Rehab centers in Delaware

What you pay for rehab depends first on the level of care. A residential program charges for a bed, meals and staff overnight; an outpatient program charges for the appointments, and 37 of the centers listed here offer that lighter version. Who is paying sets the rest of it, and in Delaware the payer is not always you or an insurer: at a provider under contract to the state, a sliding scale rather than a list price decides the bill. Ask what a fee is based on before you ask for a total.

Not always. Delaware pays for rehab itself when you have no insurance, or a policy that leaves you short, through DSAMH, the state division that contracts with providers and pays where no insurer will. Its fee scale is tied to household income, and a household at or under 230 percent of the federal poverty level is charged nothing. Four walk-in clinics, two in New Castle County and one each in Kent and Sussex, screen for addiction and for mental health with no appointment, regardless of ability to pay.

Medicaid is the one that covers most people who ask this. Delaware Medicaid pays for counseling and peer support, intensive outpatient and partial hospitalization, withdrawal management, medication for opioid use disorder, and a residential stay billed by the day. It reaches you as the Diamond State Health Plan, a managed care plan from one of three companies, so give a center that plan name rather than the word Medicaid. Medicare is a separate program, so if that is the card you hold, ask about Medicare by name.

For an adult the limit is family income at or below 133 percent of the federal poverty level, and the state resets the figure every January. Delaware took the Medicaid expansion, so an adult with no children at home is included, which is the part most people assume rules them out. There is no enrollment season: an application can go in the same week somebody decides to go to rehab. Earning over the line is not the end of it, because the state funded route reaches well above it.

A stay of 30 days is what most residential programs quote, with 60 and 90 day versions above it. Delaware does not hand that time over in one piece. On the state funded route an authorization covers up to 30 days and has to be reviewed before it is extended, and a residential placement on Medicaid needs approval before admission and again as the stay goes on. None of that turns on the substance: an alcohol stay is reviewed the same way. What follows a stay is outpatient, lighter and counted in months.

What happens first is an assessment and lab work, then medication and monitoring while withdrawal passes, usually over three to seven days rather than weeks. A detox center treats the body, and the treatment for the addiction itself comes after it, often in a different building: eight of the centers listed here run a detox and they sit in five cities. Coming off alcohol or benzodiazepines after heavy daily use is the dangerous case, so talk to a doctor before stopping on your own.

Two things make it hard and only one is clinical. An assessment decides the level of care you qualify for, then a bed at that level has to be open: 12 of the centers listed here hold a residential bed. Delaware takes about two hours to drive end to end, so the open bed matters more than the nearest one. The state runs a referral network showing which programs have space and how long their waits are, so being referred in beats ringing programs yourself. Start with the number at the top of this page.