Find Alcohol & Drug Rehabs that Accept Molina Healthcare Insurance

Yes. Molina Healthcare typically covers treatment for substance use disorders under its behavioral health benefits when treatment is deemed medically necessary.

However, because Molina primarily operates through state-based Medicaid and Marketplace programs, the extent of coverage varies by plan. Some states may offer expanded inpatient and detox benefits, while others may emphasize outpatient or telehealth services.

Most Molina plans include coverage for:

• Substance use disorder (SUD) assessments
• Detox and withdrawal management
• Individual, group, and family counseling
• Dual-diagnosis treatment for co-occurring mental health conditions

Before beginning treatment, it’s always best to verify with Molina—or through Better Addiction Care—what’s specifically included under your plan.

Depending on the plan, Molina may pay for the following services when medically appropriate:

• Medically Supervised Detox: Helps manage withdrawal symptoms safely under medical supervision. May be offered in inpatient or outpatient settings.
• Inpatient or Residential Rehab: 24-hour structured programs that include therapy, medical care, and relapse prevention planning.
• Partial Hospitalization Programs (PHP): Daytime intensive treatment that allows patients to return home each evening.
• Intensive Outpatient Programs (IOP): A step-down level of care offering flexible scheduling while maintaining structured therapy hours.
• Standard Outpatient Therapy: Individual or group counseling sessions focusing on coping skills and relapse prevention.
• Medication-Assisted Treatment (MAT): Includes FDA-approved medications such as buprenorphine, naltrexone, or methadone for opioid and alcohol use disorders.
• Dual-Diagnosis Care: Integrated treatment for individuals with both addiction and mental health conditions like depression or PTSD.
• Continuing Care and Aftercare: Follow-up counseling, peer support, and relapse prevention after initial rehab completion.

Molina emphasizes evidence-based care, meaning treatment must meet clinical criteria for necessity and be delivered by qualified, credentialed professionals.

Molina applies several criteria when determining whether a treatment will be covered:

1. Medical Necessity: A provider must document that treatment is clinically necessary for your condition.
2. Clinical Evaluation: An initial or updated assessment confirms a substance use disorder diagnosis.
3. Plan Guidelines: Each state’s Medicaid and Marketplace plans have specific coverage policies and service limits.
4. Prior Authorization: Certain services—like inpatient detox or residential treatment—may need Molina’s approval before they begin.
5. Network Participation: Facilities and providers must be licensed and part of Molina’s network for full benefit coverage.

These safeguards ensure care meets quality and safety standards while aligning with your plan’s benefits.

Most Molina plans are structured around in-network care, meaning you receive the highest level of coverage when using approved facilities.

In-network treatment benefits:

• Lower copays, deductibles, and coinsurance
• Easier pre-authorization processing
• Reduced or no balance billing
• Streamlined care coordination

Out-of-network treatment:

• May not be covered for Medicaid members
• Could result in higher out-of-pocket costs for Marketplace or Medicare Advantage plans
• Often requires pre-approval and more documentation

Better Addiction Care helps you identify accredited treatment centers within Molina’s network to minimize costs and administrative stress.

Your out-of-pocket cost depends on your plan type:

• Medicaid: Most addiction treatment services are covered at little or no cost. States may waive copays for certain behavioral health services.
• Marketplace: You’ll pay deductibles, copays, or coinsurance depending on your plan’s metal tier (Bronze, Silver, Gold, Platinum).
• Medicare Advantage: Costs vary based on plan structure, whether services are in-network, and the level of care required.

Other factors that influence your total cost include:

• The type and duration of treatment
• Whether you’ve met your annual deductible
• Your state’s Medicaid benefit design and federal parity laws

Better Addiction Care can help you calculate estimated costs under your Molina plan before starting treatment.

To qualify for coverage, Molina often requires the following before treatment begins:

• Substance Use Assessment: Conducted by a licensed clinician to confirm diagnosis and recommend a care level.
• Referral from a Provider: Some plans require a primary care or behavioral health provider referral.
• Prior Authorization: Needed for inpatient or residential programs and certain MAT services.
• Use of Licensed Facilities: Only programs approved by Molina or state regulators are eligible for reimbursement.

Meeting these requirements helps ensure treatment aligns with Molina’s quality and compliance standards.

Verifying your insurance benefits before starting treatment allows you to understand:

• Whether your facility is in-network with Molina
• Your deductible, copay, or coinsurance responsibilities
• Whether prior authorization is required
• What levels of care (detox, IOP, MAT, etc.) your plan supports

Better Addiction Care offers free insurance verification so you can focus on healing rather than navigating paperwork.

You can verify your benefits in several ways:

• Call Molina Healthcare: Use the number on your ID card and ask about substance use disorder coverage.
• Check the MyMolina Portal: Log in online to review behavioral health benefits, plan documents, and provider directories.
• Let Better Addiction Care Handle It: Our team can contact Molina directly, confirm your benefits, and match you with facilities that meet your clinical and financial needs.

Molina offers behavioral health and addiction coverage in numerous states, including California, Texas, Florida, Ohio, New Mexico, Michigan, Washington, and others.
Because plan benefits vary by region, certain treatments may have different approval processes or availability depending on where you live.

Better Addiction Care works with partner facilities across the U.S. that accept Molina insurance, helping you access treatment locally or in another state if preferred.

If your Molina plan doesn’t cover 100% of treatment costs, consider:

• Choosing an in-network facility to minimize out-of-pocket expenses.
• Asking about sliding-scale fees, payment assistance, or state funding options.
• Exploring lower-intensity levels of care (like IOP instead of residential).
• Checking if telehealth therapy or MAT follow-ups are available under your plan.

Better Addiction Care helps you evaluate these alternatives so financial barriers don’t prevent you from starting recovery.

Better Addiction Care simplifies every step of the process:

• Verify Benefits: Confirm coverage, in-network facilities, and estimated costs.
• Handle Authorization: Coordinate pre-treatment documentation with Molina.
• Match to Treatment: Connect you with accredited centers experienced in working with Molina members.
• Provide Ongoing Support: Help manage transitions between detox, inpatient, and outpatient stages.

We take care of the insurance details—so you can focus on getting better.

Call Better Addiction Care today or fill out our secure online form to verify your Molina Healthcare coverage.
Our team will review your benefits, confirm what treatments are covered, and connect you with trusted programs that fit your needs and your plan.

Recovery starts with one call.