At Amity San Diego, we understand the challenges of finding affordable addiction treatment. Medi-Cal offers a lifeline for many Californians seeking help with substance use disorders.
In this post, we’ll explore drug treatment programs that accept Medi-Cal, making quality care accessible to those who need it most. We’ll guide you through the types of services covered, eligibility requirements, and how to find approved programs in your area.
What Does Medi-Cal Cover for Drug Treatment?
Medi-Cal, California’s Medicaid program, offers comprehensive coverage for substance use disorder (SUD) services. This chapter explores the types of treatments covered, eligibility requirements, and how to access these vital services.
Substance Use Disorder Services Under Medi-Cal
Medi-Cal funds a wide range of treatments, from outpatient counseling to intensive residential care. Approximately 97 percent of Medi-Cal members rely on Medi-Cal for health coverage, including addiction treatment.
Types of Addiction Treatments Covered
Medi-Cal covers several evidence-based treatments for substance use disorders:
- Outpatient Services: Individual and group counseling sessions.
- Intensive Outpatient Programs (IOP): Structured treatment programs that meet several times a week.
- Residential Treatment: 24/7 care in a treatment facility.
- Medication-Assisted Treatment (MAT): FDA-approved medications to treat opioid and alcohol use disorders.
- Withdrawal Management: Medically supervised detoxification services.
The National Institute on Drug Abuse states that the combination of behavioral therapy with medications (when appropriate) is the most effective way to ensure success for most patients. Medi-Cal’s coverage aligns with this research-backed approach.
Eligibility for Medi-Cal Drug Treatment Programs
To access Medi-Cal-covered drug treatment, individuals must meet specific eligibility criteria. Medi-Cal is available to low-income adults, families with children, seniors, persons with disabilities, children in foster care, and pregnant women.
As of 2025, the income limit for Medi-Cal eligibility stands at 138% of the Federal Poverty Level. For a single adult, this translates to an annual income of approximately $20,000. (These figures can change, so it’s best to check with the local county office for the most up-to-date information.)
Navigating Medi-Cal Coverage
While Medi-Cal covers a broad range of services, not all treatment centers accept it. Always verify with the treatment provider before starting a program. Additionally, some services may require prior authorization from Medi-Cal (a process your chosen treatment center can help facilitate).
Specialists at addiction treatment San Diego centers can help navigate the eligibility process and find suitable programs that accept Medi-Cal. Many centers (including Amity San Diego) assist clients in verifying their Medi-Cal coverage and understanding their benefits.
The Role of County Behavioral Health Departments
County behavioral health departments play a key role in connecting individuals with Medi-Cal-covered drug treatment services. These departments often serve as the first point of contact for those seeking treatment and can provide valuable information about local programs and services.
What Drug Treatment Programs Accept Medi-Cal?
At Amity San Diego, we understand the challenge of finding the right treatment program. Medi-Cal covers a range of drug treatment options, making quality care more accessible. Let’s explore the main types of programs available to Medi-Cal beneficiaries.
Outpatient Services: Flexibility for Recovery
Outpatient services covered by Medi-Cal represent a common form of treatment. These programs allow individuals to receive care while maintaining their daily responsibilities. Typically, outpatient services include:
- Individual counseling sessions
- Group therapy
- Family therapy
- Substance abuse education
The frequency of visits varies depending on individual needs. Title 9 and Title 22, CCR govern Drug Medi-Cal (DMC) treatment.
Intensive Outpatient Programs: Structured Support
Intensive Outpatient Programs (IOPs) offer a higher level of care than standard outpatient services. These programs usually meet several days a week for multiple hours each day. IOPs provide:
- More frequent therapy sessions
- Skill-building workshops
- Relapse prevention training
- Medication management (if needed)
Multiple studies have shown that IOPs can be as effective as residential treatment for many individuals.
Residential Treatment: Immersive Recovery Environment
For those who need a more structured environment, Medi-Cal covers residential treatment programs. These facilities provide 24/7 care and support, typically for 30-90 days. Residential treatment offers:
- A drug-free living environment
- Around-the-clock medical supervision
- Intensive individual and group therapy
- Holistic treatments (e.g., yoga, meditation)
Medication-Assisted Treatment: Evidence-Based Care
Medication-Assisted Treatment (MAT) forms a key component of many Medi-Cal-covered programs. MAT combines FDA-approved medications with counseling and behavioral therapies. It proves particularly effective for opioid and alcohol use disorders. MAT services include:
- Prescription and monitoring of medications like buprenorphine or naltrexone
- Regular medical check-ups
- Counseling to address underlying issues
Research clearly shows that long-term MAT is much more effective as a treatment strategy rather than as a shorter-term detoxification plan.
We at Amity San Diego commit ourselves to help individuals find the right Medi-Cal-covered program for their needs. We recognize that recovery represents a personal journey, and the type of treatment that works best can vary from person to person. Our team stands ready to discuss options and help navigate the Medi-Cal system to ensure you or your loved one receives the most appropriate care.
The next chapter will guide you through the process of finding and accessing Medi-Cal approved drug treatment programs, ensuring you can take full advantage of these valuable resources.
Finding Medi-Cal Approved Drug Treatment Programs
County Behavioral Health Departments: Your First Stop
Your county’s behavioral health department serves as a valuable resource for locating Medi-Cal approved providers. To start your search:
Many counties offer 24/7 helplines for immediate assistance. San Diego County’s Access and Crisis Line (1-888-724-7240) operates round-the-clock.
Online Resources and Directories
Several online tools help you find Medi-Cal approved treatment programs:
- The Substance Abuse and Mental Health Services Administration (SAMHSA) treatment locator allows filtering by payment type (including Medicaid).
- California’s Department of Health Care Services provides a directory of certified Drug Medi-Cal providers.
- The 2-1-1 service in many California counties offers a comprehensive database of local health and social services (including substance use treatment).
Always verify that a program still accepts Medi-Cal before proceeding, as provider networks can change.
Addiction Treatment Specialists: Your Guides
Addiction treatment San Diego specialists provide invaluable help in navigating your options. These professionals understand Medi-Cal coverage intricacies and match you with appropriate programs. They assist with:
- Verifying your Medi-Cal benefits
- Explaining different levels of care and treatment approaches
- Coordinating admission to a program
Many treatment centers (including Amity San Diego) offer free consultations with addiction specialists. Use these services to get expert guidance tailored to your situation.
Questions to Ask When Choosing a Program
When evaluating Medi-Cal approved programs, consider asking:
- What specific services does the program offer?
- How long does the program typically last?
- What is the staff-to-client ratio?
- Does the program offer aftercare support?
- How does the program handle co-occurring mental health issues?
These questions help ensure you find a program that meets your specific needs and increases your chances of successful recovery.
Final Thoughts
Medi-Cal’s coverage for drug treatment programs provides essential support to Californians battling substance use disorders. These programs offer a range of evidence-based treatments, from outpatient services to intensive residential care. Medi-Cal removes financial barriers, making quality care accessible to those who need it most.
We at Amity San Diego understand the challenges of addiction and the courage required to seek help. Our team of professionals stands ready to guide you through the process of finding the right drug treatment programs that accept Medi-Cal. We offer personalized care and evidence-based treatments to support your recovery journey.
Don’t wait to start your path towards a healthier, substance-free life. Quality treatment (covered by Medi-Cal) awaits you. Contact us today to explore your options and take the first step towards reclaiming your future.
