Rehab centers in Louisiana

Nobody can quote you a Louisiana figure without two things: which level of care the assessment points at, and who is paying. On Medicaid, which Louisiana runs as Healthy Louisiana, the plan pays the center and covered care does not come back as a bill. Through the human services district for your parish, the fee is scaled to what you earn. With private coverage it is your deductible and whether the center is in network. Paying your own way, ask for the whole program as one written figure.

Free is the wrong word for it, though Louisiana does have a route for people who cannot pay. The state funds community addiction treatment through ten human services districts and authorities, one for every parish, and they charge on a published sliding scale set by income and household size, with nobody turned away for inability to pay. Some districts treat you themselves and others pay a contracted provider, so what you ask for is the funded route in your parish. Ask your district what it can start this week.

For one person the limit is 1,836 a month, the figure Louisiana publishes for 138 percent of the federal poverty level, and it rises by 654 for every additional person in the household. The line is redrawn each spring. Having children is not a condition and income is the test on its own, and applications are taken all year rather than in a season. Under that line, Healthy Louisiana covers addiction treatment from outpatient counseling through a residential stay.

Thirty days is the length rehab programs quote, and in Louisiana what sits behind that number is four separate residential levels. Medicaid pays for all four, from a clinically managed low intensity one that can run for months to a medically monitored one measured in days, and an assessment decides which fits. A stay is then authorized and reviewed as it runs rather than granted in a block. Most treatment is not a stay: 174 of the centers listed treat people living at home.

What qualifies you is an assessment. Louisiana scores it on the six dimensions of the ASAM standard, which take in your withdrawal risk, anything else needing treatment at the same time, and whether the place you would sleep each night supports getting sober. The center normally runs that assessment and files the authorization request for you. A bed is the scarce part: 73 Louisiana centers offer a residential stay.

Days rather than weeks, and what sets the number is the kind of withdrawal rather than the center. Louisiana Medicaid pays for it three ways: outpatient visits, a residential bed with monitoring, or a hospital. Only 70 Louisiana centers run a detox, so the treatment afterward is often a different building, and the handoff between them is worth asking about. Coming off alcohol or benzodiazepines after heavy daily use is the dangerous case, so speak to a doctor or call the number at the top of this page.

Rehab is a written treatment plan carried out to a schedule. Group and individual therapy is the bulk of it, with case management alongside and, at the higher levels, medical cover overnight. Alcohol and drugs go through the same programs here, withdrawal handled first where it is needed. Louisiana obliges a provider to assess whether medication is a viable option for you and to explain the approved ones, and 158 of the centers listed offer it. Leaving is a step down to lighter treatment, not a finish.