Rehab centers in North Dakota

Three routes pay for inpatient rehab in North Dakota: private insurance, North Dakota Medicaid, and the state voucher for people who cannot cover it themselves. Of the centers listed here, 23 hold a residential bed, and the Medicaid route carries a catch worth knowing before you ring one. It covers residential care and residential withdrawal, but it cannot pay for a bed in a program with more than 16 beds, which is a federal rule rather than a state decision. So ask early how large the program is.

The main one is North Dakota's Substance Use Disorder Voucher, a state fund that pays for treatment when the person needing it cannot. A resident aged 12 or over with income no greater than 200 percent of the federal poverty guidelines can apply, whether they have no way to pay or a payer that covers only part of it. It pays for the assessment and the therapy, and also for room and board and transportation, which Medicaid generally cannot. If you turn out to be Medicaid eligible, you have to apply for that too.

Long enough to finish the level you were admitted to, which for a residential program is commonly quoted at 30 days and is rarely the whole of it. North Dakota Medicaid covers a ladder rather than a single stay: residential withdrawal, clinically managed residential care, then intensive and non-intensive outpatient. Most of the months are spent on the lower rungs, and 60 of the centers listed here run outpatient. Ask what the step down looks like before you agree to the step up.

A detox center gets you through withdrawal, and rehab is the treatment that follows it. The difference matters because North Dakota pays for them separately: clinically managed residential withdrawal is covered in its own right, listed apart from residential treatment, and detox sits in only 9 of the cities listed here. Alcohol and benzodiazepines are the withdrawal that turns dangerous after heavy daily use, so speak to a doctor or call the number at the top of this page before stopping.

In rehab they assess you first, and a written treatment plan comes out of that before anything else happens. What the plan holds is counseling and therapy, individual and group, and the work of handling the situations that used to end in a drink. Alcohol is not treated as the lighter case. Medication is part of the plan for some people, and 30 of the centers listed here offer it, while 45 deliver care by telehealth, which across a state this wide is often what makes a weekly session possible.