How does Medi-Cal cover addiction treatment?
Medi-Cal is California's Medicaid program. It covers substance use disorder treatment for eligible members, and services are typically arranged through county behavioral health departments.
Many counties take part in the Drug Medi-Cal Organized Delivery System (DMC-ODS). According to DHCS, DMC-ODS is a county opt-in program that organizes a continuum of care based on the ASAM Criteria, the national standards for matching people to the right level of care. It began in 2015 as the first substance use disorder demonstration approved under Medicaid Section 1115 authority, giving counties more local control over services.
If you have Medi-Cal, start by contacting your county's behavioral health department or asking a program whether it accepts Medi-Cal. Browse California programs that accept Medi-Cal or learn how Medicaid coverage works in general.
Have questions about Medi-Cal or private insurance? Call (877) 847-2855 to talk with our admissions helpline. It's free and confidential.
Who licenses rehabs in California?
DHCS has sole authority to license residential addiction treatment facilities that serve adults in California. A license is required for programs that provide services such as detoxification, counseling, treatment planning or incidental medical services. Licensed adult residential facilities must also hold a DHCS level-of-care designation or ASAM level-of-care certification.
DHCS certification is a separate status for programs that meet the state's quality standards. Many licensed facilities are also certified.
Before you commit, ask the program for its DHCS license or certification number and confirm it with the state. In 2018, California raised the civil penalty for operating an unlicensed facility to $2,000 per day under AB 3162.
What does SB 43 mean for families?
Families often ask whether they can get help for a loved one who refuses treatment. Senate Bill 43, signed October 10, 2023, changed California's Lanterman-Petris-Short (LPS) Act, which governs involuntary holds and conservatorships.
According to DHCS, SB 43 expanded the definition of "gravely disabled" to include people who are unable to provide for their basic personal needs because of a severe substance use disorder, or a mental health condition combined with a severe substance use disorder. "Severe" refers to the diagnostic criteria in the current DSM. The updated definition applies to 72-hour holds, 14-day intensive treatment and conservatorship.
The law took effect January 1, 2024. Counties could delay putting the new definition into effect until January 1, 2026, at the latest. SB 43 applies to serious situations, not to most people who are struggling with substance use. Ask your county behavioral health department how the process works locally.
How does California protect people from patient brokering?
California has taken steps to stop programs from trading payments for patients. SB 1228, signed in 2018, bars DHCS-licensed and certified addiction treatment programs, and people who work for or own them, from giving or receiving anything of value for patient referrals. Programs that break the rule risk losing their license or certification.
A related 2018 law, SB 992, requires licensed and certified programs to disclose financial ties to sober living homes.
Be cautious of anyone who offers free rent, travel or gifts in exchange for entering treatment. If you're considering recovery housing, read about sober living homes in California and ask who operates the home. Our guide on how to choose a rehab lists other red flags.
Where can you find treatment in California?
Treatment is available across the state, with the most options in major metro areas:
- Los Angeles County and the San Fernando and San Gabriel valleys
- Orange County, including Costa Mesa and Newport Beach
- San Diego and North County
- The San Francisco Bay Area, including Oakland and San Jose
- Sacramento and the Central Valley, including Fresno
- The Inland Empire, including Riverside and San Bernardino
Use the filters on this page to find detox centers, residential programs, medication-assisted treatment or programs for veterans.
Should you get treatment in California or travel?
Staying in California usually makes sense if you have Medi-Cal, since coverage generally applies to in-state providers. Local treatment also makes it easier for family to take part and for you to continue outpatient care after a residential stay.
If you have private insurance, check whether a program is in your network before you travel, in or out of state. Our guide on whether insurance covers rehab explains networks and prior authorization.
Find the right program in California
California has a wide range of options, so focus on licensing, the right level of care and a clear plan for aftercare. For help comparing programs and checking your coverage, call (877) 847-2855 to reach our admissions helpline. If you or someone you love is in danger, call 911, or call or text 988 for the Suicide & Crisis Lifeline.