Medicaid Naltrexone Treatment Providers

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Naltrexone Treatment That Takes Medicaid

Medicaid covers naltrexone in every state, both as a tablet and as the extended-release injection, though prior authorization rules differ. The programs here record Medicaid as an accepted payment type and prescribe or administer naltrexone as part of their clinical treatment.

State Medicaid plans handle the injection differently: some pay the clinic directly, others route it through a pharmacy benefit that adds a step before dosing. Ask how a program obtains the medication and what your plan requires. Listings show which accept Medicaid.

Rehab Centers Near You

Top 12 Drug and Alcohol Rehab Centers Offering Naltrexone Treatment That Takes Medicaid

APEX Recovery – Brentwood

209 Ward Circle, Brentwood, Tennessee, 37027

4.7★★★★★89

Joint Commission

DetoxResidentialPHP+4

Accepts InsuranceAccepts TRICAREAccepts State Insurance+1

Co-occurring DisordersMATYoung adults+5

The facility sits on Ward Circle, in the Maryland Farms area of Brentwood — an affluent Williamson County suburb immediately south of Nashville. The facility offers addiction detox, medically supervised detox, alcohol withdrawal management and drug withdrawal management. Care is provided on an outpatient basis, so people continue living at home. Recorded credentials include The Joint Commission. Mental health conditions treated here include co-occurring disorders, depression and anxiety disorders, delivered alongside substance use care. The…

4.2 miWhitfield Park9.4 miNashville International AirportServes13 towns

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · +37 more

Levels of care

30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Anxiety Retreat · Clonidine and Lofexidine Detox · Continuing Care · Depression Retreat · +23 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · +4 more

Mental health

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

Groups served

Adult Rehab · Couples Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Residential Rehab · Men's Sober Living · +8 more

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intervention Services · Peer Support · Practical Support · +6 more

Insurance accepted

Aetna · Ambetter (Centene) · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · Health Net (Centene) · Humana · Magellan Health · Optum · Oscar Health · +3 more

Recovery Unplugged Nashville – Brentwood

255 Wilson Pike Circle, Brentwood, Tennessee, 37027

4.9★★★★★~~386~~

Joint Commission

DetoxHospital detoxInpatient+6

Accepts InsuranceAccepts MedicaidSelf-Pay

Co-occurring DisordersMATTrauma-informed+9

Spanish spoken

The facility sits on Wilson Pike Circle, in the Maryland Farms area of Brentwood — an affluent Williamson County suburb immediately south of Nashville. The facility offers addiction detox, alcohol withdrawal management, drug withdrawal management and dual diagnosis treatment. Both residential and outpatient care are recorded at this location. Recorded credentials include The Joint Commission, DEA and State substance use agency licence.Treatment addresses substance use alongside co-occurring mental health conditions, including anxiety disorders, co-occurring disorders…

3.7 miWhitfield Park8.9 miNashville International AirportServes13 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · Carfentanil Rehab · +50 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · +62 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · +5 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Psychosocial Rehab Services · +4 more

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Adult Rehab · Couples Rehab · +74 more

Support services

Case Management · 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 · +8 more

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · ComPsych · Humana · Magellan Health · Optum · Sendero Health Plans · UnitedHealthcare (UHC)

Northstar Recovery Center – Southborough

132 Turnpike Road, Southborough, Massachusetts, 1772

5.0★★★★★~~183~~

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts TRICARE+1

Co-occurring DisordersMATTrauma-informed+6

Northstar Recovery Center is located at 132 Turnpike Road in Southborough, within a few minutes of Cordaville and Framingham. The practical catchment runs to roughly 6 miles, covering Framingham, Marlborough, Hopkinton and Westborough. Southborough is in Worcester County, which shapes which public funding routes apply. The facility runs partial hospitalization, intensive outpatient and outpatient care. Buprenorphine, methadone or naltrexone can be prescribed alongside therapy. Substance use and mental health are treated together rather than in…

2.3 miHopkinton State Park Swimming Pool Reservoir17 miLaurence G Hanscom FieldServes45 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 · +30 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) · Online Rehab and Telehealth · Outpatient MAT Clinic · +6 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · EMDR Therapy · Evidence-Based Therapy · Family Therapy · +6 more

Mental health

Groups served

Adult Rehab · Couples Rehab · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's PTSD Rehab · Men's Rehab · Men's Telehealth · Men's Trauma Rehab · Men's TRICARE Rehab · Senior IOP · +16 more

Support services

Case Management · Housing and Employment Support · Housing Assistance · Practical Support · Recovery Support Services · Self Help Groups · Suicide Prevention Services · Waitlist Interim Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Harvard Pilgrim Health Care · Health Plans Inc · Humana · Medicaid · Optum · TRICARE · Tufts Health Plan · +1 more

Diablo Valley Treatment and – San Ramon

111 Deerwood Road, San Ramon, California, 94583

5.0★★★★★~~116~~

CARF accredited

DetoxPHPIOP+3

Accepts InsuranceSelf-Pay

MATSeniorsYoung adults+4

Diablo Valley Treatment and – San Ramon is based on Deerwood Road in San Ramon, a Tri-Valley city in southern Contra Costa County. The facility offers addiction detox, alcohol withdrawal management, drug withdrawal management and intensive outpatient program (IOP). Care is provided on an outpatient basis, so people continue living at home. This provider is accredited by CARF.Mental health conditions treated here include anxiety disorders, co-occurring disorders and depression, delivered alongside substance use care. The…

0.4 miBollinger Canyon Creek13 miOakland San Francisco Bay AirportServes22 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · +52 more

Levels of care

Aftercare and Continuing Care · Alcohol Detox Program · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · Carfentanil Detox Program · Clonidine and Lofexidine Detox · Cocaine Detox Program · Codeine Detox Program · Continuing Care · +41 more

Therapies

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management

Groups served

Adult Rehab · Couples Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Senior Detox · +12 more

Support services

Community Outreach · Health and Wellness Support · Health Education · Intervention Services · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · Self Help Groups · Waitlist Interim Services

Insurance accepted

Aetna · Anthem / Elevance Health · Blue Shield of California · Cigna Healthcare · UnitedHealthcare (UHC)

Recovery Team – Newton Upper Falls

233 Needham Street, Newton Upper Falls, Massachusetts, 2464

5.0★★★★★~~118~~

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceSelf-Pay

Co-occurring DisordersMATTrauma-informed+8

Recovery Team operates from 233 Needham Street in Newton Upper Falls, close enough to Newton and Needham to serve both. That radius takes in Wellesley, Brookline, Watertown and Dedham, all within 5 miles. Newton Upper Falls sits in Middlesex County, and the county's own provision is limited enough that this site draws from a wide area. The facility runs partial hospitalization, intensive outpatient and outpatient care. Medication-assisted treatment is part of the offer, the approach…

2.1 miHarvey Beach11 miBoston Logan International AirportServes61 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · +36 more

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Acupuncture · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · +12 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +5 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · +49 more

Support services

Case Management · Chronic Illness Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · +11 more

Insurance accepted

TRICARE

Sophros Recovery Tampa – Tampa

10500 University Center Drive, Tampa, FL, 33612

5.0★★★★★~~105~~

CARF accredited

DetoxPHPIOP+4

Accepts InsuranceAccepts TRICAREAccepts State Insurance+3

Co-occurring DisordersMATTrauma-informed+8

Sophros Recovery Tampa occupies 10500 University Center Drive in Tampa, Florida. The services listed are intensive outpatient and outpatient care. Medication-assisted treatment appears on the record, pairing approved medication with counseling and review. Care is provided on an outpatient basis, so people continue living at home. Telehealth is listed, so some contact can happen without traveling in. Support for veterans appears on the record. Registration is federal, through SAMHSA; licensing is held with the Florida…

1.2 miCopeland Park8.4 miTampa International AirportServes13 towns

Substances treated

Levels of care

Therapies

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

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Psychosocial Rehab Services · +2 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · DUI and DWI Programs · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Sober Living · +22 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intervention Services · Nutrition and Fitness Counseling · +10 more

Insurance accepted

Aetna · Carelon Behavioral Health · Cigna Healthcare · GuideWell (Florida Blue) · TRICARE · UnitedHealthcare (UHC)

Clear Steps Recovery – Needham

392 Chestnut Street, Needham, Massachusetts, 2492

5.0★★★★★92

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicareAccepts TRICARE+4

Co-occurring DisordersMATTrauma-informed+9

392 Chestnut Street in Needham puts Clear Steps Recovery inside a short drive of Dover, Wellesley and the towns around them. Wellesley, Dedham, Newton and Brookline all sit within 6 miles of the door. Needham sits in Norfolk County, and the county's own provision is limited enough that this site draws from a wide area. Care offered spans partial hospitalization, intensive outpatient and outpatient care. SAMHSA holds the federal registration; the Massachusetts Bureau of Substance…

4.1 miHarvey Beach13 miBoston Logan International AirportServes61 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Community Reinforcement Approach · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · +8 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +5 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · +70 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intervention Services · Practical Support · Recovery Support Services · Self Help Groups · +3 more

Insurance accepted

Harvard Pilgrim Health Care · Mass General Brigham Health Plan · Medicare · Optum · TRICARE · Tufts Health Plan · UnitedHealthcare (UHC) · VA Community Care

Rancho Recovery – Rancho Cucamonga

13684 Jeremy Court, Rancho Cucamonga, California, 91739

5.0★★★★★64

Joint Commission

DetoxHospital detoxInpatient+6

Accepts InsuranceAccepts MedicaidAccepts TRICARE+2

Co-occurring DisordersMATTrauma-informed+8

Spanish spokenDeaf and HoH

Rancho Recovery – Rancho Cucamonga is based on 13684 Jeremy Court in Rancho Cucamonga, San Bernardino County. The facility offers addiction detox, medically supervised detox, alcohol withdrawal management, drug withdrawal management, polysubstance detox and opioid withdrawal management. Care is provided on both a residential and outpatient basis. This location is registered for both substance use and mental health treatment. Details on this page are drawn from the federal treatment locator maintained by the Substance Abuse…

6.7 miBonita Falls7.6 miOntario International AirportServes4 towns

Substances treated

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · +67 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Community Reinforcement Approach · Contingency Management · Counseling and Therapy · Couples Counseling · +10 more

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +4 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Detox · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Hepatitis Support Services · HIV and Hepatitis Care · +46 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · Intervention Services · +8 more

Languages

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 · Deaf and Hard of Hearing Residential Rehab · Spanish Speaking Rehab

Insurance accepted

Medicaid · TRICARE

Rosewood Recovery – Newtown

140 Terry Drive, Newtown, PA, 18940

5.0★★★★★95

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts TRICARESliding Scale+2

MATYoung adultsWomen+3

Rosewood Recovery operates from 140 Terry Drive in Newtown, Pennsylvania. It is recorded as offering intensive outpatient and outpatient care. Medication for opioid use disorder is offered here alongside talking treatment. This is outpatient provision, so daily life continues around the appointments. Remote appointments appear on the record, useful where travel is difficult. The listing notes provision for veterans and serving personnel. The provider appears in the federal treatment register, with state licensing through the…

4.5 miScudders Falls6.6 miTrenton Mercer AirportServes47 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Acupuncture · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · +7 more

Mental health

Groups served

Support services

Housing and Employment Support · Housing Assistance · Practical Support · Recovery Support Services · Self Help Groups · Suicide Prevention Services · Transportation to Rehab

Insurance accepted

Geisinger Health Plan · Independence Blue Cross · Keystone Health Plan East · TRICARE

Ascendant New York – New York (210 East 58th Street)

210 East 58th Street, New York, NY, 10022

5.0★★★★★84

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceSelf-Pay

MATTrauma-informedYoung adults+4

210 East 58th Street in New York, New York is the address held for this provider. The facility is listed for 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. Provision is outpatient, so no overnight stay is involved. Remote appointments appear on the record, useful where travel is difficult. The listing notes provision for veterans and serving personnel. Registration…

2.1 miManhattan5.0 miLaGuardia AirportServes108 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · +2 more

Mental health

Groups served

Adult Rehab · Couples Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Rehab for Domestic Violence Survivors · Trauma Informed Rehab · +4 more

Support services

Case Management · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Peer Support · Recovery Support Services · Suicide Prevention Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · TRICARE · UnitedHealthcare (UHC)

South Shore Recovery Center – Plymouth

182 Standish Avenue, Plymouth, Massachusetts, 2360

5.0★★★★★76

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts TRICARE+3

MATSeniorsYoung adults+5

Deaf and HoH

South Shore Recovery Center is at 182 Standish Avenue in Plymouth. North Plymouth is 0.5 miles away and Kingston 2.6. Anyone within about 7 miles can reach it without a major journey, which takes in South Duxbury, Duxbury, Green Harbor and The Pinehills. Plymouth County is the relevant authority here, which matters for anyone using state-funded care. South Shore Recovery Center offers partial hospitalization, intensive outpatient and outpatient care. Medication for opioid dependence is available…

0.8 miNelson Beach25 miNew Bedford Regional AirportServes18 towns

Substances treated

Levels of care

Therapies

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

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Psychosocial Rehab Services · Social Skills Training

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Legal Advocacy Support · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · +15 more

Support services

Languages

Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Harvard Pilgrim Health Care · Humana · Medicaid · Optum · TRICARE · Tufts Health Plan

Pillars Health Group – Tewksbury

890 East Street, Tewksbury, Massachusetts, 1876

5.0★★★★★74

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts TRICARE+1

MATYoung adultsWomen+3

Deaf and HoH

Pillars Health Group is at 890 East Street in Tewksbury. Andover is 3.7 miles away and Wilmington 4.1. That radius takes in Andover, Wilmington, Lawrence and Pinehurst, all within 6 miles. Middlesex County is the relevant authority here, which matters for anyone using state-funded care. Pillars Health Group offers intensive outpatient and outpatient care. Buprenorphine, methadone or naltrexone can be prescribed alongside therapy. Remote appointments are offered, useful for anyone without transport. Trauma-focused work forms…

3.9 miSkug River11 miLaurence G Hanscom FieldServes55 towns

Substances treated

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

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

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management

Groups served

Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Women's Dual Diagnosis Rehab · Women's Outpatient Rehab · +3 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Support Services · Suicide Prevention Services · +1 more

Languages

Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

ComPsych · Humana · TRICARE

More Addiction Rehabs Offering Naltrexone Treatment That Takes Medicaid 13–80 of 6,729

Bergen Enterprises Center LLC – Fair Lawn

22-08 Route 208, Fair Lawn, NJ, 7410

4.9★~~(316)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+1

Ocean State Recovery Center – Johnston

1524 Atwood Avenue, Johnston, RI 02919

4.9★~~(365)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+6

Greater Boston Addiction Center – Needham Heights

322 Reservoir Street, Needham Heights, Massachusetts, 2494

4.9★~~(276)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+1

Recovery Unplugged Behavioral Health – Merchantville

1 West Park Avenue, Merchantville, NJ, 8109

5.0★~~(66)~~

DetoxPHPIOP+4Accepts InsuranceAccepts TRICARE+1

Buckeye Recovery Network – Huntington Beach

19322 Beach Boulevard, Huntington Beach, California, 92648

4.9★~~(149)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+3

Meta Addiction Treatment – North Reading

55 Concord Street, North Reading, Massachusetts, 1864

4.9★~~(143)~~

DetoxPHPIOP+4Accepts InsuranceAccepts TRICARE+3

Avenues Recovery Center at Lake Ariel – Lake Ariel

50 Industrial Park Road, Lake Ariel, PA, 18436

4.8★~~(411)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts TRICARE+2

Beachside Detox – West Palm Beach

1101 54th Street, West Palm Beach, FL, 33407

4.8★~~(398)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts TRICARE+1

Gateway Treatment Facility – Pineville

210 Laurel Street, Pineville, Louisiana, 71360

5.0★~~(36)~~

DetoxResidentialPHP+3Accepts InsuranceAccepts Medicaid+3

Clean Treatment Center – Thousand Oaks

123 Hodencamp Drive 205, Thousand Oaks, California, 91360

5.0★~~(41)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+4

Coastal Detox Inc – Stuart

1131 SE Indian Street, Stuart, FL, 34997

4.8★~~(290)~~

DetoxHospital detoxInpatient+5Accepts InsuranceAccepts Medicaid+5

Comprehensive Wellness Centers – Lake Worth

660 South Dixie Highway, Lake Worth, FL, 33462

4.8★~~(201)~~

DetoxInpatientResidential+6Accepts InsuranceAccepts Medicaid+4

Recovery Team – Mountainside

1450 US-22, Mountainside, NJ, 7092

5.0★~~(80)~~

DetoxIOPOutpatient+2Accepts InsuranceSelf-Pay

Royal AZ LLC – Prescott (655 West Gurley Street)

655 West Gurley Street, Prescott, Arizona, 86305

4.9★~~(68)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

Asheville Recovery Center – Asheville

9 Old Burnsville Hill Road, Asheville, North Carolina, 28804

4.9★~~(562)~~

DetoxPHPIOP+2Accepts InsuranceAccepts TRICARE+3

Northpoint Recovery – Seattle

2111 North Northgate Way, Seattle, WA, 98133

4.8★~~(368)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

Reprieve Recovery Center LLC – Trenton

20 Scotch Road, Trenton, NJ, 8628

4.9★~~(66)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+1

Top of the World Ranch – 155th Avenue, Milan

3333 155th Avenue, Milan, Illinois, 61264

4.8★~~(174)~~

DetoxResidentialPHP+5Accepts InsuranceAccepts TRICARE+1

Gratitude Lodge – Newport Beach (20132 Redlands Drive)

20132 Redlands Drive, Newport Beach, California, 92660

4.9★~~(142)~~

DetoxHospital detoxInpatient+3Accepts InsuranceAccepts TRICARE+3

Renaissance Recovery – Fountain Valley

10175 Slater Avenue Suite 200, Fountain Valley, California, 92708

4.8★~~(334)~~

DetoxPHPIOP+3Accepts InsuranceSelf-Pay

Stairway Resource Center – Woodland Hills

21210 Erwin Street, Woodland Hills, California, 91367

4.9★~~(64)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+1

The Recovery Team – East Falmouth

279 Brick Kiln Road, East Falmouth, Massachusetts, 2536

4.8★~~(292)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Crystal Cove Recovery – Laguna Beach

540 Park Avenue, Laguna Beach, California, 92651

4.9★~~(131)~~

DetoxHospital detoxInpatient+3Accepts InsuranceAccepts TRICARE+3

Live Again Detox – Nashville

1618 17th Avenue South, Nashville, Tennessee, 37212

4.8★~~(143)~~

DetoxResidentialPHP+3Accepts InsuranceAccepts TRICARE+1

FourPoints Health – Saint George

1449 North 1400 West, Saint George, Utah, 84770

4.9★~~(213)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+6

Northstar Recovery Center – West Springfield

1319 Riverdale Street, West Springfield, Massachusetts, 1089

4.9★~~(58)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Serenity Ranch Recovery – Mammoth Cave

7415 Nolin Dam Road, Mammoth Cave, Kentucky, 42259

4.8★~~(124)~~

DetoxResidentialPHP+3Accepts InsuranceAccepts TRICARE+1

Victory Recovery Partners – Shirley

2 Coraci Boulevard, Shirley, NY, 11967

4.9★~~(212)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+5

Aftermath Addiction Treatment Ctr LLC – Wakefield

607 North Avenue, Wakefield, Massachusetts, 1880

5.0★~~(214)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+2

Pomarri Outpatient Services – Orem

1472 East 820 North, Orem, Utah, 84097

4.8★~~(205)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Warner Park Recovery Center – Woodland Hills

22011 Ventura Boulevard Suites 150 and 210, Woodland Hills, California, 91364

5.0★~~(328)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts TRICARE+3

Milestone Addiction Treatment LLC – Merchantville

1 South Centre Street, Merchantville, NJ, 8109

4.8★~~(180)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+1

Olympic Behavioral Health LLC – Lake Worth

3618 Lantana Road, Lake Worth, FL, 33462

4.8★~~(177)~~

DetoxPHPIOP+4Accepts InsuranceAccepts TRICARE+2

Clear Recovery of Cache Valley – Providence

277 North Spring Creek Parkway, Providence, Utah, 84332

5.0★~~(104)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+4

Evergreen Behavioral LLC – Woburn

53 Cummings Park Drive, Woburn, Massachusetts, 1801

4.8★~~(157)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+2

Found Recovery – Agoura Hills

27489 Agoura Road Suite 205, Agoura Hills, California, 91301

5.0★~~(30)~~

DetoxPHPIOP+3Accepts InsuranceSelf-Pay

Holdfast Recovery – Prescott

1385 West Iron Springs Road, Prescott, Arizona, 86305

5.0★~~(98)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts TRICARE+3

Resilience Recovery Resources – West Palm Beach

2701 North Australian Avenue, West Palm Beach, FL, 33407

4.8★~~(160)~~

DetoxPHPIOP+3Accepts InsuranceState Funded+1

Summer House – Miami

13550 Memorial Highway, Miami, FL, 33161

5.0★~~(953)~~

DetoxHospital detoxInpatient+2Accepts InsuranceSelf-Pay

Cirque Lodge Studio – Orem

777 North Palisade Drive, Orem, Utah, 84097

4.8★~~(92)~~

DetoxResidentialPHP+3Accepts InsuranceSelf-Pay

Park Mental Health Treatment of San Diego

2859 El Cajon Blvd, San Diego, CA 92104, United States

4.9★~~(117)~~

DetoxPHPIOP+2Accepts InsuranceAccepts TRICARE+1

Reprieve LLC – West Palm Beach

4700 North Congress Avenue, West Palm Beach, FL, 33407

4.8★~~(144)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+1

Palms Recovery Florida LLC – Lake Worth

3444 South Congress Avenue, Lake Worth, FL, 33461

4.8★~~(141)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+4

Good Life Treatment Center – North Palm Beach

741 U.S. Highway 1, North Palm Beach, FL, 33408

4.8★~~(125)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+1

Sober Life Recovery Solutions LLC – San Diego

3930 4th Avenue Suite 300, San Diego, California, 92103

4.9★~~(48)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicare+4

Pacific Crest Trail Detox – Portland

10600 SE McLoughlin Boulevard, Suite 207, Portland, Oregon, 97222

4.8★~~(75)~~

DetoxHospital detoxInpatient+4Accepts InsuranceAccepts Medicaid+3

Elevate Recovery Center – North Billerica

267 Boston Road, North Billerica, Massachusetts, 1862

4.8★~~(104)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Principles Recovery Center – Fort Lauderdale

4343 South State Road 7, Fort Lauderdale, FL, 33314

4.9★~~(199)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

Acworth Outpatient Detox – Acworth

6060 Lake Acworth Drive, Suite H, Acworth, Georgia, 30101

4.9★~~(244)~~

DetoxResidentialOutpatient+1Accepts InsuranceAccepts TRICARE+2

Recovery First Treatment Center – Hollywood

4110 Davie Road Extension, Hollywood, FL, 33024

4.7★~~(1,264)~~

ResidentialPHPIOP+3Accepts InsuranceAccepts TRICARE+3

Boardwalk Recovery Center – San Diego

1940 Garnet Avenue Suite 120, San Diego, California, 92109

4.8★~~(90)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+2

Provive Wellness of Brentwood – Brentwood

210 Jamestown Park Road, Brentwood, Tennessee, 37027

4.8★~~(81)~~

DetoxPHPIOP+4Accepts InsuranceAccepts TRICARE+3

Clearbrook Treatment Center – Wilkes Barre

1100 East Northampton Street, Wilkes Barre, PA, 18706

4.7★~~(447)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+3

Breakaway Health Corporation – Costa Mesa

3151 Airway Avenue Suite D-1, Costa Mesa, California, 92626

4.8★~~(78)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+3

East Coast Recovery – Cohasset

215 Chief Justice Cushing Highway, Cohasset, Massachusetts, 2025

4.8★~~(73)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+3

Resilience Recovery Center – Fair Lawn

22-10 Route 208, Fair Lawn, NJ, 7410

5.0★~~(36)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+4

Royal AZ LLC – Prescott (831 Gail Gardner Way)

831 Gail Gardner Way, Prescott, Arizona, 86305

4.9★~~(149)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts Medicaid+4

Top of the World Ranch – 36th Street, Milan

16016 36th Street, Milan, Illinois, 61264

4.8★~~(174)~~

DetoxResidentialTelehealth+2Accepts InsuranceAccepts TRICARE+1

Gratitude Lodge – Newport Beach (20182 Kline Drive)

20182 Kline Drive, Newport Beach, California, 92660

4.9★~~(142)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts TRICARE+2

Journey Hillside Tarzana LLC – Tarzana

4706 Viviana Drive, Tarzana, California, 91356

5.0★~~(53)~~

DetoxResidentialTelehealth+1Accepts InsuranceSliding Scale+1

SaVida Health – West Springfield

50 Union Street, West Springfield, Massachusetts, 1089

4.9★~~(387)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

STR Behavioral Health – Levittown

1400 Veterans Highway, Levittown, PA, 19056

4.8★~~(316)~~

DetoxPHPIOP+2Accepts InsuranceAccepts Medicare+3

Nashville Addiction Clinic – Nashville

5515 Edmondson Pike Unit 118, Nashville, TN 37211, United States

4.9★~~(301)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

Avenues Recovery Center at Norfolk – Norfolk

1516 Harmon Street, Norfolk, Virginia, 23518

4.7★~~(226)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts Medicaid+3

Adolescent Wellness Academy (AWA) – Miami

9350 Sunset Drive, Miami, FL, 33173

4.9★~~(82)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

Reflections Outpatient – Lindon

20 South State Street, Lindon, Utah, 84042

5.0★~~(33)~~

DetoxPHPIOP+2Accepts InsuranceAccepts Medicaid+2

Decision Point LLC – Prescott

505 Whipple Street, Prescott, Arizona, 86301

4.7★~~(173)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+2

SaVida Health – Pittsfield

184 North Street, Pittsfield, Massachusetts, 1201

4.9★~~(156)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

Why Trust RehabSeekers.com?

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Common questions

Answered from what is listed here.

Does Medicaid cover naltrexone?

Yes. Federal rules require state Medicaid programs to cover medication for opioid use disorder, and CMS names naltrexone alongside methadone and buprenorphine. A 2022 SAMHSA report counted 49 state fee-for-service programs covering the oral tablet and 46 covering the extended-release injection.

Coverage extends to the counseling and behavioral therapy connected with the medication, though each state decides which specific services it includes.

Naltrexone Treatmenthttps://rehabseekers.com/medications/mat/naltrexone/

Does Medicaid cover the Vivitrol shot?

Yes, in nearly every state. SAMHSA's 2022 review counted 46 fee-for-service Medicaid programs and 40 states whose managed care plans cover extended-release injectable naltrexone. New York and Delaware both list Vivitrol on their 2026 drug lists, Delaware as a preferred opioid dependence agent.

The injection is 380 mg every four weeks, so claims are generally monthly and plans review renewals on that cycle.

Vivitrol Shot Rehab That Takes Medicaidhttps://rehabseekers.com/medications/mat/naltrexone/vivitrol-shot-medicaid/

Is Medicaid required to cover naltrexone for opioid use disorder?

Yes. Section 1006(b) of the SUPPORT Act added a mandatory medication-assisted treatment benefit to the Social Security Act, requiring state plans to cover MAT drugs for opioid use disorder plus related counseling and behavioral therapy. CMS reads that to include every FDA-approved formulation of naltrexone.

The benefit covers only formulations the FDA has approved for treating opioid use disorder, not every product containing the drug.

Medication Assisted Treatment (MAT)https://rehabseekers.com/medications/mat/

Did the Medicaid MAT coverage requirement expire in 2025?

No. The original requirement ran from October 1, 2020 through September 30, 2025, but section 201 of the Consolidated Appropriations Act, 2024 removed that expiration date, making the coverage mandate permanent according to the Congressional Research Service.

State plan amendments posted in February 2026 for Maryland and Puerto Rico strike the end date from the MAT benefit to match the change in statute.

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

Does Medicaid cover naltrexone for alcohol use disorder?

Usually, but through a different route. The mandatory federal MAT benefit covers opioid use disorder only, and CMS has said it does not address alcohol use disorder. States with optional prescribed-drug coverage must cover outpatient drugs from manufacturers holding a rebate agreement, which is how naltrexone for drinking is paid.

That means the state drug list and any preferred-drug rules decide the details rather than the federal MAT mandate.

Alcohol Addiction Medicationhttps://rehabseekers.com/medications/alcohol-addiction-medication/

Does Medicaid require prior authorization for naltrexone?

Usually not. SAMHSA's 2022 Medicaid review found oral and injectable naltrexone widely covered and unlikely to require prior authorization or quantity limits. New York's NYRx list states that no prior authorization applies to substance use disorder medications prescribed to national guidelines, and Colorado lists the tablet as exempt.

States may still apply preferred drug lists or prior approval to rebate-eligible drugs, so a non-preferred product can need review.

Suboxone and Buprenorphine Rehab That Takes Medicaidhttps://rehabseekers.com/medications/mat/suboxone-and-buprenorphine-medicaid/

How much is the copay for naltrexone on Medicaid?

Nominal, typically a few dollars. Medicaid.gov's published maximums list $4.00 for preferred drugs and $8.00 for non-preferred drugs for members at or below 150% of the federal poverty level, and up to 20% of the agency payment for non-preferred drugs above that income line.

Certain groups, including children and pregnant women, are exempt from most out-of-pocket charges entirely.

Low Cost Rehabhttps://rehabseekers.com/payment/low-cost/

Can I use the Vivitrol copay card with Medicaid?

No. The manufacturer's co-pay savings program is not valid for anyone using Medicaid, including Medicaid managed care and Alternative Benefit Plans. It also excludes Medicare, Medigap, VA, Department of Defense, TRICARE and state-funded programs.

Medicaid copays for the medication are already capped at nominal amounts, so the exclusion rarely leaves a large bill.

Vivitrol Shothttps://rehabseekers.com/medications/mat/naltrexone/vivitrol-shot/

Do Medicaid managed care plans have different naltrexone rules?

They can. Centene's Vivitrol policy, which covers its Medicaid lines, asks for an alcohol screen, naloxone challenge or urine drug screen within the past seven days, caps dosing at 380 mg every four weeks, and approves six months initially with twelve-month renewals.

One published study found 13 states had banned prior authorization for the extended-release injection in Medicaid managed care.

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

Does Medicaid make you try oral naltrexone before Vivitrol?

Generally no for opioid use disorder. The TIP 63 expert panel advises against payers requiring a failure on oral naltrexone before approving the extended-release injection. Individual states and plans still write their own criteria, and Delaware, for example, requires two preferred products before a non-preferred one.

Where a plan does review the injection, screening requirements are waived for members requesting it after hospital or residential discharge.

Oral Naltrexonehttps://rehabseekers.com/medications/mat/naltrexone/oral-naltrexone/

Who can prescribe naltrexone to a Medicaid member?

Any clinician licensed in the state to prescribe medications. Naltrexone needs no special waiver and no opioid treatment program enrollment, which TIP 63 lists as one of its practical advantages. The extended-release injection must be prepared and given by a healthcare provider, dosed once every four weeks.

That makes primary care offices, community clinics and health centers realistic places to start treatment.

Prescriber Accesshttps://rehabseekers.com/medications/prescriber-access/

Does Medicaid cover counseling along with naltrexone?

Yes. The federal MAT benefit written into the Social Security Act includes counseling services and behavioral therapy related to the medication, not just the drug itself. States decide which specific services to include and how they are delivered.

Facilities prescribing naltrexone and accepting Medicaid record aftercare and continuing care almost without exception, so the step after the first months is usually planned.

Addiction Counselinghttps://rehabseekers.com/therapies/counseling-and-therapy/addiction-counseling/

Does Medicaid cover naltrexone for teens?

Coverage rules vary by state, but prescribing is limited. The oral naltrexone label says safe use in patients younger than 18 has not been established, so clinicians rarely start it for adolescents and plans may apply age edits to claims.

Families looking at adolescent care are usually pointed toward counseling, family therapy and other medication options first.

Teen MAThttps://rehabseekers.com/specialized/teen-rehab/teen-mat/

What happens if Medicaid denies naltrexone?

Ask the prescriber to submit a prior authorization or a preferred-drug exception with documentation of medical need, then call the member services line on your Medicaid card or the state program to start an appeal. Denials for non-preferred products are often resolved by switching to a preferred form.

SAMHSA's National Helpline, 1-800-662-HELP (4357), can point you toward prescribers while the request is pending.

Naltrexone Treatmenthttps://rehabseekers.com/medications/mat/naltrexone/

How do I find a prescriber who takes Medicaid for naltrexone?

FindTreatment.gov lists state-licensed substance use providers and can be filtered by location, and SAMHSA's National Helpline at 1-800-662-HELP (4357) is free and open around the clock. Call ahead to confirm the office takes your specific Medicaid plan, since managed care networks differ within a state.

Naltrexone prescribing paired with Medicaid acceptance is recorded most often in New York, California, Ohio, Pennsylvania and Florida.

Rehabs in New Yorkhttps://rehabseekers.com/locations/us/new-york/

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Naltrexone treatment that takes Medicaid means the medication, as a daily tablet or the monthly extended-release injection sold as Vivitrol, paid for by a state Medicaid program rather than out of pocket. Naltrexone is an opioid antagonist: it blocks opioid receptors, it is not an opioid, and federal health agencies says it is not addictive and does not cause withdrawal when stopped.

The payment side is unusually settled. Federal law obliges state Medicaid plans to cover medication for opioid use disorder, and CMS reads that duty as covering every approved form of the drug, naming methadone, buprenorphine and naltrexone. What varies between states is the paperwork: which product sits on the preferred drug list, whether prior authorization applies, and what the nominal copay is at the pharmacy counter.

This guide covers what the federal benefit requires and what changed in 2024 and 2025, how the tablet and the injection are prescribed and dispensed under Medicaid, how long approvals run, what the medication and the surrounding treatment cost, how four named states handle authorization, and how to find a prescriber who takes your plan.

Does Medicaid Cover Naltrexone?

Yes. CMS says the mandatory Medicaid medication-assisted treatment benefit requires coverage of every form of drug approved by the FDA for opioid use disorder, naming methadone, buprenorphine and naltrexone, along with the counseling and behavioral therapy that go with them. A 2022 report counted 49 state fee-for-service programs covering oral naltrexone and 46 covering the extended-release injection.

The duty comes from section 1006(b) of the SUPPORT Act, which added paragraph 1905(a)(29) to the Social Security Act and put the MAT benefit inside the definition of Medicaid medical assistance. The definition in section 1905(ee)(1) reaches all drugs approved under the Federal Food, Drug, and Cosmetic Act for opioid use disorder, including methadone, plus licensed biological products and the related counseling.

Managed care is covered on much the same footing. The 2022 report counted 39 states whose Medicaid managed care organizations cover oral naltrexone treatment and 40 that cover the injection, and it describes both forms as widely covered and unlikely to need prior authorization or quantity limits.

Did the requirement expire in 2025? No. The benefit originally ran from October 1, 2020 through September 30, 2025, but section 201 of the Consolidated Appropriations Act, 2024 removed the expiration date, and the Congressional Research Service records the coverage requirement as permanent. State plan amendments posted in February 2026 for Maryland and Puerto Rico strike the end date accordingly.

How Does Naltrexone Work Under a Medicaid Plan?

Naltrexone reaches a Medicaid member one of two ways: a 50 mg tablet filled at a pharmacy under the drug benefit, or a 380 mg injection given in a clinic and billed under HCPCS code J2315, naltrexone depot form, 1 mg. CMS notes that naltrexone can be prescribed by any clinician licensed in the state to prescribe medications, and the injection is dosed once every four weeks.

That prescribing rule is the practical difference from the other two medications. TIP 63 lists the absence of special regulatory requirements as an advantage of naltrexone, so a Medicaid-enrolled primary care clinician, a psychiatrist or a clinician inside an outpatient MAT clinic can write it without a federally registered opioid treatment program standing behind them. The injection must be prepared and given by a healthcare provider, which is why it generates a clinic claim rather than a pharmacy claim.

What Has to Happen Before the First Dose?

Both labels require an opioid-free interval of at least 7 to 10 days before starting, because starting too early can precipitate withdrawal severe enough to require hospitalization. TIP 63 and federal health agencies put the wait at roughly 7 to 10 days after short-acting opioids and 10 to 14 days after long-acting ones such as methadone or buprenorphine, and the Vivitrol label notes vulnerability can persist for as long as two weeks after those medications.

That interval is why medical detox usually comes first. The oral label asks for self-reported abstinence to be verified by a urine test showing no opioids, with a naloxone challenge where hidden dependence is possible, and TIP 63 adds a prescription drug monitoring check, a breathalyzer, a pregnancy test, liver function tests and an exam for withdrawal signs. Where drinking rather than opioid use is the reason for the medication, federal health agencies says practitioners typically wait until after alcohol detox.

Does Medicaid Require Prior Authorization for Naltrexone?

Usually not, but the answer is set state by state. The 2022 Medicaid report describes oral and injectable naltrexone as unlikely to need prior authorization or quantity limits, and a published study found 13 states, 54.2% of those examined, had banned prior authorization for the extended-release injection in Medicaid managed care. CMS still permits utilization management where the drug is a covered outpatient drug.

CMS describes the state options plainly: encourage generic products, build a preferred drug list, or require prior approval for drug classes that need extra monitoring. For MAT drugs outside a rebate agreement, states may use the utilization controls in federal regulation but must still cover medically indicated MAT drugs. A 2020 law also applied the Medicaid drug rebate requirements to mandatory-benefit MAT drugs that are covered outpatient drugs, back to the SUPPORT Act’s enactment on October 24, 2018.

Four States, Four Sets of Wording

The NYRx preferred drug list revised September 14, 2026 says prior authorization will not be required for substance use disorder medications prescribed according to generally accepted national professional guidelines, and the NYRx MAT formulary lists oral naltrexone under opioid antagonists with Vivitrol under injectable opioid dependence agents, alongside Sublocade and Brixadi. Colorado’s Appendix P, April 1, 2026 version, states that the Revia tablet does not require prior authorization.

Delaware’s 2026 list shows naltrexone and Vivitrol among preferred opioid dependence agents, with non-preferred agents needing prior authorization and two preferred products tried first. Pennsylvania’s Department of Human Services states that all drugs designated non-preferred on the Statewide preferred drug list require prior authorization through the member’s pharmacy benefits provider. Outside New York, Colorado, Delaware and Pennsylvania, ask your plan which column naltrexone sits in.

What a Managed Care Review Asks For

Where a plan does review the injection, Centene’s policy covering its Medicaid and commercial lines asks for an alcohol screen, naloxone challenge or urine drug screen within the past seven days and caps dosing at 380 mg every four weeks. Those screening tests are waived for members who are hospitalized or in residential addiction treatment and request the injection after discharge. Centene approves six months initially, twelve in New Hampshire, and twelve months for continued therapy.

How Much Does Naltrexone Cost With Medicaid?

Very little at the counter. Medicaid.gov says members with income at or below 150% of the federal poverty level pay only nominal copayments for prescription drugs, and its table of maximum nominal amounts, published with fiscal year 2013 base figures, lists $4.00 for preferred drugs and $8.00 for non-preferred drugs at that income level, with up to 20% of the agency payment for non-preferred drugs above it. Children and pregnant women are exempt from most out-of-pocket costs.

Current indexed amounts were not published in the material reviewed here, so ask the state agency or plan for this year’s figure before assuming the base number. One thing is settled: the manufacturer’s co-pay savings program for Vivitrol is not valid for anyone using Medicaid, including Medicaid managed care and Alternative Benefit Plans, nor for Medicare, Medigap, VA, DoD, TRICARE or state-funded programs. Alkermes states separately that 99% of Medicaid patients pay $4 or less, a promotional figure carrying its own footnotes.

The medication is rarely the expensive part. The treatment around it, the detox that comes first and the counseling the federal benefit includes, is where the market rates below apply if nobody is paying but you.

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

While an application is pending, two other routes are worth asking about. Self pay is recorded at nearly all of the programs that prescribe naltrexone and take Medicaid, and state-funded places cover the larger part of them; sliding scale fees and payment assistance each show up at a minority.

Does Medicaid Cover Naltrexone for Alcohol Use Disorder?

That depends on the state’s drug benefit rather than the federal mandate. CMS says the mandatory MAT benefit is limited to treating opioid use disorder and that its guidance does not address other substance use disorders, including alcohol use disorder. CMS also notes that states offering the optional prescribed-drug benefit must cover all covered outpatient drugs from manufacturers holding a rebate agreement, which is the route by which naltrexone for drinking is generally paid for.

In practice the tablet and the injection appear on state drug lists without the indication being split out, as the New York and Delaware listings show. The approvals behind them are older than the Medicaid rule: the FDA approved oral naltrexone for alcohol dependence in 1994 and the monthly injection in 2006, and the Vivitrol label asks that the person be able to abstain in an outpatient setting and not be actively drinking at the first injection. Alcohol medication treatment and opioid rehab both appear on nearly every record among Medicaid-accepting programs that prescribe naltrexone, which reflects that double use.

If a claim is refused. Ask the prescriber to file a prior authorization or a preferred-drug exception, and call the member line on your Medicaid card. TIP 63’s expert panel does not recommend that payers require a patient to fail oral naltrexone before approving the extended-release injection for opioid use disorder, which is a point worth putting in writing where a step-therapy rule is applied.

How Do I Find Naltrexone Treatment That Takes Medicaid Near Me?

Start with your state Medicaid agency’s provider search or your managed care plan’s directory, then check the plan’s preferred drug list for naltrexone and Vivitrol. Any clinician licensed to prescribe in the state can write it, so a primary care practice, a community clinic or an addiction program all qualify. FindTreatment.gov lists state-licensed providers, and the National Helpline on 1-800-662-HELP (4357) can point to local options.

Programs offering naltrexone treatment that takes Medicaid are gathered on this page, with related pages for the Vivitrol shot on Medicaid, oral naltrexone and Medicaid rehab generally, plus state pages for California, Ohio and Florida, where the two recorded fields overlap most often after New York. Each listing shows the levels of care offered, the payments the program says it accepts, its licensing and accreditation, and the distance to the nearest airport. Aftercare and continuing care appears at close to all of these programs, and rehab transfers turn up more often than average, so moving between settings is a familiar arrangement.

What Is the Difference Between the Tablet and the Monthly Shot on Medicaid?

The tablet is a 50 mg daily dose filled under the pharmacy benefit; the injection is 380 mg given by a provider every four weeks and billed as a clinic service. TIP 63 notes that oral naltrexone blocks opioid-induced euphoria for only a day or two and depends on taking it daily, while the injection delivers steady concentrations for about a month, with measurable blood levels beyond that.

For Medicaid that difference shows up as two separate approval routes and two separate denial letters. Oral coverage turns on the preferred drug list; injection coverage can also involve a medical benefit review, the recent screen Centene asks for, and an approval period of six or twelve months. One rule applies to both: the Vivitrol label warns that opioid tolerance is lower after treatment, so the risk of overdose rises at the end of a dosing interval, after a missed dose or after stopping, and it says to strongly consider prescribing naloxone and to discuss access at each injection.

References and Citations

Centers for Medicare & Medicaid Services — State Health Official letter 20-005, mandatory Medicaid coverage of medication-assisted treatment, December 30, 2020.
Congressional Research Service — analysis of section 201 of the Consolidated Appropriations Act, 2024 removing the MAT benefit sunset; Medicaid.gov state plan amendment records, February 2026.
Medicaid.gov — cost sharing and out-of-pocket costs, maximum nominal amounts table and exempt groups.
NYRx New York State Medicaid preferred drug list and MAT formulary, revised September 14, 2026; Health First Colorado Appendix P, April 1, 2026; Delaware Medicaid preferred drug list, 2026; Pennsylvania Department of Human Services Statewide PDL guidance.
FDA prescribing information for naltrexone hydrochloride tablets and for Vivitrol (naltrexone for extended-release injectable suspension); MedlinePlus patient information.
Treatment Improvement Protocol 63, Medications for Opioid Use Disorder; National Institute on Drug Abuse and Veterans Health Administration naltrexone materials.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.