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Does Molina Healthcare of Texas insurance Cover Alcohol and Drug Rehab?

On this page, you will learn about Molina Healthcare of Texas insurance coverage for substance abuse treatment and how to confirm what benefits are available under your specific plan.
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Molina Healthcare of Texas INSURANCE FOR ALCOHOL and DRUG ADDICTION TREATMENT

Provider Overview

Drug Rehab & Alcohol Treatment Center – Molina Healthcare of Texas

Preparing to enter rehab means examining its costs and finding out if your health insurance covers all or a portion of your treatment. Molina’s mission is to offer quality healthcare to people receiving government assistance. Molina Medicaid is offered to those on Medicaid and State Children’s Health Insurance Program (SCHIP) in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Ohio, New Mexico, New York, South Carolina, Texas, Utah, Virginia, Washington, and Wisconsin.1 You can also get Molina Medicare, integrated Medicaid/Medicare, and Molina Marketplace (also known as Exchange).1

The rehab center of your choice can check your coverage with the information you provide. You can also call the number on the back of your insurance card if you would like to find out more about the specifics of your plan.

How To Find Molina Healthcare of Texas Covered Inpatient Drug Treatment Centers in TX?

Every year, Molina helps many people finance their stays in drug and alcohol rehab. If you need help verifying your insurance coverage, American Addiction Centers (AAC) can assist. Simply call the AAC helpline and give the customer service representative your information; they can verify your insurance while they have you on the line.

AAC has some of the nation’s top-notch rehab facilities. They are located throughout the United States and offer a variety of treatment options. You can locate one near you by doing a filtered search on the AAC website or by calling and speaking to a representative.

What Will Molina Healthcare of Texas Insurance Cover?

Molina Healthcare might cover some or all of your rehab costs, depending on your plan. There are different Molina plans available, including STAR, a Texas Medicaid managed care program.2 This plan covers inpatient substance use disorder/chemical dependency treatment services like detoxification, crisis stabilization, and residential treatment services.2 Outpatient services (such as assessment, intensive outpatient programs, and counseling for the individual, group, and family) are also available.2

Molina also offers a plan called STAR+PLUS that offers extended inpatient and outpatient treatment options.3 You can get detox and medication-assisted therapy, crisis stabilization, and 24-hour residential rehabilitation covered.3 Partial hospitalization is covered, as are outpatient assessment and intensive outpatient services.3

Note that you do not need to call your primary care provider to get approved for substance abuse services through Molina.4 (Page 16) If you are experiencing a crisis or medical emergency, you need to call 911 or go to the nearest emergency care center. No referrals are required, and mental health care services are also available as needed.4 (Page 17)

Does Molina Healthcare of Texas Cover Mental Health Care?

Molina insurance recognizes the importance of treating co-occurring disorders at the same time. Co-occurring disorders, which refer to the existence of a substance use disorder and mental health condition at the same time, are remarkably common for people with substance use disorders.5 (Paragraph 1-2) About 9.2 million American adults have a co-occurring disorder, which can be treated in part with medication-assisted therapy.5 (Paragraphs 1-2)

Treating these conditions together is essential. People who receive integrated treatment often experience better outcomes, such as discontinued or reduced substance use, improved quality of life, fewer arrests, and improvement of psychiatric symptoms.6 (“Integrated Treatment Leads to Better Outcomes”)

Per the Affordable Care Act (ACA), insurance providers must provide coverage for mental health care and its treatment, which means both stand-alone substance use rehab and treatment for co-occurring disorders fall within the bounds of this mandate.7

Does Molina Healthcare of Texas Cover Addiction Treatment Therapies?

Molina coverage includes different types of addiction treatments. The kind of treatment you receive will depend on which type of coverage you have through Molina. All treatment in the Dallas Service Area is done through NorthSTAR, which provides various behavioral health services.8 (“Behavioral Health, Mental Or Substance [Drug] Abuse, paragraph 2) You do not need a referral from your primary care physician to get these services.8 (“Behavioral Health, Mental Or Substance [Drug] Abuse, paragraph 2)

In counseling, you might receive cognitive behavioral therapy (CBT), which is a type of treatment used for multiple mental health conditions and substance use disorders.9 (Paragraph 1) It is based on the core principles that psychological problems result in part from faulty or unhelpful ways of thinking, unhelpful and learned behavioral patterns, and that people can relieve their symptoms by learning better ways to cope.9 (Paragraph 3) You will learn how to recognize and reevaluate your disordered thoughts, develop strong confidence in your abilities, use problem-solving skills to deal with hard situations, and better understand motivations and behaviors of those around you.9 (Paragraph 3)

Dialectical behavioral therapy (DBT) is another type of counseling you might encounter. It teaches you 4 main skills:10 (“Skills Training”)

  • Emotional regulation: How to make desired changes to emotions
  • Mindfulness: Being fully present in the moment
  • Interpersonal effectiveness: Asking for what you want and saying no while maintaining healthy relationships with others and yourself
  • Distress tolerance: How to cope with pain in trying circumstances as opposed to changing it

What Is Molina Healthcare of Texas?

Molina Healthcare of Texas is a subsidiary of a nationwide managed care company founded in 1980 by C. David Molina and now serves about 4.6 million members across the United States.11 Molina works with Medicaid, Medicare, Duals (Medicaid and Medicare combined), and Marketplace.11 Medicaid Molina contracts with the Texas state government to provide services for individuals and families, while Molina Medicare provides Medicare Advantage plans.11 Duals is a plan designated for those who qualify for both Medicaid and Medicare, and Marketplace plans let Medicaid members stay with providers as they shift between Medicaid and the Marketplace.11

A quick filtered search on Molina’s website shows that there are numerous substance use disorder rehabilitation clinics and centers within 100 miles of Dallas alone that accept Molina.  You can select the rehab center and/or provider of your choice from the list of Molina’s in-network providers.

How Long Does Molina Texas Insurance Cover Alcohol and Drug Rehab?

Everyone’s needs are different. You might end up staying for several months.  The length of time you can spend in treatment will depend on the coverage offered by your specific plan. Therefore, it is wise to verify your insurance and get the details before committing to a specific Molina rehab center. Just look on the back of your insurance card for Molina’s contact information.

Long-term interventions with direct and active attempts by patients are crucial for sustained success, as is continuing care once patients have left rehab.12 (“Final Conclusions and Future Directions”, paragraphs 1-2) 30-day treatment programs were once the norm, but 90-day programs seem to result in a lesser risk of relapse.12(“Final Conclusions and Future Directions”, paragraph 2)

What If My Molina Texas Policy Does Not Cover Inpatient Rehab Program?

If you choose a rehab that is out-of-network for Molina, you can still get financial assistance through grants or scholarships and/or other special financing options. Individual facilities are the main sources for these scholarships, so you will need to contact them directly to learn how to apply.13 (“The Basics of Rehab”, paragraph 1)

Some corporations that manage these facilities also occasionally provide scholarships.13 (“The Basics of Rehab”, paragraph 2)They might have funding available for those who qualify. Also, non-profit organizations in your community – and nationwide – might offer scholarships.13 (“The Basics of Rehab”, paragraph 3)

Both inpatient and outpatient facilities provide scholarships.13 (“The Basics of Rehab”, paragraph 4) Just remember that inpatient facilities are more expensive due to the extensive and extended care you receive.12 (“The Basics of Rehab”, paragraph 4) Scholarships might cover all the cost or part of it.

If you don’t currently have insurance, try applying for a subsidized insurance plan like the Texas Medicaid program. There might also be other plans you qualify for, and Marketplace is a good place to search for plans with income-based premiums.

You can also find help at a state-funded, no-cost facility in Texas. Some are run by third parties, while others are state or federally run.13 (“Other Options for Payment Assistance”, paragraph 4) Just bear in mind that space can be limited.13 (“Other Options for Payment Assistance”, paragraph 4) Texas rehab centers do have income-based enrollment options, and you can start your search now.13 (“Other Options for Payment Assistance”, paragraph 5) Putting off treatment will only lead to symptom severity progression, increased health risks, and a greater likelihood of arrest.

Molina Healthcare of Texas In-Network vs. Out-of-Network Rehab

If you are in-network, this means your rehab provider is a Molina Texas Insurance drug treatment facility. They are already linked with Molina, so getting your insurance to cover treatment at that facility is typically a quick and easy process. Out-of-network means that the rehab you wish to attend does not currently accept Molina insurance.

Molina has a search feature on their website that allows you to search for providers in your area. You can also check with a Molina representative over the phone or call the rehab center directly to inquire.

What Rehab Centers Take Molina Healthcare Insurance?

Working with an in-network provider is important for keeping costs low. If you have a Molina Healthcare, the following AAC facilities accept this insurance:

  • Greenhouse Treatment Center: Located in Grand Prairie, Texas, Greenhouse offers individualized treatment plans and various levels of care in a luxurious setting.
  • Recovery First Treatment Center: Recovery First Treatment Center is in Hollywood, Florida, and is a leading rehabilitation center offering high-quality addiction treatment.

How To Verify Molina Texas Insurance Coverage for Drug Rehab Centers?

Molina Texas Insurance rehab is there to ensure you receive treatment for your substance use disorder. Molina can cover some or all the cost of services, depending on the plan you have selected. If you are unsure of your coverage, call the number located on the back of your insurance card to speak with a Molina representative.

AAC can also verify your coverage instantly on the website. Also, feel free to call the AAC helpline. You can speak with a representative who will check your benefits while you are on the phone. Don’t put off getting treatment; getting help now can truly be a lifesaver.

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Sources
  1. Molina Healthcare. (2021). About us.
  2. Molina Healthcare. (2021). STAR: Behavioral health and substance use disorders.
  3. Molina Healthcare. (2021). STAR+PLUS: Behavioral health and substance use disorders.
  4. Molina Healthcare. (2021). Molina Healthcare STAR+PLUS member handbook.
  5. Substance Abuse and Mental Health Services Administration. (2021). Co-occurring disorders and other health conditions.
  6. Substance Abuse and Mental Health Services Administration. (2021). The case for screening and treatment of co-occurring disorders.
  7. (2021). Does the Affordable Care Act cover individuals with mental health problems?
  8. Molina Health. (2020). Molina Healthcare STAR member handbook.
  9. American Psychological Association. (2017). What is cognitive behavioral therapy?
  10. Behavioral Tech. (2021). What is dialectical behavioral therapy (DBT)?
  11. Molina Healthcare. (2021). Company information.
  12. McKay, J.R. (2009). Continuing care research: What we’ve learned and where we’re going. Journal of Substance Abuse Treatment, 36(2): 131-145.
  13. org. (2021). Scholarships for drug and alcohol rehab.

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