Home

Positive Health Care

Rehabs That Take Positive Health Care

Positive Health Care is a health plan run by AIDS Healthcare Foundation in Florida. Coverage can include drug and alcohol treatment, varying by plan, network and level of care.Florida facilities listed here name Positive Health Care on their own websites. The plan offers Medicaid and Medicare options, and each has its own rules for behavioral health services and approvals. Before admission, call the center and the plan to check whether the program is in network, whether a referral or prior authorization is needed, and whether any cost applies. Ask how treatment will be coordinated with the member’s existing care team and medications.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept Positive Health Care

Community Health of South Florida Inc – Miami (3831 Grand Avenue)

3831 Grand Avenue, Miami, FL, 33133

4.1★★★★☆57

Federally certified

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTeensSeniors+3

Spanish spoken

This location is registered at 3831 Grand Avenue in Miami, Florida. Services on file are intensive outpatient and outpatient care. Provision spans substance use and mental health together. 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. Federal listing is via SAMHSA, and the Florida Department of Children and Families handles licensing in this state.

0.8 miThe Barnacle Historic State Park5.2 miMiami International AirportServes7 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Stimulant Rehab · Vaping Cessation · +1 more

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 · Evidence-Based Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · Serious Mental Illness Treatment

Groups served

Adult Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen Rehab · Teen Telehealth · Teen TRICARE Rehab · Young Adult Rehab

Support services

Case Management · Health and Wellness Support · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · Avmed · CarePlus Health Plans · Children's Medical Services (CMS Health Plan) · Cigna Healthcare · GuideWell (Florida Blue) · Humana · Magellan Health · Medica · +10 more

Borinquen Medical Centers – Miami (5040 NW 7th Street)

5040 NW 7th Street, Miami, FL, 33126

3.7★★★★☆~~107~~

CARF accredited

DetoxIOPOutpatient+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

Co-occurring DisordersMATTrauma-informed+9

Spanish spoken

5040 NW 7th Street in Miami, Florida is the address held for this provider. Listed provision covers intensive outpatient and outpatient care. The record covers addiction and mental health provision together. 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. Federal listing is via SAMHSA, and the Florida Department of Children and Families handles licensing in…

3.2 miNorth Fork Miami River1.5 miMiami International AirportServes6 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 · +34 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

Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Cognitive Remediation Therapy · Contingency Management · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · +9 more

Mental health

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

Groups served

Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Medicare Rehab · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Early HIV Intervention · Hepatitis Support Services · +35 more

Support services

Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Practical Support · +6 more

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · Avmed · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Carisk (Concordia Behavioral Health) · Centene corporation · Children's Medical Services (CMS Health Plan) · Cigna Healthcare · HealthEase · +14 more

Borinquen Behavioral Health Center – Miami

2691 NE 2nd Avenue, Miami, FL, 33137

3.4★★★☆☆16

CARF accredited

DetoxIOPOutpatient+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

Co-occurring DisordersMATTrauma-informed+9

Spanish spoken

The address on record is 2691 NE 2nd Avenue in Miami, Florida. The services listed are intensive outpatient and outpatient care. Approved medication is used alongside counseling, which is what medication-assisted treatment means in practice. 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 listing notes provision for veterans and serving personnel. Federal listing is via SAMHSA, and the…

1.4 miParrot Jungle Island6.2 miMiami International AirportServes7 towns

Substances treated

Levels of care

Therapies

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

Mental health

Groups served

Support services

Languages

Spanish Speaking Rehab

Insurance accepted

Community Health of South Florida Inc – Miami (10300 SW 216th Street)

10300 SW 216th Street, Miami, FL, 33190

4.4★★★★☆~~1,908~~

Joint Commission

DetoxOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersMATTeens+6

Spanish spokenDeaf and HoHFrench spoken+1

This provider is listed at 10300 SW 216th Street, Miami, Florida. On record, this provider offers detox, intensive outpatient and outpatient care. Medication-assisted treatment is part of what is listed, which for opioid dependence means buprenorphine, methadone or naltrexone alongside counseling. People attend appointments and go home afterwards, which is how outpatient care works. Remote appointments appear on the record, useful where travel is difficult. Dedicated support is recorded for veterans and military families. Federal…

5.3 miDeering Estate17 miMiami International AirportServes4 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · +36 more

Levels of care

Aftercare and Continuing Care · Alcohol Detox Program · Buprenorphine-Assisted Detox · Carfentanil Detox Program · Clonidine and Lofexidine Detox · Codeine Detox Program · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · +28 more

Therapies

Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Motivational Interviewing · +1 more

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 · Psychiatric Medication Management · Psychosocial Rehabilitation · Serious Mental Illness Treatment · +1 more

Groups served

Adult 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 Rehab · Men's Telehealth · Men's TRICARE Rehab · +28 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · Peer Support · +6 more

Languages

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

Insurance accepted

Community Health of South Florida Inc – Miami (13540 SW 135th Avenue)

13540 SW 135th Avenue, Miami, FL, 33186

4.3★★★★☆~~533~~

Joint Commission

DetoxOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersMATTeens+6

Spanish spokenDeaf and HoHCreole spoken

The provider's premises are at 13540 SW 135th Avenue, Miami, Florida. According to the federal listing this provider runs intensive outpatient and outpatient care. Substance use and mental health conditions are both treated here. Treatment runs on an outpatient footing, with people returning home between appointments. Telehealth is listed, so some contact can happen without traveling in. Federal registration is held through SAMHSA, and licensing sits with the Florida Department of Children and Families.

6.8 miDeering Estate13 miMiami International AirportServes5 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · +34 more

Levels of care

Aftercare and Continuing Care · Clonidine and Lofexidine Detox · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient MAT Clinic · +5 more

Therapies

Mental health

Groups served

Support services

Languages

Creole Speaking Rehab · 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

Borinquen Medical Centers – Miami (3000 Biscayne Boulevard)

3000 Biscayne Boulevard, Miami, FL, 33137

2.0★★☆☆☆4

Federally certified

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+2

Co-occurring DisordersTeensSeniors+5

Spanish spokenDeaf and HoHCreole spoken

The site sits at 3000 Biscayne Boulevard in Miami, Florida. The record shows intensive outpatient and outpatient care. The record covers addiction and mental health provision together. Treatment is delivered without an overnight stay, around existing commitments. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. The record notes group sessions alongside individual work. Federal registration is held through SAMHSA, and licensing sits with the Florida Department of Children…

1.5 miParrot Jungle Island6.3 miMiami International AirportServes7 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Prescription Stimulant Rehab · Ritalin Rehab · Stimulant Rehab · Vyvanse Rehab

Levels of care

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

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Cognitive Remediation Therapy · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · +1 more

Mental health

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

Groups served

Adult Rehab · Couples 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 · +5 more

Support services

Education and Job Training · Housing and Employment Support · Suicide Prevention Services

Languages

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

Insurance accepted

Community Health of South Flroida Inc – Homestead

19300 SW 376th Street, Homestead, FL, 33034

4.4★★★★☆~~103~~

Federally certified

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTeensSeniors+3

Spanish spoken

This provider is listed at 19300 SW 376th Street, Homestead, Florida. What is recorded here is intensive outpatient and outpatient care. Both addiction and mental health conditions appear on the record. 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. Registration is federal, through SAMHSA; licensing is held with the Florida Department of Children and Families.

11 miLittle River29 miMiami International AirportServes2 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 · Evidence-Based Therapy · Group 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 · Mobile Crisis Response · Psychosocial Rehabilitation · Serious Mental Illness Treatment

Groups served

Support services

Case Management · Health and Wellness Support · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services

Languages

Spanish Speaking Rehab

Insurance accepted

Community Health of South Florida Inc – Homestead

820 SW 1St Street, Homestead, FL, 33030

2.7★★★☆☆38

Federally certified

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTeensSeniors+3

Spanish spoken

Records place Community Health of South Florida Inc at 820 SW 1St Street, Homestead, Florida. What is recorded here is intensive outpatient and outpatient care. The listing covers both substance use and mental health treatment. This is outpatient provision, so daily life continues around the appointments. Video appointments are recorded as an option here. Registration is federal, through SAMHSA; licensing is held with the Florida Department of Children and Families.

10 miLittle River26 miMiami International AirportServes2 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 · Evidence-Based Therapy · Group 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 · Mobile Crisis Response · Psychosocial Rehabilitation · Serious Mental Illness Treatment

Groups served

Support services

Case Management · Health and Wellness Support · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services

Languages

Spanish Speaking Rehab

Insurance accepted

Why Trust RehabSeekers.com?

RehabSeekers is an independent behavioral health directory covering drug and alcohol addiction and mental health treatment providers.

Learn More

Every listing has a source: an official register, a licensing record, or details the facility sent us.

Credentials shown honestly. Accreditation, licensing and registration listed separately.

Reviews shown exactly as written. Never edited, never removed because a facility asked.

No commission, no referral fees. Nothing a facility pays for changes where it appears.

Contact details always go direct. Calls reach the facility itself, never a call centre.

See where our data comes from and our editorial policy.

Common questions

Answered from what is listed here.

What is Positive Healthcare?

Positive Healthcare is the managed care division of AIDS Healthcare Foundation, a Los Angeles nonprofit founded in 1987. It has provided coverage for individuals living with HIV since 1995 and runs two Los Angeles County plans: PHP, a Medicare Advantage HMO SNP, and PHC California, a Medi-Cal plan.

Both plans are open only to members living with HIV or AIDS, and no employer or marketplace products are offered. Member Services answers at (800) 263-0067, TTY 711.

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

Does Positive Healthcare cover drug rehab?

Yes. On the PHP Medicare plan, outpatient substance use services, partial hospitalization and opioid treatment program services each carry a $0 copay in 2026, and inpatient hospital care is covered with authorization. PHC California members receive drug and alcohol treatment through the Drug Medi-Cal program.

Medi-Cal members are referred to the Los Angeles County Substance Abuse Prevention and Control program rather than treated inside the plan's own network.

Outpatient Rehabhttps://rehabseekers.com/programs/outpatient/

Does Positive Healthcare cover alcohol rehab?

Yes, under both plans. PHP Medicare covers outpatient substance use visits at $0 and alcohol misuse counseling as a free preventive service. For PHC California Medi-Cal members, alcohol treatment is delivered through the Drug Medi-Cal program run by Los Angeles County public health.

Medications for alcohol use disorder, including acamprosate, disulfiram and oral naltrexone, sit on PHP's Tier 1 with no prior authorization.

Alcohol Rehabhttps://rehabseekers.com/addictions/alcohol/

How much does rehab cost with Positive Healthcare?

$0 per visit for outpatient care on the PHP Medicare plan in 2026, covering outpatient substance use services, partial hospitalization and opioid treatment program services. Inpatient hospital days 1 through 6 cost $80 a day, then $0, inside a $5,000 annual out-of-pocket maximum.

PHC California Medi-Cal members pay no copays, premiums or deductibles for covered services. PHP's 2026 Part D prescription deductible is $615.

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

Does Positive Healthcare cover inpatient rehab?

Yes, through its inpatient hospital benefit. On the PHP Medicare plan a hospital stay, including inpatient psychiatric care, costs $80 a day for days 1 through 6 and $0 from day 7 through day 90, and authorization is required before admission.

Psychiatric hospital stays are capped at 190 days in a lifetime, a limit that does not apply to mental health care in a general hospital.

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

Does Positive Healthcare cover detox?

Yes, when it is medically needed. Inpatient withdrawal management falls under the PHP Medicare plan's inpatient hospital benefit, costing $80 a day for days 1 through 6 and $0 afterward, with authorization required. No separate detox line appears in the 2026 benefit summary.

For PHC California Medi-Cal members, withdrawal management is arranged through the county Drug Medi-Cal system rather than billed by the plan.

Medicare Detoxhttps://rehabseekers.com/insurance-accepted/medicare/medicare-detox/

Does Positive Healthcare cover partial hospitalization?

Yes, at $0 per visit. Partial hospitalization appears in the PHP Medicare plan's 2026 benefits with no copay. Authorization rules for that level of care are not spelled out in the plan's published summary, so ask before a program starts.

Member Services is (800) 263-0067, TTY 711, and a nurse advice line runs 24 hours a day on 1-800-797-1717.

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

Does Positive Healthcare cover therapy?

Yes, with no copay. Outpatient individual and group mental health therapy costs $0 on the PHP Medicare plan in 2026, and no referral or authorization is needed. PHC California Medi-Cal members get mild-to-moderate mental health care through the plan's network, with no referral for an initial assessment.

Specialty mental health and inpatient psychiatric care for Medi-Cal members comes through the Los Angeles County Department of Mental Health.

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

Does Positive Healthcare cover Suboxone?

Yes, as a Tier 1 drug. The 2026 PHP Medicare formulary lists buprenorphine-naloxone films and tablets, the generic form of Suboxone, with no prior authorization and no quantity limit shown. Buprenorphine sublingual tablets are also Tier 1 on the same list.

PHC California Medi-Cal members fill prescriptions through Medi-Cal Rx, the state pharmacy program, reachable at 1-800-977-2273.

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

Does Positive Healthcare cover methadone?

Yes, at no cost to the member. Opioid treatment program services, the benefit covering methadone dosing for opioid use disorder, carry a $0 copay on the PHP Medicare plan in 2026. Methadone tablets and oral solution also appear on the formulary at Tier 1 with quantity limits.

Dosing takes place at an opioid treatment program in the plan network; Medi-Cal members reach methadone through the county Drug Medi-Cal system.

Methadone Medication Clinichttps://rehabseekers.com/medications/mat/methadone/

Does Positive Healthcare need prior authorization for rehab?

For inpatient care, yes. The PHP Medicare plan requires authorization for any inpatient stay, including psychiatric admissions, while outpatient individual and group therapy needs no referral or authorization. On PHC California, inpatient and outpatient hospital services need prior authorization, though an initial mental health assessment does not.

Member Services on (800) 263-0067 can confirm whether a specific level of care needs review before admission.

Inpatient Rehabhttps://rehabseekers.com/programs/inpatient/

Does Positive Healthcare cover out-of-network rehab?

No, not without approval. PHP is an HMO, so care outside the network is covered only for emergencies, urgently needed care, out-of-area dialysis or treatment the plan has authorized. PHC California also requires pre-approval for out-of-network providers, with exceptions for emergency and urgent care.

When no network specialist can provide a needed service, PHP authorizes out-of-network care at in-network cost sharing.

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

What states does Positive Healthcare operate in?

California only. Both plans, PHP and PHC California, serve Los Angeles County and nowhere else as of 2026. The organization previously operated in Florida, where its Medicare plan ended after December 31, 2023 and its Medicaid HIV specialty contract was not renewed.

An affiliate entity was formed in Georgia in 2016, but no operating plan there has been documented.

Is Positive Healthcare still in Florida?

No. The Florida Medicare Advantage plan closed after December 31, 2023, and almost 900 members in Broward, Miami-Dade and Duval counties had to choose a new plan, with the insurer citing Medicare reimbursement changes. The Florida Medicaid HIV contract went to Simply Healthcare in 2018-2019.

Former Florida members now need a different Medicare Advantage or Medicaid plan to pay for addiction treatment.

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

How do I find a rehab that takes Positive Healthcare?

Start with the plan's online provider search, where the PHP directory includes a behavioral health section listing substance use providers, or call Member Services at (800) 263-0067, TTY 711. Medi-Cal members can ask for a referral to the Los Angeles County Drug Medi-Cal program.

Call the program as well, to check it is in network for your plan and whether authorization is required before admission.

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

Do you run a treatment service?

Get Verified to rank above unverified listings, show the Verified badge and be contacted directly.

Or claim or add your listing for free.

Positive Healthcare, written in some directories as Positive Health Care, is the managed care division of the AIDS Healthcare Foundation, and it runs two small health plans built only for anyone living with HIV or AIDS. If that is the card in hand, addiction treatment is a covered benefit, but the door into it depends entirely on which of the two plans the card names.

One is PHP (HMO SNP), a Medicare Advantage chronic condition special needs plan with Part D under contract H5852, rated 4 out of 5 stars for 2026 and holding close to 700 members. The other is PHC California, the Medi-Cal managed care plan the foundation created for the state in 1995, with about 770 members in 2024. Both serve Los Angeles County and nowhere else. The Florida Medicare plan closed after December 31, 2023, and the Florida Medicaid HIV specialty contract moved to another carrier in 2018–2019, so a Florida listing naming this plan is describing a contract that has ended.

This guide sets out what each plan pays for at each level of care, where authorization applies, what a 2026 member actually pays, how medication for opioid and alcohol use disorder is handled across two different pharmacy systems, and how to find a program that holds a contract with the right plan.

Does Positive Healthcare Cover Drug and Alcohol Rehab?

Yes. On the Medicare plan, PHP (HMO SNP), outpatient substance use services, partial hospitalization and opioid treatment program services each carry a $0 copay in 2026, and inpatient hospital care is covered with plan authorization. On the Medi-Cal plan, PHC California, alcohol and drug treatment is delivered through the Drug Medi-Cal program rather than by the plan itself.

That split matters more than any copay figure. PHC California handles medical care and mild-to-moderate mental health inside its own network, then refers a member who needs addiction treatment to the Los Angeles County Department of Public Health Substance Abuse Prevention and Control program, which contracts the county Drug Medi-Cal system for withdrawal management, residential care, intensive outpatient and outpatient treatment. The same carve-out applies to specialty mental health and inpatient psychiatric care, which run through the Los Angeles County Department of Mental Health. That is standard for Medicaid managed care in California rather than a restriction unique to this plan.

What Does the Medicare Plan Pay For at Each Level of Care?

PHP publishes copays for outpatient substance use care, partial hospitalization, opioid treatment program services and inpatient hospital stays. It does not publish a separate residential addiction treatment line or an intensive outpatient line, so a member looking at either should ask Member Services how that admission would be authorized and paid before a start date is set.

Medical Detox

No separate withdrawal management benefit appears in the 2026 PHP materials. Medically needed inpatient medical detox falls under the inpatient hospital benefit, which costs $80 a day for days 1–6, then $0 a day from day 7 through day 90, and requires authorization. For a Medi-Cal member, detox sits in the county Drug Medi-Cal system reached through SAPC. Alcohol and benzodiazepine withdrawal can produce seizures, and acute withdrawal belongs in an emergency department whatever the network question.

Residential and Inpatient

Inpatient hospital care, including inpatient psychiatric care, is covered on PHP at the daily rates above, with a 190-day lifetime cap on psychiatric hospital days that does not apply to behavioral care given in a general hospital. Because no residential rehab line is published for the Medicare plan, the admissions team should request a benefit determination in writing. Medi-Cal residential treatment is authorized by the county system, not by PHC California.

Partial Hospitalization and Outpatient Care

Partial hospitalization is $0 per visit on PHP, as are outpatient substance use visits and opioid treatment program services. Outpatient individual and group mental health therapy is $0 with no referral and no authorization, and no annual visit cap is published. Alcohol misuse counseling, depression screening and smoking cessation are covered preventive services at $0.

Which plan is on the card? PHP (HMO SNP) is the Medicare plan and pays treatment benefits directly. PHC California is the Medi-Cal plan and routes addiction treatment to Los Angeles County SAPC and specialty mental health to the county Department of Mental Health. Member Services for both is (800) 263-0067, TTY 711.

Does Positive Healthcare Need Prior Authorization for Rehab?

Yes for inpatient stays, no for outpatient therapy. On PHP, inpatient admissions including psychiatric admissions need plan authorization, while outpatient individual and group mental health therapy needs neither a referral nor authorization. On PHC California, inpatient and outpatient hospital services and behavioral health treatment need prior authorization; the initial mental health assessment does not.

The published materials stop short of naming authorization rules for PHP partial hospitalization, opioid treatment program services, outpatient substance use visits or an intensive outpatient program, and no medical necessity criteria are named either. Ask Member Services which of those needs a request filed, who files it, and how a continued stay is reviewed. A written answer with a reference number is worth the call.

Does Positive Healthcare Cover Out-of-Network Rehab?

Generally no. PHP is an HMO, so network providers are required except for emergencies, urgently needed care, out-of-area dialysis and care the plan has authorized. Where no network specialist can deliver a needed service, the plan may authorize an out-of-network provider at in-network cost sharing. PHC California also requires plan authorization before out-of-network care, with exceptions for emergency care, urgent care outside the service area, family planning and certain sensitive services.

Four questions before an admission

Does this program hold a contract with PHP or with PHC California specifically?

Does this level of care need authorization, and has the request been filed?

What is the daily cost share, and how far along is the $5,000 annual out-of-pocket maximum?

If the plan says no, what is the appeal route and the expedited timeline?

How Much Does Rehab Cost With Positive Healthcare?

For a PHC California member, nothing: the Medi-Cal plan has no copays, premiums or deductibles for covered services. For a PHP member in 2026 the monthly premium is $0 on top of the Medicare Part B premium, there is no medical deductible, outpatient substance use, partial hospitalization and opioid treatment visits are $0, and an inpatient stay runs $80 a day for days 1–6.

The PHP maximum out-of-pocket for covered Part A and Part B services is $5,000 for 2026, which is the figure that governs a long hospital admission. Emergency room and ambulance are $50 each. On the drug side, the Part D deductible is $615, with coinsurance of 15% on Tier 1, 22% on Tier 2 and 25% on Tiers 3 and 4; Tier 5 is $0 until $2,100 out of pocket and $0 after. Members with Extra Help pay $0–$12.65.

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 either plan the member’s share is far smaller, which is why the authorization step and the network contract decide the bill rather than the sticker price.

Does Positive Healthcare Cover Suboxone, Methadone and Other Addiction Medication?

Yes. The 2026 PHP formulary places buprenorphine sublingual tablets and buprenorphine-naloxone films and tablets, sold as Suboxone, on Tier 1 with no prior authorization and no listed quantity limit. Oral naltrexone 50 mg, acamprosate and disulfiram are also Tier 1, and naloxone nasal spray is Tier 1 with a limit of four per 30 days.

Methadone for opioid use disorder is dispensed through a licensed opioid treatment program rather than a retail pharmacy, and PHP covers those program services at a $0 copay. Methadone tablets and oral solution also appear on the formulary at Tier 1 with quantity limits, which reflects pain dispensing. Injectable naltrexone was not found in the formulary extract, so a member planning a monthly injection should ask the pharmacy line how it is billed.

Where the Prescription Is Filled

PHP drugs run through the plan’s Part D benefit, with a 24-hour pharmacy line on 1-888-436-5018 for coverage decisions. PHC California drugs do not: pharmacy coverage for Medi-Cal members sits with Medi-Cal Rx, the state fee-for-service benefit, on 1-800-977-2273, and a drug outside the Contract Drug List needs an approval request that is reviewed within 24 hours.

Help With Drug Cost Sharing

The California AIDS Drug Assistance Program call center on 1-844-421-7050 can help a PHP member with drug cost sharing, which matters most in the months before the $615 Part D deductible is met. Extra Help lowers the copay to between $0 and $12.65 for members who qualify.

Which Rehab Centers in California Are In-Network With Positive Healthcare?

A program is in network when it holds a contract with the specific plan named on the member card, PHP (HMO SNP) or PHC California, and is licensed or certified in California for the level of care it delivers. Network status is settled in the plan’s own provider search or by Member Services on (800) 263-0067, not by what a program advertises.

<Programs that accept Positive Health Care are gathered on the Positive Health Care page, alongside the wider pages for rehabs in California and for Medicaid 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 network status.

How Do I Find a Rehab That Takes Positive Healthcare?

Start with the plan provider search on the Positive Healthcare site, which has separate searches for PHP and for PHC California, or call Member Services on (800) 263-0067, TTY 711. The PHP provider and Part B pharmacy directory, updated April 1, 2026, includes a behavioral health section listing clinical social workers, marriage and family therapists, psychiatry, psychology and substance use providers. The PHC California directory is effective September 1, 2026.

A Medi-Cal member takes a different route: ask the plan or the primary care clinic for a referral into the Los Angeles County SAPC system, which assigns the level of care. A 24-hour nurse advice line runs on 1-800-797-1717, and the 988 Suicide and Crisis Lifeline takes calls, texts and chat at any hour. Because PHP is an HMO, the primary care group printed on the card is usually the fastest way to get an authorization request moving.

Is Positive Healthcare the Same as PHP, PHC California or AHF?

They are parts of the same organization. Positive Healthcare is the managed care division of the AIDS Healthcare Foundation, the Los Angeles nonprofit founded in 1987 that also runs AHF Pharmacy and AHF Healthcare Centers. PHP (HMO SNP) is its Medicare plan under contract H5852; PHC California, formerly Positive Healthcare California, is its Medi-Cal plan. This PHP is not Physicians Health Plan of Northern Indiana, and it is not the partial hospitalization level of care that shares the abbreviation.

The Florida story is separate again. AHF MCO of Florida, Inc. ran PHC Florida Medicaid plans in Broward, Miami-Dade and Monroe counties and a Florida HMO SNP, but the state contracted its HIV specialty plan to Simply Healthcare after 2018 and the Medicare plan closed to its roughly 900 Florida members after December 31, 2023. A Georgia entity exists on paper with no operating plan behind it.

Before calling a program: have the plan name and member ID ready, say whether it is the Medicare or the Medi-Cal plan, and ask whether the program contracts with that plan and which level of care it is contracted for. Those three answers settle the cost before anyone discusses admission dates.

References and Citations

Positive Healthcare (AIDS Healthcare Foundation) — PHP (HMO SNP) 2026 Summary of Benefits, provider and Part B pharmacy directory, and 2026 Part D formulary.
Positive Healthcare — PHC California member handbook effective February 1, 2026, covered services and provider search pages.
Centers for Medicare & Medicaid Services — Medicare Advantage contract H5852 plan ratings and enrollment data for 2026.
California Department of Health Care Services — Medi-Cal managed care contracting and the Medi-Cal Rx pharmacy benefit.
Los Angeles County Department of Public Health, Substance Abuse Prevention and Control — Drug Medi-Cal treatment system; Los Angeles County Department of Mental Health, specialty mental health services.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by program, length of stay and coverage.