Molina may provide coverage for a wide array of addiction treatment services. Every person has a unique history, needs and goals, which can impact the treatment approaches included in their care plan.
Medical Detox
Medical detoxification, or detox, may be covered by Molina. This service ensures your body is substance-free and stable enough to begin your treatment plan.
In addition to monitoring your vitals and administering medications, clinicians manage withdrawal symptoms and ensure you’re detoxing safely. Molina plans cover detox services, but you need prior authorization to receive coverage.
Medication-Assisted Treatment
Molina covers medication-assisted treatment (MAT) when it’s medically necessary. MAT is the practice of using U.S. Food and Drug Administration (FDA) approved medications to treat addiction alongside therapy and counseling. It helps manage withdrawal symptoms, reduce cravings and reduce the risk of relapse.
Inpatient Rehab
Many Molina policyholders may be able to get inpatient treatment partially or fully covered. Individuals need to meet medical necessity requirements, obtain prior authorization and choose an in-network provider.
Inpatient and residential treatment programs are highly intensive options that offer the highest level of care. People with more severe addictions may benefit from inpatient treatment, as it’s very regimented and provides 24/7 care. People who enroll in an inpatient program can expect to live temporarily at the facility where they receive care.
Dual-Diagnosis Treatment
Molina healthcare insurance plans cover dual-diagnosis treatment under behavioral health services. Dual-diagnosis treatment is a service that addresses substance use disorder and mental health disorders at the same time. In many cases, an untreated mental health disorder can even be the root of an SUD.
Dual-diagnosis care combines mental health treatment approaches, such as therapy and medication-assisted treatment.
Outpatient Treatment Programs
Often a step-down from inpatient care, outpatient treatment provides addiction care for set days and times, often several days a week for multiple hours. Outpatient care allows individuals to continue living at home, which can be helpful for those with jobs or families.
Molina insurance covers outpatient substance use treatment, including partial hospitalization programs (PHPs) and intensive outpatient programs (IOPs). You’ll need prior authorization before beginning treatment, and you must choose a provider that’s in-network with your plan.
Counseling and Behavioral Therapy
Counseling allows individuals to discuss their emotions, thoughts and worries throughout their addiction treatment journey with their provider. Behavioral therapy is a kind of talk therapy that focuses on changing behavioral/thought patterns that exacerbate addiction.
It’s often used as a mental health service and may come in many forms, such as dialectical behavior therapy (DBT) or cognitive behavioral therapy (CBT). Behavioral health services are part of a comprehensive treatment plan.
Molina insurance covers mental health assessments from in-network providers without requiring a referral. However, your policy may not cover all types of counseling. For example, couples counseling is often excluded from coverage.
Continuing Care
Often referred to as aftercare, continuing care is treatment provided after you complete a rehab program. You and your case manager will determine which aftercare services are best for you, but potential options include counseling, therapy, support groups and sober living.
What’s included in continuing care services differs between individuals, so Molina coverage will depend on the type of service you receive. It covers clinical behavioral counseling and peer recovery support, but not room and board associated with sober living.
Often also referred to as aftercare, continuing care is treatment services provided after you complete an addiction treatment program.
You and your case manager will determine what aftercare services are best for you, but some include counseling, therapy, support groups, and sober living.
