How to find rehab in Maryland
Finding detox in Maryland can be difficult. Here's everything you need to know about MD rehab options and how to find local treatment as soon as possible.
Takeaways from this article:
Types of rehab in Maryland
How to pay for detox in Maryland
State-funded-rehab in Maryland
Taking that first step toward healing yourself from substance abuse addiction is a huge decision.
With Maryland’s drug overdose mortality rate at 38.2 percent per 100,000, the substance abuse problem affects many citizens in the state. The mortality rate equals around 2,369 people per 100,000 that died in Maryland due to a drug overdose in 2018. The American Addiction Centers wants to help you and a loved one find affordable and accredited therapy in Maryland. We are here to help anyone suffering from addiction find the help and support they need.
Below, we have helpful information that will provide you with everything you need to narrow down your choices when it comes to selecting a treatment center. There’s detailed information about the treatment process, facility types, and ways to pay for treatment. Additionally, there is information on the importance of accreditation when choosing a facility. Once you are armed with the information, you can make the best decision for your health and recover from addiction.
Detox & Rehab Options in Maryland
Substance abuse treatment begins with a detox. This process removes the addictive substance from the body.  Detoxification typically occurs in a medical facility or in some facility where the patient is monitored. Many patients experience pain and stress during detox.
To help alleviate the pain and stress, many facilities administered a medically supervised detox. With a medically supervised detox, patients are given medications and therapy to manage the withdrawal’s unpleasant symptoms. After the patient is stabilized, the next phase of recovery begins. The patient transitions to an inpatient or outpatient program and attends long-term counseling to address the addiction’s core. 
Patients elect to receive care in an inpatient or outpatient facility. The main difference between the facilities is where the patient resides during treatment. In an inpatient facility, the patient lives on site. Typically, an inpatient facility administers more intensive care, and the patient has access to medical staff 24/7. In an outpatient facility, the patient resides at home and attends counseling and therapy at the treatment center. Outpatient care is more flexible and a good choice for patients who lack leave time or have personal home matters that they need to be home for daily. Either facility offers treatment that will help you overcome addiction.
Listed below are the number of treatment facilities in Maryland that offer each level of care:
|Type of Care, by number and percent|
|Day Treatment/Partial Hospitalization||55||13.32%|
|Methadone/buprenorphine maintenance or naltrexone treatment||186||45.04%|
How to Pay for Detox & Rehab in Maryland
For most uninsured patients, the inability to pay for treatment keeps them from getting professional help.  The concern is understandable because addiction treatment can be expensive. The average cost for outpatient care ranges from $3,000 to $10,000 for 90 days, and inpatient care ranges from $5,000 to $20,000 for 30 days.  Fortunately, many inpatient and outpatient clients accept private and state-assisted health insurance. And, some facilities offer low-cost and sometimes free programs for uninsured patients.
For those with health insurance, treatment in private facilities is the best option. These facilities offer more amenities, treatment options, and lower patient-to-staff. However, patients without health insurance have viable options too. State-funded facilities provide accredited treatment free of charge to qualifying patients.
However, state facilities cannot offer a diversity of amenities or treatment options due to limited funding. These facilities also have larger patient-to-staff ratios but can provide treatment for lower-income patients for free. There are several options in the state of Maryland to help lower-income patients pay for treatment. Some of these options include grants or services sponsored by Substance Abuse and Mental Health Services Administration (SAMHSA), Medicare and Medicaid, U.S. Department of Veterans Affairs, and The Affordable Care Act (ACA). .
State Funded Rehab vs. Private Rehab in Maryland
Patients receive substance abuse treatment in a private or state-funded facility. For those with health insurance, a private facility is preferred due to the diversity of amenities, treatment options, and low staff-to-patient ratio.  That state government funds a state-funded facility. These facilities often have a limited budget and can not offer as many services or amenities as a private clinic.
To receive treatment in a state-funded facility, patients must meet specific criteria. The patients apply for treatment and undergo a qualification process. Patients are typically selected based on the severity of addiction and income level. Although these facilities do not offer as many amenities, they are a good option for non-insured or lower-income patients to get the proper, quality care to recover from addiction.
The table below lists Maryland Facilities’ number by private nonprofit, private for-profit, locally funded, state-funded, or federally funded.
|Facility Operation, by number and percent|
|Private for Profit||233||56.42%|
|Local, county, or community government||18||4.36%|
Regardless of your current health insurance status, there are many substance abuse treatment options in Maryland.
Treatment Payment Options in Maryland
There are 413 substance abuse clinics in Maryland, and 245 of them accept private insurance. At least 166 clinics accept state-financed health insurance, and 97 accept federal military insurance plans. Many of these facilities also offer other options for payment.
Maryland’s uninsured rate is 6 percent, below the national uninsurance rate of 8 percent.  Although many Maryland residents have some health insurance, there are many treatment facilities in Maryland with programs to assist those without insurance to meet substance abuse care expenses in their facility.
The table below lists the payment methods used and how many Maryland facilities accept each payment type.
|Facility Payment Options, by Number and percent|
|Cash or self-payment||369||89.35%|
|Private Health Insurance||245||59.32%|
|State-financed Health insurance||166||40.19%|
|Federal military insurance||97||23.49%|
|No payment accepted (free treatment for all clients)||6||1.45%|
|IHS/Tribal/Union (ITU) funds||16||3.87%|
|Sliding fee scale||186||45.04%|
|Treatment at no charge or minimal payment for clients who can’t pay||137||33.17%|
About 59 percent of Maryland Treatment centers accept private insurance, around 35 percent accept Medicare, and 79 percent accept Medicaid payments. For clients with lower income or uninsured patients, 45.3 percent of the facilities use a sliding fee scale based on income, and 33.2 percent provide treatment at no charge or a minimal amount.
Finding Accredited Treatment Centers in Maryland
Although Maryland has many treatment facilities, picking the best option should not be solely based on your insurance coverage. Facilities that are accredited ensure that the quality of care meets national standards. At a minimum, all substance abuse facilities must have licenses issued by the state. However, many clinics take the time and money to attain accreditation.
Third-party organizations supervise the accreditation process. These organizations examine the staff, facility, programs, and more to ensure that they meet the agency’s strict standards. A facility that is accredited commits to ongoing training and must maintain compliance with privacy laws.
Three leading governing agencies offer accreditation:
- The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment of 2018 for Patients and Communities Act (SUPPORT)
- The Commission on Accreditation of Rehabilitation Facilities (CARF)
- The Joint Commission Accreditation for Addiction Treatment Providers (Joint Commission)
SUPPORT is a bipartisan bill developed to address the nation’s opioid overdose epidemic. It’s a governing body that certifies that treatment and care administered to patients meet nationally recognized guidelines for quality and uniform behavioral health care.  CARF is the largest U.S. accrediting organization for addiction facilities and evaluates substance abuse and dual diagnosis programs. The Joint Commission is the second-largest substance abuse accreditation program and the largest organization that accredits medical facilities and hospitals. 
The table below lists 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|
|Any listed agency/organization||390||94.43%|
|State substance abuse agency||349||84.50%|
|State mental health department||204||49.39%|
|State department of health||279||67.55%|
|Hospital licensing authority||14||3.39%|
|The Joint Commission||102||24.70%|
|Commission on Accreditation of Rehabilitation Facilities (CARF)||183||44.31%|
|National Committee for Quality Assurance (NCQA)||11||2.66%|
|Council on Accreditation (COA)||8||1.94%|
|Healthcare Facilities Accreditation Program (HFAP)||10||2.42%|
|Other national organization or federal, state or local agency||47||11.38%|
Many facilities in Maryland have accredited providers. Over 94 percent of all facilities have some accreditation, and 84.5 percent are accredited state substance abuse agencies.
 “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
 “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
 “Detox Treatment for Withdrawal” American Addiction Centers, October 2020. https://www.withdrawal.net/detox/
 “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
 “How Much Does Rehab Cost?” Help.org, August 2019. https://www.help.org/rehab-cost/
 “How to Pay for Detox and Rehab” American Addiction Centers, November 2020. https://www.withdrawal.net/guides/payment-options/
 Meredith Watkins, “How to Find a State-Funded Rehabilitation Center,” American Addiction Centers, May 18, 2020, https://americanaddictioncenters.org/rehab-guide/state-funded.
 “Substance Abuse Services” Department of Human Services
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
 “Federal Laws Related to SAMHSA” SAMSA, April 2020, https://www.samhsa.gov/about-us/who-we-are/laws-regulations
 “Evolving With Care,” The Joint Commission, https://www.jointcommission.org/.
 “Substance Abuse and Mental Health Services Administration”: https://www.samhsa.gov/grants