Find Alcohol & Drug Rehabs that Accept CareSource Insurance

CareSource plans often provide coverage for a variety of SUD services, which may include:

• Detox programs, both inpatient and outpatient, to manage withdrawal safely
• Residential or inpatient rehabilitation, offering 24/7 support for moderate to severe SUD
• Partial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP) for structured daily treatment without overnight stays
• Outpatient therapy, including individual, group, and family counseling
• Medication-Assisted Treatment (MAT) for opioid or alcohol dependence, typically paired with counseling
• Integrated dual diagnosis care for individuals managing both SUD and mental health conditions

Coverage generally depends on medical necessity, plan type, and provider network participation.

Coverage decisions are often based on:

Medical necessity: 

CareSource typically requires clear clinical documentation from your healthcare provider to confirm the severity of your substance use disorder and justify the recommended level of care, whether it’s outpatient counseling, intensive outpatient programs (IOP), or residential rehab.

Prior authorization requirements: 

Some higher-level services, such as inpatient rehab or medically supervised detox, often require approval from CareSource before you can begin treatment. This ensures that the care is covered and meets plan guidelines.

Network status of your provider: 

In-network facilities and providers generally have negotiated rates with CareSource, which can reduce your out-of-pocket costs and simplify claims processing. Out-of-network care may still be partially covered, but often involves additional paperwork and higher personal expenses.

Plan type and state-specific regulations: 

Coverage can differ based on whether your plan is Medicaid, Marketplace, or employer-sponsored, as well as by state regulations. Certain benefits or treatment options may be limited in your region.

Finding an in-network provider is a key step to reducing costs and ensuring coordinated care. CareSource maintains a network of licensed addiction specialists, mental health professionals, and accredited treatment centers. Here’s what members should know:

• Lower out-of-pocket costs: In-network providers have pre-negotiated rates with CareSource, which generally means less expense for you compared with out-of-network care.
• Streamlined billing and claims: Working with in-network facilities reduces the need for complex paperwork and minimizes the risk of delayed reimbursements.
• Out-of-network considerations: Some CareSource plans, such as certain PPO options, may cover out-of-network care, but members often face higher deductibles, coinsurance, or upfront payment requirements.
• Confirming network participation: Always verify that your chosen facility is in-network before scheduling treatment. This step can prevent denied claims and ensure that all services are properly covered.
• Additional support: Better Addiction Care can assist you in locating in-network providers that meet your clinical needs, saving time and reducing stress during the insurance verification process.

CareSource may cover MAT for opioid or alcohol dependence, which can include:

• FDA-approved medications prescribed by licensed providers
• Therapy sessions or counseling to support long-term recovery
• Plan-specific prior authorization requirements and coverage limits

Confirming included medications and therapy sessions ahead of time is essential.

Many individuals with SUD also experience mental health conditions. CareSource coverage may support integrated care, which can include:

• Therapy addressing both substance use and mental health symptoms
• Medication management and psychiatric evaluations
• Coordination between multiple providers for consistent, integrated care

Integrated treatment improves recovery outcomes and reduces the likelihood of relapse.

Before starting treatment, verifying coverage helps prevent delays and unexpected costs. Steps include:

1. Review your CareSource insurance card and plan documents
2. Call CareSource member services to confirm SUD and behavioral health benefits
3. Verify whether your chosen provider or facility is in-network
4. Confirm any prior authorization requirements for inpatient or medically supervised care
5. Understand your financial responsibility, including deductible, copays, and coinsurance
6. Work with Better Addiction Care to verify benefits and identify accredited, in-network treatment programs

If your CareSource plan doesn’t fully cover the care you need, options include:

• Using an in-network provider to reduce out-of-pocket costs
• Exploring sliding-scale or payment-assistance programs at treatment centers
• Considering alternative levels of care, such as outpatient therapy instead of inpatient rehab

Better Addiction Care can guide you through these options while ensuring you receive clinically appropriate treatment.

Better Addiction Care helps CareSource members:

• Verify benefits and understand eligibility
• Manage pre-authorizations and documentation
• Connect with accredited, in-network treatment providers
• Clarify expected costs before admission

Our team simplifies the insurance process so members can focus on recovery rather than paperwork.