Medically reviewed by Kevin Wandler, MD, Chief Medical Advisor
Promises Dallas-Fort Worth accepts several Texas Medicaid plans for addiction treatment at our Lewisville campus. We treat adults 18+ at 400 Highland Dr, Lewisville, TX 75067. If you have Medicaid and need help with substance use, admissions can check your plan, active eligibility and authorization requirements before you make treatment arrangements.
Medicaid at Promises DFW is for primary substance use treatment only. It does not cover primary mental health treatment here. People seeking primary mental health care should call to discuss commercial insurance or other options. Having an accepted Medicaid plan does not mean every service or length of stay is covered.
Medicaid plans in network with Promises DFW
Promises DFW is in network with these Texas Medicaid plans for substance use treatment:
- Aetna Medicaid
- Blue Cross Blue Shield of Texas Medicaid
- Beacon Health Options / Carelon Medicaid (includes Wellpoint)
- Molina Medicaid
- Superior HealthPlan Medicaid
- UnitedHealthcare / UBH Evercare Medicaid
- Magellan Medicaid
- Wellpoint Medicaid
- Driscoll Health Plan
Use the name on your current member card when you call. Similar names can identify different products, and a commercial policy from the same insurer has its own benefits. If the card is missing or you do not recognize your plan on this list, ask admissions to help identify it. We can explain what we can verify and what still needs an answer from the plan.
How Texas Medicaid managed care works
Texas Health and Human Services oversees Medicaid in Texas. Many members receive benefits through a managed care organization, which is a health plan that coordinates covered care. The plan’s provider network and review process affect where you can receive treatment and what approval is needed. Your specific product matters when admissions checks addiction treatment benefits.
A separate company may handle a plan’s substance use benefits. Its name can differ from the insurer printed on your card. Admissions checks who reviews the treatment request so that questions about eligibility, network status and authorization go to the appropriate plan contact. You can also ask the member services contact listed on your card about your benefits.
Who qualifies for Texas Medicaid as an adult
Adult eligibility is limited to certain groups, with additional requirements that Texas Health and Human Services determines. General groups include:
- Some adults who are pregnant.
- Some parents and caretaker relatives with very low income.
- People 65+ or with disabilities, including those served through STAR+PLUS.
- Former foster care youth up to age 26.
Texas has not expanded Medicaid, so many adults without children don’t qualify. The Texas Health and Human Services Medicaid and CHIP information explains the state’s eligibility pathways. Income alone does not settle whether someone qualifies.
If you’re not sure whether you qualify, call; we can check. Admissions can check existing coverage and help you understand the next step. Texas Health and Human Services makes eligibility decisions. A pending application is different from active coverage, so tell us if you are waiting for a decision or renewing your benefits.
Treatment Medicaid may help pay for at Promises DFW
Promises DFW provides medical detox and residential addiction treatment. Medicaid may help pay for these services when your plan authorizes the recommended care. Admissions checks the requested service against your benefits and prior authorization requirements. We cannot promise approval based only on the insurer’s name.
Our partial hospitalization program (PHP) in Lewisville and virtual IOP for Texas residents may also be options. Each depends on clinical needs, eligibility and the plan’s prior authorization. Approval for one level of care does not establish coverage for another. Ask about the next stage of care as well as the initial admission.
For practical information about coming from either city, visit rehab that accepts Medicaid near Dallas-Fort Worth. The facility is in Lewisville, serving people from across the metro area.
What affects your coverage
- Your exact plan and product determine which benefits admissions needs to check.
- Your Medicaid eligibility must be active for the dates you receive care.
- The plan reviews clinical information to decide whether the requested care meets its medical necessity requirements.
- Prior authorization determines whether the plan approves the requested service. Additional treatment may need another review.
Respond to Medicaid renewal notices by the stated deadline. Let admissions know about changes to your plan or a possible gap in coverage. If you have questions about what you might owe, ask for the verified information before arranging admission. Costs and covered dates need an individual benefits check.
How admissions verifies your benefits
Call the admissions line, available 24/7, with your Medicaid card nearby. We check your member information and eligibility, then ask the plan about addiction treatment benefits and required authorization. The team explains the results and any questions still awaiting a plan response. A benefits check and a prior authorization decision are separate steps.
Have your member ID, plan name and current contact information ready. It also helps to know whether your coverage is active and whether you have received a renewal notice. Admissions will ask about the help you are seeking to determine which treatment options need review. You do not need to select a level of care before calling.
During the review, ask admissions to separate an eligibility question from a benefits or authorization question. If the plan needs more information, find out what you need to provide and when to contact the team again. Ask how to send requested documents using the instructions admissions gives you.
Before traveling, ask whether the clinical assessment is complete, whether authorization is still pending and whether an admission has been arranged. A call starts the review; it does not establish a covered admission date. Keep any instructions admissions gives you so you know what to do next.
Frequently asked questions
Does Promises DFW accept every Texas Medicaid plan?
No. The plans listed above are accepted for substance use treatment. If yours is different, call admissions to discuss your options and confirm the product you have.
Does Medicaid cover detox in Texas?
It may help pay for medical detox for substance use at Promises DFW. Active eligibility, medical necessity and your plan’s prior authorization determine whether your requested care is covered.
Does Medicaid cover mental health treatment at Promises DFW?
No. Medicaid here is for substance use treatment only. For primary mental health care, call admissions to discuss commercial insurance or other options.
Do I need prior authorization?
Admissions checks the requirement for your plan and recommended level of care. The plan must authorize care when required; we cannot promise its decision or timing.
Will Medicaid pay for my entire stay?
That depends on your benefits, active eligibility, medical necessity and authorized care. Admissions explains the verified coverage and any remaining questions before you make arrangements.
Sources
Check your benefits
Call (469) 546-9303 to check Medicaid addiction treatment benefits. Browse our insurance options or contact Promises Dallas-Fort Worth to begin.