AmeriHealth Caritas NH Medicaid
For Addiction Recovery
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If you or a loved one needs substance use treatment in New Hampshire, navigating Medicaid coverage can feel overwhelming. Fortunately, AmeriHealth Caritas NH Medicaid makes it easier for eligible individuals to access quality care, including addiction treatment at The Plymouth House.
AmeriHealth Caritas NH is one of the three managed care organizations that administer New Hampshire Medicaid, providing coverage for essential healthcare services, including mental health and substance use disorder (SUD) treatment. Understanding what your plan covers is key to starting treatment with confidence. Here we’ll explore the ins and outs of this NH Medicaid provider.
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AmeriHealth Caritas NH Medicaid Overview
Medicaid is a government program that provides free or low-cost health insurance to eligible individuals, including those who need addiction treatment and mental health care. AmeriHealth Caritas NH Medicaid is one of the managed care plans that administers Medicaid in New Hampshire, covering services for people struggling with substance use disorders and co-occurring mental health conditions.1,2Comprehensive Addiction Rehab Treatment Coverage With AmeriHealth Caritas NH
Struggling with addiction is hard enough. Figuring out how to pay for treatment shouldn’t be. If you have AmeriHealth Caritas NH Medicaid, you may be eligible for full or partial coverage of essential rehab services. This plan helps cover a range of treatment options, including medical detox, residential rehab, and outpatient programs for continued care while balancing daily life. It can also include therapy sessions with licensed counselors, medication-assisted treatment (MAT) for opioid or alcohol use disorders, and mental health services for conditions like anxiety or depression. The goal is to remove financial barriers so that you can focus on recovery. If you’re unsure what’s covered or where to begin, reaching out to AmeriHealth Caritas NH or The Plymouth House can help you take the next step toward treatment.Behavioral Services & Substance Use Disorder Benefits Covered Under New Hampshire Medicaid
New Hampshire Medicaid provides essential behavioral health and addiction service coverage, including plans like AmeriHealth Caritas NH. Coverage includes various services to support recovery at every stage—from early intervention to long-term care. Understanding what’s covered can help you take the next step toward getting the right support.3Assessments
The first step in getting treatment is understanding what care is needed. A licensed professional will evaluate substance use history, mental health conditions, and overall well-being to determine the right path forward. New Hampshire Medicaid covers these assessments, which help individuals and providers create a treatment plan that fits their needs. Whether someone requires outpatient counseling, residential care, or medication-assisted treatment, a proper evaluation ensures they get the right level of support.Outpatient Services
Outpatient treatment allows people to get help while continuing their daily lives. It can include individual therapy, group counseling, intensive outpatient programs (IOP), and partial hospitalization programs (PHP). These services provide structured support while allowing individuals to stay home, work, or attend school. AmeriHealth Caritas NH Medicaid helps cover these programs so that more people can access quality treatment without the stress of high costs.Residential Treatment
Residential rehab provides 24/7 care, therapy, and medical supervision for those who need a more structured environment. It is best for individuals who need to step away from daily triggers and focus completely on recovery. Medicaid coverage through AmeriHealth Caritas NH can help with the cost of residential programs, ensuring people get the time and support they need to heal.Opioid Treatment Programs
Opioid addiction requires specialized care, and treatment often includes medications like methadone, buprenorphine, or naltrexone. These medications, combined with therapy and support, can help manage withdrawal symptoms and reduce cravings. AmeriHealth Caritas NH Medicaid typically covers opioid treatment programs (OTPs), making it easier for individuals to access the care they need to break free from opioid dependence.Recovery Support Services
Getting sober is just the beginning. Staying sober takes ongoing effort and support. Medicaid covers services that help individuals build a solid foundation for long-term recovery. This includes peer support programs, case management, and community-based resources that offer encouragement and guidance after formal treatment ends. Having a strong support system can make all the difference in maintaining sobriety.Recovery Monitoring
Finishing treatment is a big step, but staying on the right path takes ongoing effort. Medicaid covers recovery monitoring services to help individuals stay committed to their progress. This can include regular check-ins, follow-up counseling, and drug testing when necessary. These resources offer extra support, making it easier to stay accountable, avoid relapse, and remain connected to a strong recovery network.Mental Health Disorder Treatment & Medicaid Coverage
Mental health is as important as physical health, and Medicaid ensures individuals can access the treatment they need. AmeriHealth Caritas NH Medicaid covers various mental health services, including therapy, psychiatric care, and medication management. Whether someone is struggling with depression, anxiety, PTSD, or a co-occurring disorder alongside substance use, Medicaid helps remove financial barriers so they can receive proper treatment. Coverage may include individual counseling, group therapy, crisis intervention, and inpatient mental health care when necessary. Medication-assisted treatment (MAT) is also available for those who need medications to stabilize mood or manage symptoms. If you’re unsure where to start, contacting a Medicaid provider or a treatment center like The Plymouth House can help you understand your options and connect with the right support.Addiction Treatment Levels of Care Covered By AmeriHealth Caritas NH Medicaid
Recovery looks different for everyone, and having the right level of care can make a big difference. AmeriHealth Caritas NH Medicaid helps cover a variety of treatment programs so people can get the support that fits their situation. Whether someone needs 24-hour care or a flexible outpatient option, Medicaid helps make treatment more affordable.4Types of Treatment Covered:
- Detox Programs – Medical supervision to manage withdrawal safely and prepare for the next step in treatment.
- Residential Rehab – Live-in treatment with round-the-clock care, therapy, and structured support.
- Partial Hospitalization Program (PHP) – Intensive treatment during the day, but individuals return home at night.
- Intensive Outpatient Program (IOP) – Regular therapy and support while balancing work, school, or family life.
- Outpatient Therapy – Individual or group counseling sessions for continued recovery support.
- Medication-Assisted Treatment (MAT) – FDA-approved medications combined with therapy to help manage opioid or alcohol addiction.
The Plymouth House Is In-Network With AmeriHealth Caritas NH Medicaid Provider
Finding quality addiction treatment can be challenging, but having the right insurance coverage makes it easier. The Plymouth House is proud to be an in-network provider with AmeriHealth Caritas NH Medicaid, giving more people access to life-changing care. This means individuals with this Medicaid plan can receive treatment at The Plymouth House with little to no out-of-pocket costs, depending on eligibility. As an in-network facility, The Plymouth House offers a full range of services, including detox, residential rehab, therapy, and recovery support. Whether you’re seeking help for yourself or a loved one, verifying your benefits and learning about covered services is a simple step toward beginning treatment. To learn more about New Hampshire Medicaid addiction treatment at The Plymouth House, reach out today and take the first step toward lasting recovery.Verifying Your Medicaid Substance Use Disorder Treatment Benefits
Knowing what your Medicaid plan covers is important before starting treatment. AmeriHealth Caritas NH and other New Hampshire Medicaid providers, such as NH Healthy Families/Ambetter and WellSense, offer substance use disorder (SUD) treatment coverage. Verifying your benefits is simple. You can check your benefits by calling the number on the back of your Medicaid insurance card or visiting your provider’s website. Many treatment centers, including The Plymouth House, offer free insurance verification, typically with a much shorter on-call wait time. When verifying your coverage, be prepared to provide your Medicaid ID number and answer a few questions about your treatment needs. Once confirmed, you’ll receive details on what services are covered, any prior authorization requirements, and any potential costs you might need to consider. Taking this step ensures no surprises and allows you to start treatment confidently.AmeriHealth Caritas NH Insurance Plans
AmeriHealth Caritas NH offers Medicaid-managed care plans to help eligible individuals access essential services. Each plan has specific benefits and guidelines, so checking what services are available under your coverage is important. Some treatments may require prior authorization, while others are available to Medicaid members at little to no cost.
Sources
- AmeriHealth Caritas New Hampshire (2025). Home.
- Medicaid.gov. (2025). Home.Â
- AmeriHealth Caritas New Hampshire. (2025). Behavioral Health Benefits.Â
- AmeriHealth Caritas New Hampshire. (2025). Medicaid Benefits for Members.
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Frequently Asked Questions
No, not all treatment centers in New Hampshire accept AmeriHealth Caritas NH Medicaid. While many facilities provide care for Medicaid recipients, only in-network providers have agreements to cover treatment costs under this plan. To avoid unexpected expenses, verify whether a facility accepts AmeriHealth Caritas NH before beginning treatment.
Yes, AmeriHealth Caritas NH Medicaid provides coverage for substance use disorder (SUD) treatment. This includes services such as medical detox, inpatient rehab, outpatient therapy, and medication-assisted treatment (MAT). Coverage may vary based on medical necessity, so veriby benefits before beginning treatment.
AmeriHealth Caritas NH Medicaid covers a range of addiction treatment services, including:
- Medical Detox – Supervised withdrawal management.
- Residential Rehab – 24/7 care in a structured setting.
- Partial Hospitalization Programs (PHP) – Day treatment with intensive support.
- Intensive Outpatient Programs (IOP) – Regular therapy sessions while maintaining daily responsibilities.
- Medication-Assisted Treatment (MAT) – FDA-approved medications for opioid and alcohol use disorders.
- Outpatient Counseling – Individual and group therapy sessions.
Coverage depends on individual eligibility and the services provided, but AmeriHealth Caritas NH Medicaid typically covers most or all treatment costs for in-network providers. Some services may require prior authorization, and there may be minimal co-pays for certain treatments. Checking your specific plan benefits will give you a clearer understanding of potential costs.
Using an in-network provider is the best way to ensure your treatment is fully covered. Out-of-network facilities may not be covered or could result in higher out-of-pocket expenses. In-network providers, like The Plymouth House, have agreements with AmeriHealth Caritas NH Medicaid to provide covered services with little to no cost to the patient.
You can verify your Medicaid benefits by:
- Calling the number on the back of your AmeriHealth Caritas NH Medicaid card.
- Loging in to your account on the AmeriHealth Caritas NH website.
- Contacting an in-network treatment center like The Plymouth House, which can assist with insurance verification.
The Plymouth House is an in-network provider for AmeriHealth Caritas NH Medicaid and other New Hampshire Medicaid plans. This means individuals with eligible coverage can receive high-quality addiction treatment with little to no out-of-pocket costs. If you’re considering treatment, contacting The Plymouth House can help verify your benefits and help you understand your options.
