How to find rehab in Maine - Withdrawal

How to find rehab in Maine

Finding detox in Maine can be difficult. Here's everything you need to know about ME rehab options and how to find local treatment as soon as possible.


Takeaways from this article:

  • american addiction centers photo

    Types of rehab in Maine

  • american addiction centers photo

    How to pay for detox in Maine

  • american addiction centers photo

    State-funded-rehab in Maine


Drug abuse dependency has reached every state in the U.S. Unfortunately; the opioid epidemic seems to be growing each year. Maine has a drug overdose mortality rate of 27.9 per 100,000 people. This rate equals 345 people per 100,000 that died due to a drug overdose in 2018. [1] Maine’s substance abuse mortality rate is larger than the national rate, 20.7 per 100,000. [2]

To help reduce this alarming trend, The American Addiction Centers is here to help the citizens of Maine find affordable treatment and support to defeat drug dependency. Together, we can help you overcome substance abuse addiction

Below, you will find information about treatment program options available in Maine. You will also find valuable information on accredited programs and facilities, as well as the types of payment options available for substance abuse addiction treatment.

Withdrawal Treatment Options in Maine

To successfully overcome addiction, the patient must undergo detoxification and long-term counseling. Detoxification removes the addictive substance from the patient’s body. It is a necessary step that is completed before the patient receives counseling.

Detox can be stressful and sometimes painful. As the patient withdraws from the addictive substance, the body undergoes physiological effects. [3] Fortunately, many rehabilitation facilities administer a medical detoxification program. Medical detox alleviates some of the stress and pain of detoxification. Once the patient completes detox, their mind and body are prepared for long-term treatment.

The patient receives counseling and support via inpatient or outpatient care. The patient lives on-site in an inpatient facility. They have access to medical staff 24/7. In outpatient care, the patient reports to the clinic for therapy but resides at home. Outpatient care is a good option for patients that must stay home to care for a family or can not commit to an extended amount of time off from work. Regardless of the type of rehabilitation facility, both will provide support and counseling that addresses the social, behavioral, and psychological issues related to substance addiction. [4]

In the table below, you will find the number of treatment facilities in Maine that offer each level of care:

Type of Care, by number and percent
Facilities
No. %
Outpatient 157 86.47%
Regular 152 83.93%
Intensive 44 24.31%
Day Treatment/Partial Hospitalization 7 3.87%
Detoxification 9 4.97%
Methadone/buprenorphine maintenance or naltrexone treatment 56 30.94%
Residential (non-hospital) 27 14.92%
Short Term 7 3.87%
Long Term 24 13.26%
Detoxification 3 1.66%
Hospital Inpatient 4 2.21%
Treatment 2 1.10%
Detoxification 4 2.21%
Total 181 100.00%

How to Pay for Withdrawal Treatment in Maine

The most common method of paying for treatment is mainly through private or state-funded health insurance. However, for patients without health insurance, substance abuse treatment may seem inaccessible.

The inability to pay for treatment is the main reason many people choose to forgo treatment.[5] Substance abuse treatment is expensive. Cost for treatment ranges from $3,000 to $10,000 for 90 days for outpatient care and inpatient care ranges from $5,000 to $20,000 for 30 days. [6]

Rehab facilities are either private or state-funded. For patients who have employer-based health insurance or financial security, private facilities are the best choice. These facilities offer more amenities, lower staff-to-patient ratios, and diverse treatment options. Although state-funded facilities offer accredited treatment, they are limited in the options available. State-funded facilities are also determined by funding, typically have waitlists, and are larger staff-to-patient ratios.

The U.S. Department of Health and Human Services provides federal grants to expand access to treatment in rural areas [13]. Treatment facilities located in rural areas in Maine can qualify for the funding. The grant provides up to $1 million for medication-assisted treatment and about $250,000 for drug overdose data surveillance. In addition to the grant, Maine expanded Medicaid coverage with the Affordable Care Act. This expansion allowed more people to qualify for state-funded health insurance [14].

State-Funded Rehab vs Private Rehab in Maine

For patients who have health insurance, private facilities are the best option for treatment. Due to the variety of therapy options, amenities, and staffing, patients with insurance, will receive care tailored to their needs. Also, many insurance companies cover the majority of the cost of treatment.[7]

Patients without insurance have limited options. However, they can receive accredited care in a state-funded facility. These facilities provide low-cost and even free care for substance abuse. Patients must qualify first based on the severity of the addiction and income. The process can be lengthy, and many state-funded facilities have waiting lists. However, state-funded treatment centers are a viable option for uninsured patients. Private and state-funded facilities provide accredited treatment. State-funded rehab centers are funded by grants or Medicaid reimbursement[8].

In the table below, you will find the number of Maine facilities by private non-profit, private for-profit, locally funded, state-funded, or federally funded.

Facility Operation, by number and percent
Facilities
No. %
Private Non-Profit 85 46.96%
Private for Profit 88 48.62%
Local, county, or community government 1 0.55%
State government 0 0.00%
Federal Government 3 1.66%
Tribal Government 4 2.21%
Total 181 100.00%

Regardless of your current health insurance status, there are many substance abuse treatment options in Maine.

Withdrawal Treatment Payment Options in Maine

There are 181 substance abuse treatment facilities in Maine. Of the 181 facilities, 151 accept private insurance, and many clinics offer alternative payment options. At least 100 clinics accept state-financed health insurance, and 95 accept federal military insurance plans.

The uninsured rate in Maine is 8 percent, which is right in line with the national uninsurance. [10] Regardless of your health insurance status, many treatment facilities in Maine are willing to work with your financial situation to help you find an option you can afford.

You will find the typical payment methods used and how many Maine facilities accept each payment type in the table below.

Facility Payment Options, by Number and percent
No. %
Cash or self-payment 174 96.13%
Private Health Insurance 151 83.43%
Medicare 89 49.17%
Medicaid 144 79.56%
State-financed Health insurance 100 55.25%
Federal military insurance 95 52.49%
No payment accepted (free treatment for all clients) 1 0.55%
IHS/Tribal/Union (ITU) funds 33 18.23%
Other payments 1 0.55%
Sliding fee scale 114 62.98%
Treatment at no charge or minimal payment for clients who can’t pay 88 48.62%
Total 181 100.00%

About 83 percent of Maine treatment facilities accept private insurance, 49.2 percent accept Medicare, and 79.6 percent accept Medicaid payments. For clients with lower income, 63 percent of the facilities use a sliding fee scale based on income, and less than one percent provide treatment at no charge or a minimal amount.

Withdrawal Treatment Center Accreditations in Maine

Although you should pick a treatment facility in your insurance network, you should also make sure that it is accredited. An accredited facility employs researched-based methods and uses nationally recognized standards in addiction medicine.

To help regulate addiction medicine accreditation, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment of 2018 (SUPPORT) for Patients and Communities Act is one of the governing bodies that ensure the quality of accreditation. SUPPORT standardizes how treatment and care are administered to patients. Facilities accredited through SUPPORT offer nationally recognized guidelines that ensure that patients receive quality and uniform behavioral health care. [11]

Another governing body that oversees accreditation in behavioral medicine is the Commission on Accreditation of Rehabilitation Facilities (CARF). CARF can also assist you in finding an accredited facility or practitioner. Another organization that provides accreditation to service providers is the Joint Commission Accreditation for Addiction Treatment Providers (Joint Commission). The Joint Commission can also help you locate accredited providers. [12]

In the table below, you will find a list of the typical accreditation types or licenses to help you understand the number of accredited facilities and how common they are.

Facility Licensing, Certification, or Accreditation, by number and percent
No. %
Any listed agency/organization 160 88.40%
State substance abuse agency 153 84.53%
State mental health department 116 64.09%
State department of health 58 32.04%
Hospital licensing authority 6 3.31%
The Joint Commission 14 7.33%
Commission on Accreditation of Rehabilitation Facilities (CARF) 21 11.60%
National Committee for Quality Assurance (NCQA) 9 4.97%
Council on Accreditation (COA) 10 5.52%
Healthcare Facilities Accreditation Program (HFAP) 0 0.00%
Other national organization or federal, state or local agency 12 6.63%
Total 181 100.00%

The State of Maine has several reputable accredited providers. Over 88 percent of all facilities have some accreditation, and 84.5 percent are accredited state substance abuse agencies.

[1] “Drug Overdose Mortality by State,” Centers for Disease Control and Prevention, April 2020. https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm
[2] “Drug Overdose Deaths in the United States” Centers for Disease Control and Prevention, U.S. Department Of Health And Human Services, January 2020 https://www.cdc.gov/nchs/data/databriefs/db356-h.pdf
[3] “Detox Treatment for Withdrawal” American Addiction Centers, October 2020. https://www.withdrawal.net/detox/
[4] “Types of Treatment Programs” National Institutes of Health, January 2018. https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states/types-treatment-programs
[5]https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabsPDFWHTML2013/Web/PDFW/NSDUH-DetTabsSect5seTabs54to56-2013.pdf
[6] “How Much Does Rehab Cost?” Help.org, August 2019. https://www.help.org/rehab-cost/
[7] “How to Pay for Detox and Rehab” American Addiction Centers, November 2020. https://www.withdrawal.net/guides/payment-options/
[8] Meredith Watkins, “How to Find a State-Funded Rehabilitation Center,” American Addiction Centers, May 18, 2020, https://americanaddictioncenters.org/rehab-guide/state-funded.
[9] “Substance Abuse Services” Department of Human Services
Services https://www.dhs.pa.gov/Services/Assistance/Pages/Substance-Abuse.aspx
[10]Edward R. Berchick, Jessica C. Barnett, and Rachel D. Upton, “Health Insurance Coverage in the United States: 2018” US Census Bureau, November 2019, https://www.census.gov/content/dam/Census/library/publications/2019/demo/p60-267.pdf
[11] “Federal Laws Related to SAMHSA” SAMSA, April 2020, https://www.samhsa.gov/about-us/who-we-are/laws-regulations
[12] “Evolving With Care,” The Joint Commission, https://www.jointcommission.org/.
[13] “HHS Awards over $35 million to Increase Access to High Quality Health Care in Rural Communities,” HHS Press Office. https://www.hhs.gov/about/news/2020/08/20/hhs-awards-over-35-million-to-increase-access-to-high-quality-health-care-in-rural-communities.html
[14] “Maine and the ACA’s Medicaid expansion,” Health Insurance.Org, https://www.healthinsurance.org/maine-medicaid/