Suboxone Doctors Covered by Medicaid in Peachtree Corners GA and Asheville NC

Medicaid generally covers suboxone treatment for individuals who are dealing with opioid dependence or addiction. However, various qualifying factors determine the extent of an individual’s Medicaid coverage for Suboxone treatment. In some states, approved coverage for a Suboxone prescription must occur with prior authorization.

To obtain prior authorization, the doctor prescribing Suboxone must receive approval from Medicaid before the coverage is provided to the patient. The prior authorization approval requires documentation from the doctor that shows why the medication is medically necessary. In some states, prior authorization may also require that the patient is receiving appropriate counseling in combination with the medication.

Furthermore, Medicaid has established limits on how long a person can receive Suboxone treatment and continue receiving coverage. In general, this limit varies between states. After you exceed the limit established by your state’s Medicaid program, your coverage for Suboxone treatment may not be approved.

In North Carolina, Medicaid generally covers Sublocade, an injected form of buprenorphine administered by a provider, to treat opioid dependence through a prior authorization process. As Sublocade only requires injections once a month, it may be more convenient for some patients.

If you lack Medicaid and have no other health insurance plan that covers Suboxone treatment, there are cost-assistance programs that provide eligible Suboxone patients with discounts. There are also cost-assistance programs for Suboxone patients with Medicaid that can lower the amount of their monthly co-payment.

Only physicians who have completed Suboxone treatment training can prescribe and administer Suboxone to patients dealing with opioid dependence or addiction. Properly trained doctors can administer Suboxone outside of opioid treatment programs (OTPs) under the guidelines of the Substance Abuse and Mental Health Services Administration (SAMHSA). After Suboxone doctors receive the SAMHSA-certified training, they receive a waiver which serves as proof of their training.

The first and primary qualification for Medicaid coverage of Suboxone is that you must be an individual with an opioid dependency or addiction who is actively experiencing withdrawal symptoms or is in a maintenance phase of recovery. Suboxone prescriptions are only initiated for individuals with moderate to severe opioid withdrawal symptoms.

With that in mind, some common opioid withdrawal symptoms include the following:

• Abdominal pain
• Anxiety
• Agitation
• Body and muscle aches
• Chills and goosebumps
• Diarrhea
• Insomnia or difficulty with sleep
• Nausea and vomiting
• Runny nose
• Sweating

If you are looking for a clinic in Asheville, North Carolina, that specializes in MAT and accepts Medicaid, we welcome you to get in touch with us at the Ascension Solutions Treatment clinic! We are proud to specialize in providing MAT with buprenorphine, Sublocade, Suboxone, and Vivitrol to anyone dealing with opioid dependency or addiction. To find out if we are currently accepting new patients, please feel free to give us a call at your convenience. We serve patients from Peachtree Corners, GA, Asheville NC, Roswell GA, Swannanoa NC, Norcross GA, Woodfin NC, Dunwoody GA, Biltmore Forest NC, Johns Creek GA Fairview NC, Azalea NC, Western North Carolina, and the surrounding areas.