Medicaid, a federal and state program, provides health coverage to low-income individuals, including services for substance use disorders (SUD). Most states cover addiction treatment under their Medicaid plans, though the specific services and eligibility criteria may vary. Notably, California offers extensive Medicaid-funded addiction treatment services through the Drug Medi-Cal Organized Delivery System (DMC-ODS). New York provides Medicaid coverage for outpatient, inpatient, and medication-assisted treatment (MAT) for opioid use disorder. Ohio covers a wide range of SUD treatments, including detox, residential programs, and behavioral health counseling.
For individuals who may not qualify for Medicaid, state-funded programs can be a critical resource. These programs often provide free or low-cost treatment options for residents. For example, Massachusetts offers services through the Bureau of Substance Addiction Services (BSAS), including detoxification, residential care, and recovery support. Florida provides funding for addiction treatment through state contracts with local providers and nonprofit organizations. Texas administers programs through the Texas Health and Human Services Commission (HHSC), with priority given to pregnant women and individuals with co-occurring mental health disorders.
Some states have launched innovative programs to address the opioid epidemic and expand addiction treatment access. Vermont implemented the “Hub and Spoke” model, providing integrated care for opioid use disorder through a network of specialized centers. Kentucky focuses on combating opioid addiction through the Kentucky Opioid Response Effort (KORE), which funds treatment and recovery services. Rhode Island offers the “Rhode Island MAT Program,” which integrates medication-assisted treatment into correctional facilities and community care.
If you’re looking for addiction treatment assistance in your state, consider the following resources: Substance Abuse and Mental Health Services Administration (SAMHSA) offers a treatment locator tool and a 24/7 helpline. Many state health departments provide detailed information on local treatment programs and funding options. Federally funded community health centers often provide addiction treatment services on a sliding fee scale.
Accessing addiction treatment shouldn’t depend on your financial situation or where you live. While many states have made strides in funding and expanding services, disparities remain. Advocating for increased funding and more comprehensive programs is essential to ensure everyone can access the help they need. If you or someone you know is struggling with addiction, explore the resources mentioned above to find the support available in your state.
Britney Elyse has over 15 years experience in mental health and addiction treatment. Britney completed her undergraduate work at San Francisco State University and her M.A. in Clinical Psychology at Antioch University. Britney worked in the music industry for several years prior to discovering her calling as a therapist. Britney’s background in music management, gave her first hand experience working with musicians impacted by addiction. Britney specializes in treating trauma using Somatic Experiencing and evidence based practices. Britney’s work begins with forming a strong therapeutic alliance to gain trust and promote change. Britney has given many presentations on somatic therapy in the treatment setting to increase awareness and decrease the stigma of mental health issues. A few years ago, Britney moved into the role of Clinical Director and found her passion in supervising the clinical team. Britney’s unique approach to client care, allows us to access and heal, our most severe cases with compassion and love. Prior to join the Carrara team, Britney was the Clinical Director of a premier luxury treatment facility with 6 residential houses and an outpatient program