Free tool

Medicaid + Medicare coverage checker

Estimate the likelihood that Medicaid or Medicare covers a given level of substance use treatment, based on federal and state coverage policy. Educational reference only, always confirm with the facility and your plan.

84%
Facilities accept Medicaid
58%
Accept Medicare
17,974
Facilities

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How this estimator works

This is a general policy heuristic, not a coverage determination. It maps each payer-and-service combination to one of four likelihood bands - Typically covered, Often covered with prior authorization, Sometimes covered (state-dependent), and Rarely covered - based on broad Centers for Medicare & Medicaid Services (CMS) coverage rules and how Medicaid expansion vs. non-expansion states generally treat each service. It does not read your specific plan.

Why state matters: Original Medicare, for example, generally does not cover residential SUD treatment, while Medicaid in expansion states usually covers the full continuum. Coverage is dynamic, always confirm with both the facility intake team and your plan's behavioral-health line before scheduling. See our methodology page for how the underlying facility data is built.

The coverage estimates here are drawn from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA). According to its National Substance Use and Mental Health Services Survey (N-SUMHSS), the federal record catalogs more than 17,000 substance-use and mental-health treatment facilities nationwide. This directory was last rebuilt from that survey in May 2026, see our methodology for how the data is collected and updated. Always confirm details directly with a facility before relying on them.

Every figure on PlainRecovery is rendered directly from SAMHSA's published N-SUMHSS facility data, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these facility listings, or report a data error. Data current as of 2024 N-SUMHSS release.