Medicaid Drug Rehab Center in Richmond, VA

What is Medicaid in Virginia?

Medicaid is public health coverage for people with limited income, funded jointly by the federal government and each state. In Virginia, the Medicaid program is called Cardinal Care, and it is run by the Department of Medical Assistance Services (DMAS).

Most Cardinal Care members get their benefits through a managed care health plan that they choose or are assigned. Some members are covered through fee-for-service Medicaid instead. Either way, Virginia sets the rules for who qualifies and what is covered, so it helps to understand how the program works here.

Does Virginia Medicaid cover drug and alcohol rehab?

Yes. Virginia Medicaid covers substance use disorder treatment through a benefit called Addiction and Recovery Treatment Services, or ARTS. ARTS treats addiction as the health condition it is, with coverage across the full range of care:

• Medically managed withdrawal (detox).
• Inpatient and residential treatment.
• Partial hospitalization programs (PHP).
• Intensive outpatient programs (IOP).
• Outpatient counseling and therapy.
• Medication for opioid use disorder and other medication-assisted treatment.
• Peer recovery support and case management.

Cardinal Care also covers mental health services, which matters if you are living with depression, anxiety, trauma, or another condition alongside substance use. What you can access depends on your plan and on a clinical assessment of your needs.

Who qualifies for Medicaid in Virginia?

Eligibility mostly depends on your income and the size of your household. Virginia expanded Medicaid, so adults ages 19 to 64 with incomes up to 138% of the federal poverty level can qualify, even without children or a disability.

Other groups qualify under their own rules, including children, pregnant people, older adults, and people with disabilities. You generally need to live in Virginia and be a U.S. citizen or have an eligible immigration status.

Income limits are updated every year. The quickest way to check the current limits for your household is through Cover Virginia, or by calling us and asking for help understanding your options.

How do I apply for Medicaid in Virginia?

You can apply at any time of year. There are a few ways to do it:

• Cover Virginia: Apply online or by phone through Virginia’s Medicaid information and application center.
• CommonHelp: Apply online through Virginia’s portal for Medicaid and other benefits.
• Your local Department of Social Services: Apply in person, or by mail with a paper application.

Have documents ready that show your income, your household, your identity, and your citizenship or immigration status. If you are not sure where to start, our admissions team can walk you through the next steps.

What Medicaid-covered treatment does Skypoint offer in Richmond?

Skypoint Recovery provides outpatient addiction treatment in Richmond for people with Virginia Medicaid. Outpatient care lets you get structured treatment while you live at home or in recovery housing and keep up with work and family.

• Partial Hospitalization Program (PHP): Our most structured outpatient level of care, with treatment much of the day and medical monitoring when needed, while you sleep at home.
• Intensive Outpatient Program (IOP): Group and individual therapy, relapse prevention, and life skills several times a week, with flexible scheduling.
• Outpatient Program: Ongoing counseling and support as you step down from more intensive care.
• Dual diagnosis treatment: Care for depression, anxiety, trauma, and other mental health conditions alongside substance use.
• Medication-assisted treatment: Medication as part of your plan when it is clinically appropriate.

If you need medical detox or inpatient treatment first, we connect you with trusted partner facilities and continue your care with us when you return. Exact program schedules are set at your assessment.

How does Medicaid work with Medicare or other insurance?

Medicaid and Medicare are different programs. Medicaid is based mainly on income, while Medicare is mostly for people 65 and older and for some people with disabilities. Some people qualify for both, and the two can work together to cover care.

If you have other health insurance, such as a plan through work, that insurance usually pays first and Medicaid can help with covered costs it leaves behind. You may also see Medigap mentioned online: Medigap is supplemental coverage for Original Medicare, not a Medicaid plan.

Coverage combinations can be confusing. Bring all of your insurance cards when you call, and we will check how they apply to your treatment.

How Skypoint verifies your Medicaid plan

Getting started should be simple. Here is what happens when you call:

• A short, confidential phone conversation about what you are going through.
• We verify your Medicaid plan and explain your benefits, including any prior authorization your plan requires.
• A free assessment to find the right level of care.
• A personalized treatment plan that you help shape.
• Scheduling, orientation, and your first day of treatment.

Before you finish a program, we plan your aftercare with you, including relapse prevention, community resources, and recovery housing if it would help.