Inpatient Rehab Centers in New York City

What does inpatient treatment for substance use look like in New York City?

Inpatient treatment for substance use disorders in New York City is 24-hour care with medical staff on site. Some programs are medically managed hospital units, and others are medically monitored high-intensity programs, matching levels 4 and 3.7 of the American Society of Addiction Medicine (ASAM) criteria. Listings show whether a program offers hospital-based withdrawal management, psychiatric care, and medications for opioid or alcohol use disorder.

If a program’s listing does not show these services, ask intake staff about them directly. Compared with residential rehab, inpatient care is the more medically intensive option; residential programs follow their own state rules and move through stabilization, rehabilitation and reintegration phases. How long a stay lasts depends on clinical need and on what the insurer authorizes.

New York State’s Office of Addiction Services and Supports certifies addiction treatment programs, and each one must hold an operating certificate issued under Title 14, Part 810 of the state’s regulations. Ask the admissions team for the program’s certificate before you agree to an admission. Medicare Part A generally applies to hospital stays, while Medicaid plans may need to authorize care early on.

LaGuardia is the nearest major airport for every inpatient program listed in the city, at a median of 6 miles away. The Harlem River is the closest river for most of them, at a median of 3.5 miles. Discharge planning should begin early in a stay and set out a step-down service and a first appointment.

How is inpatient care different from residential treatment?

Inpatient care is more medically intensive than residential rehab in New York City. Residential programs follow OASAS Part 820 rules and move people through three phases: stabilization, rehabilitation and reintegration. As of April 2023, the downstate treatment rate for stabilization was $231.01 a day. Room and board are billed separately.

Will Medicare, New York Medicaid or private insurance pay for an inpatient stay?

Coverage depends on your plan and on whether the stay is judged medically necessary. No plan covers every inpatient claim. Medicare Part A generally applies to hospital inpatient stays, and the Medicare rehab listings for New York City show which programs accept it.

New York State Medicaid in the city runs largely through managed care plans and Health and Recovery Plans (HARPs). Examples include Healthfirst, MetroPlus Health Plan, Fidelis Care and HIP of Greater New York. Medicaid plans and private insurers may require approval before or soon after admission, so ask the clinic to check this before you arrive.

Residents without insurance can look at state-funded rehab in New York City. The NYS HOPEline is also available at 1-877-846-7369, or by texting HOPENY (467369).

How long does an inpatient stay last, and what happens after?

Inpatient stays are set by clinical need and insurer review, so there is no single standard length. Listings show each program’s stated range where the program gives one.

Discharge planning should start early in the stay. A good plan names a step-down service, such as outpatient rehab in New York City. It also covers medication continuity and a first appointment date.

Is it safe to stop alcohol or benzodiazepines on your own?

Withdrawal from alcohol or benzodiazepines needs a medical assessment before you stop. Detox listings in New York City show where withdrawal management is offered. In an emergency, call 911. For a mental health crisis, call or text 988.

For inpatient programs elsewhere in the state, see inpatient rehab across New York. You can also browse every treatment listing in New York City.