If you or someone you love is struggling with substance use and considering detox services in Arizona, you might be wondering: Can AHCCCS insurance help cover the cost?
The good news is yes—AHCCCS, Arizona’s Medicaid program, does provide coverage for detox and a wide range of addiction treatment services.
In this guide, Somers Point News will walk you through what AHCCCS covers, how to access detox services, and what to expect in the process.
Understanding AHCCCS And Its Role in Addiction Treatment
AHCCCS stands for the Arizona Health Care Cost Containment System. It’s the state’s Medicaid program, designed to provide low-income individuals and families with access to healthcare, including behavioral health services.
This includes coverage for substance use disorder treatment, such as detox, inpatient rehab, outpatient programs, and medication-assisted treatment (MAT).
AHCCCS operates through various health plans and regional behavioral health authorities (RBHAs), which coordinate care and connect members to services.
These plans include Arizona Complete Health, Mercy Care, and others, depending on your location and eligibility.
What Detox Services Are Covered by AHCCCS?
Detox is often the first step in the recovery journey, especially for individuals dependent on substances like alcohol, opioids, or benzodiazepines. AHCCCS covers several types of detox services, including:
- Medically Supervised Detox: This involves 24/7 medical monitoring to manage withdrawal symptoms safely and comfortably. It’s typically provided in inpatient or residential settings.
- Medication-Assisted Treatment (MAT): For opioid or alcohol use disorders, AHCCCS covers medications like methadone, buprenorphine (Suboxone), and naltrexone, combined with counseling and behavioral therapies.
- Crisis Stabilization Services: If someone is in immediate danger due to substance use, AHCCCS covers crisis intervention, including detox and short-term stabilization.
- Outpatient Detox: In some cases, detox can be managed on an outpatient basis, with regular visits to a clinic or provider. AHCCCS covers this when deemed appropriate by a healthcare professional.
It’s important to note that the specific services covered may vary based on individual needs, the severity of the substance use disorder, and the recommendations of healthcare providers.
Accessing Detox Services Through AHCCCS
To access detox services with AHCCCS coverage, follow these steps:
- Determine Eligibility: AHCCCS eligibility is based on income, residency, and other factors. You can apply online through the Health-e-Arizona Plus portal or seek assistance from community organizations.
- Enroll in a Health Plan: Once approved, you’ll choose a health plan that works with AHCCCS. This plan will coordinate your care and connect you to providers.
- Assessment and Referral: Contact your health plan or a behavioral health provider to schedule an assessment. This evaluation will determine the appropriate level of care, including whether detox is necessary.
- Receive Services: If detox is recommended, your health plan will authorize services at an approved facility, such as an AHCCCS medical detox in the Valley. AHCCCS covers the cost, though there may be minimal co-pays depending on your plan.
- Transition to Ongoing Treatment: After detox, it’s crucial to continue with comprehensive treatment, such as inpatient or outpatient rehab, counseling, and support groups. AHCCCS covers these services to support long-term recovery.
Facilities in Arizona That Accept AHCCCS for Detox
Several reputable facilities across Arizona accept AHCCCS for detox and addiction treatment services. Some of these include:
- Axiom Care: Offers detox and residential treatment in Phoenix, with assistance in applying for AHCCCS coverage.
- The River Source: Provides a full continuum of care, including detox, inpatient, and outpatient services, with AHCCCS coverage.
- Buena Vista Recovery: Offers medically supervised detox and comprehensive treatment programs in multiple Arizona locations.
- Holdfast Recovery: Based in Prescott, this facility provides detox and dual diagnosis treatment, accepting AHCCCS insurance.
- Purpose Healing Center: Located in Scottsdale and serving the Phoenix Valley, Purpose offers accredited detox that takes AHCCCS.
These facilities are equipped to provide safe and effective detox services, followed by comprehensive treatment to support sustained recovery.
What If You’re Not Yet Enrolled in AHCCCS?
If you’re not currently enrolled in AHCCCS but need detox services, don’t worry—help is still available. Many providers can assist you in applying for AHCCCS coverage and may offer services while your application is pending.
Additionally, Arizona has programs funded by the Substance Abuse Prevention and Treatment Block Grant (SABG), which provide treatment services to individuals who are uninsured or underinsured.
Priority populations for these services include:
- Pregnant women and teenagers using substances
- Individuals who inject drugs
- Women with dependent children
- Individuals with a substance use disorder, regardless of gender or route of use
These programs cover a range of services, including detox, residential treatment, counseling, transportation, and childcare support.
Make a Big Move Toward Recovery in Arizona Today
Deciding to seek help for substance use is a courageous and life-changing decision. With AHCCCS coverage, financial barriers to accessing detox and treatment services are significantly reduced, making recovery more attainable.
If you or someone you know is struggling with substance use, reach out to an AHCCCS-approved provider or contact your health plan to begin the assessment and referral process. Remember, detox is just the beginning—ongoing treatment and support are essential for long-term recovery.
Recovery is possible, and help is available. Take the first step today.
By Chris Bates
