opioid use disorder is dispensed through licensed opioid treatment programs rather than a retail counter, which is why it is authorized as a program service rather than a pharmacy fill. Suboxone and other buprenorphine formulations are prescribed in office-based practice and filled at a pharmacy, so the drug list matters there. Ask the prescriber to check the formulation against the plan’s list before discharge.

Coordination Around Existing Prescriptions

Where a care manager is involved, the Life Plan is the one document that already lists current prescriptions, prescribers and the agencies involved. Sharing it with a medication assisted treatment clinic saves the admissions team chasing records, particularly where seizure medication, psychiatric medication and an opioid agonist have to be managed together.

Which Rehab Centers in New York Are In-Network With MyCompass?

None, in the ordinary sense. MyCompass publishes no provider directory and holds no network, so network status is decided by the plan that pays: a contract with that specific Medicaid, Medicare or commercial product, plus the state license the program holds for the level of care. The payer’s own provider search and the plan named on the member card are where that status is settled.

New York has 1,100+ listed treatment programs, 1,061 of which accept Medicaid, concentrated in New York, NY, Bronx, NY, Brooklyn, NY and Buffalo, NY. Programs that accept MyCompass are gathered on the MyCompass page, with wider options under detox centers, residential rehab and outpatient rehab. 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 payment. Counts updated October 2026.

How Do I Find a Rehab That Takes MyCompass?

Start with the care manager at the regional organization, then settle the payer. Call Person Centered Services on 888-977-7030 in Western New York, the Finger Lakes and the Southern Tier, LIFEPlan CCO NY on 315-565-2612 upstate, or Advance Care Alliance on 1-833-692-2269 in New York City, Long Island and the Lower Hudson Valley, and ask the care manager to help arrange an assessment and referral.

For searching directly, the partner organizations and the New York State Department of Health launched Disability Services NY in June 2026, an online directory of medical providers and community supports searchable by service type, specialty, organization and county, with filters for telehealth and for staff experience with developmental disabilities. Alongside it, browsing rehabs in New York by level of care and accepted payment narrows the list before anyone picks up the phone.

Is MyCompass the Same as UnitedHealthcare Compass or Tri-County Care?

No to both. UnitedHealthcare Compass is a separate individual exchange plan line in New York with a narrow referral-based network, unrelated to TriaDD. Tri-County Care is a different New York care coordination organization and is not a TriaDD member; the TriaDD members are Advance Care Alliance New York, LIFEPlan CCO NY and Person Centered Services, with administrative services for two of them provided by Coordinated Care Alliance New York on 866-462-2269.

References and Citations

• MyCompass and TriaDD, LLC — Knowledge Center, Understanding Managed Care and regional contact pages.
• United States Patent and Trademark Office — MYCOMPASS word and design mark filings of December 18, 2020, publication of September 7, 2021 and Notice of Allowance of November 2, 2021, together with the GUIDEHEALTH application of May 14, 2021.
• New York State Office for People With Developmental Disabilities — Care Coordination Organization and Health Home care management pages, Specialized I/DD Plan – Provider Led draft qualification documents, the Guidehouse managed care assessment released September 6, 2024, and the 2025 strategic plan annual report.
• New York State Department of Health — Medicaid managed care enrollment chart revised June 11, 2026, and the June 2026 launch of Disability Services NY with Advance Care Alliance New York, LIFEPlan CCO NY and Person Centered Services.
• RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by program, length of stay and coverage.