Does WV Medicaid Cover Addiction Treatment?

Yes. West Virginia Medicaid covers substance use disorder treatment, and Integrative Recovery Care accepts WV Medicaid. If you are enrolled, cost should not be the reason you wait.

What West Virginia Medicaid covers

West Virginia Medicaid covers substance use disorder services across a range of care levels defined by the American Society of Addiction Medicine (ASAM) criteria. The services relevant to outpatient treatment include:

  • Screening and early intervention — SBIRT (Screening, Brief Intervention, and Referral to Treatment)
  • Assessment and diagnostic evaluation, including psychiatric diagnostic evaluation with medical services, which covers prescribing
  • Outpatient and intensive outpatient treatment
  • Medication-assisted treatment
  • Peer recovery support specialist services

Source: West Virginia Bureau for Medical Services, Provider Manual Chapter 504 — Substance Use Disorder Services.

The part most people get stuck on

West Virginia Medicaid requires prior authorization for most substance use disorder services. Someone has to submit the request, document medical necessity, and wait for a decision before treatment can begin.

This is where people give up. It is paperwork, it is unfamiliar, and it arrives at the exact moment someone has finally decided to ask for help.

We handle it. You do not submit the prior authorization. Our team completes it as part of your intake, and we tell you where it stands.

What to expect

  1. Call or submit an intake form. We respond within one business day.
  2. Bring your Medicaid card and a photo ID to your assessment. If you cannot find your card, we can still start — we just need your name and date of birth.
  3. A licensed clinician completes your assessment and determines the appropriate level of care.
  4. We submit the prior authorization and keep you updated.
  5. Treatment begins. Same-week appointments are often available.

Common questions

I have WV Medicaid but I am not sure it is active.

Call us anyway. We verify eligibility as part of intake. If your coverage has lapsed, we will tell you what it takes to reinstate it rather than turning you away at the door.

Will Medicaid cover my medication?

Medication coverage depends on the specific medication and your plan. We review this with you during your assessment, before anything is prescribed, so there are no surprises.

What if I do not have Medicaid?

We also work with private insurance and self-pay. Call and we will walk through your options honestly, including whether you may be eligible for Medicaid and how to apply.

Can I keep working during treatment?

Yes. Our programs are outpatient and built around scheduled appointments, specifically so people can keep their jobs, housing and responsibilities while in treatment.

Will my employer find out?

Your treatment records are protected health information. We do not contact your employer.

Verify us before you call

  • Integrative Recovery Care, LLC — licensed behavioral health center, West Virginia Office of Health Facility Licensure and Certification (OHFLAC)
  • NPI 1083578355 — verifiable in the CMS National Provider Registry
  • West Virginia Medicaid accepted
  • 7 Stonecrest Drive, Huntington, WV 25701

Start today

Call 304-521-2551 or submit an intake form. We respond within one business day.