NH Healthy Families Medicaid for Addiction Rehab Treatment & Recovery
NH Healthy Families is the managed care organization administering the NH Medicaid and Granite Advantage Health Care Program (Granite Advantage) in New Hampshire. The Department of Health and Human Services (DHHS) determines eligibility for this program. NH Healthy Families supports members in managing their healthcare needs while coordinating payment to providers for the services delivered.
While NH Healthy Families is a New Hampshire-based Medicaid insurance plan, it covers substance use disorder treatment at our out-of-state facility, Guardian Recovery – Pine Tree. This plan covers essential benefits such as mental health and substance use treatment, as well as additional services including pharmacy benefits and wellness programs designed to meet the specific needs of members. If you or someone you love is struggling with addiction, Guardian Recovery – Pine Tree is here to help. Our Portland, Maine rehab center offers a comprehensive range of treatment options and is proud to accept NH Healthy Families Medicaid.
Does NH Healthy Families Medicaid Cover Substance Use Disorder Treatment?
Yes, NH Healthy Families Medicaid covers substance use disorder and behavioral health treatment. Guardian Recovery – Pine Tree accepts New Hampshire Medicaid through NH Healthy Families/Ambetter, making it possible for NH residents to access high-quality addiction care right here in Portland, Maine.
SUD Treatment Coverage Through Ambetter Health Insurance
Ambetter is the Marketplace healthcare plan operated by NH Healthy Families, offering an affordable coverage option for eligible individuals and families. Ambetter covers the 10 essential health benefits outlined under the Affordable Care Act (ACA), which includes mental health and substance use disorder treatment — such as psychotherapy, counseling, mental health care, and inpatient rehab.
SUD Benefits & Behavioral Health Services Covered Under NH Healthy Families Medicaid
NH Healthy Families Medicaid provides coverage for a broad range of addiction treatment services, including detox, inpatient, and outpatient care. Members who qualify typically have access to a comprehensive continuum of care, meaning coverage can follow you throughout the entire addiction treatment journey.
Your treatment journey begins with a proper placement assessment, tailored to your individual needs by a team of experienced addiction treatment professionals.
Treatment looks different for everyone. Recovery may begin with medical detox, followed by inpatient or outpatient care — or a combination of both. People may enter a particular level of care and transition through different levels as they progress and their needs evolve.
Assessments
Every person who enters drug or alcohol rehab first undergoes a thorough assessment. You will meet with various addiction treatment professionals to discuss your concerns and receive a comprehensive evaluation. You may be asked to provide information about your substance use history, any previous treatment experiences, your mental and physical health, and your current living situation — all of which help shape a personalized treatment plan.
Outpatient Services
Outpatient drug rehab allows you to continue living at home while attending treatment on a set schedule. It can be a practical option for many people, often offering flexible scheduling — including evenings or weekends — so you can continue working, caring for family members, or meeting other responsibilities.
Outpatient addiction treatment at Guardian Recovery – Pine Tree spans multiple levels of care, from highly structured partial hospitalization programs (PHPs) that require attendance most days of the week, to standard outpatient care that may involve treatment only a few times per week.
Residential Treatment
Residential treatment means you’ll live on-site at our Portland, Maine facility for the duration of your program. For those dealing with addiction or co-occurring mental health conditions, inpatient rehab can be especially beneficial — removing you from familiar triggers and environments so you can focus fully on recovery.
Our residential treatment program provides a structured daily schedule that includes group therapy, educational workshops, recreational activities, guided meditation and yoga, 12-Step work, individual therapy, and fitness programming.
Opioid Treatment Programs
Opioid treatment programs (OTPs) are specifically designed to support individuals recovering from opioid misuse and addiction. Treatment typically involves a combination of medications for opioid use disorder, behavioral therapies, and counseling to help people develop the tools they need to avoid relapse and sustain long-term recovery.
Whether you or a loved one are struggling with oxycodone, hydrocodone, fentanyl, heroin, or other opioids, Guardian Recovery – Pine Tree can help. Our program integrates evidence-based behavioral therapy with 12-Step principles to support lasting abstinence and a healthier, more fulfilling life.
Recovery Support Services
Recovery support services are designed to help individuals transition back into daily life after completing a formal treatment program. These may include recovery housing, peer support services, family support programs, and more.
Recovery Monitoring
Recovery monitoring is a key component of a strong aftercare plan. It provides an added layer of accountability and support to help individuals maintain their sobriety after leaving treatment. Options may include participation in 12-Step support groups, ongoing individual therapy, family therapy, or group therapy. While in treatment at Guardian Recovery – Pine Tree, you will have the opportunity to engage with 12-Step groups as an integral part of your care.
Does NH Healthy Families Medicaid Cover Mental Health Disorder Treatment?
Yes, NH Healthy Families Medicaid covers mental health, behavioral health, and substance use disorder treatment. If you are enrolled in NH Healthy Families Medicaid, you should generally be covered for the following services:
- Assessment
- Outpatient services
- Residential treatment
- Opioid treatment programs
- Recovery support services
- Recovery monitoring
Guardian Recovery – Pine Tree Is In-Network With NH Healthy Families Medicaid
Navigating insurance for addiction treatment can feel overwhelming — we’re here to help make it as simple as possible. Guardian Recovery – Pine Tree accepts New Hampshire Medicaid through NH Healthy Families/Ambetter, so NH residents can access the care they need at our Portland, Maine facility without unnecessary barriers.
SUD Treatment Levels of Care Covered By NH Healthy Families
The American Society of Addiction Medicine (ASAM) provides the most widely used guidelines for placement, continued care, and transitions in addiction treatment. The following levels of care are covered by NH Healthy Families:
- Medical detox
- Inpatient/residential rehab
- Outpatient treatment
- Partial hospitalization programs (PHP)
- Intensive outpatient programs (IOP)
Verifying Your NH Healthy Families Medicaid Benefits
Before beginning treatment, it’s a good idea to confirm your specific coverage details. You can verify your benefits by contacting our admissions team 24 hours a day to receive a quick, confidential insurance verification at no cost or obligation.
