Workit Health now accepts Molina Medicaid in Washington state for opioid treatment, including Suboxone.
According to the LA Times, Molina Healthcare was founded when Long Beach doctor C. David Molina recognized the pattern of patients with lower incomes seeking treatment in his emergency room because they had no affordable options for non-emergency care. Seeing this need, he opened a clinic to provide more timely and affordable care. Over the decades since, Molina Healthcare has expanded from one California clinic to a multi-state managed care company.
In Washington, substance use disorder treatment is covered by Molina for people who have Molina Healthcare Apple Health (Medicaid). They also offer a Behavioral Health Services Only (BHSO) plan that covers mental health and substance use disorder treatment services for Washington residents who have Apple Health (Medicaid) fee-for-service plans.
The need for opioid use disorder treatment
Despite old stereotypes and stigma about addiction, opioid use disorder is not a sign of weakness or a moral failing. It’s an illness—a disease that claims far too many lives. In 2021, the state of Washington lost more than 2,000 people to overdose deaths.
Medication-assisted treatment—like buprenorphine—is recognized as the most effective and scientifically supported kind of treatment program for recovery from opioid addiction. Buprenorphine is the primary ingredient in Suboxone (buprenorphine/naloxone). Despite being widely endorsed by the medical community and governmental health agencies, buprenorphine treatment can be difficult to access. The Drug Addiction Treatment Act (DATA) restricts prescribing of buprenorphine to providers who have completed the training to receive a waiver. In a 2014 study, it was estimated that 53.4% of U.S. counties, most of them rural, had no physicians at all who possessed a DATA waiver. Workit Health is bridging this gap by connecting people who need treatment with qualified, waivered providers via our telehealth Suboxone program and by accepting Molina Medicaid in Washington.
Molina Medicaid covers Suboxone treatment (buprenorphine/naloxone) for opioid use disorder
Molina Healthcare covers substance use disorder treatment under its Behavioral Health umbrella. As medically necessary, this can include inpatient treatment, intensive outpatient, or medication-assisted treatment provided through an outpatient program like Workit Health.
Prescription drug coverage is part of Molina Healthcare Apple Health (Medicaid) when the prescription is filled through a pharmacy that is in-network. Suboxone and other buprenorphine/naloxone medications are included on the Molina Healthcare Drug List (formulary), which means they are covered by this plan. It’s important to note that many buprenorphine medications may require prior authorization in order to be covered. But at the time of this writing, Suboxone itself is listed as a preferred medication on the formulary and is not listed as requiring prior authorization.
Do all Medicaid programs cover medication-assisted treatment?
Medicaid coverage is determined at the state level, and not all states cover substance use disorder treatment. However, in Washington, Medicaid (under the name Apple Health) does have substance use disorder benefits including medication-assisted treatment like Suboxone. So not all Medicaid programs in the country cover medication-assisted treatment, but in the state of Washington, they do if it is determined to be medically necessary and is administered by a provider who accepts the plan.
Finding addiction treatment in Washington that accepts Molina Medicaid
One of the simplest ways to find a provider that accepts Molina Healthcare Apple Health (Medicaid) is by using the search option they link to on their website. Click here for that search. You can narrow your search by area, or you can search providers by name or keyword. For example, searching the keyword “Workit” will bring up several Workit Health affiliated providers who are licensed and practicing in Washington and who accept Molina’s plan. Since Workit Health accepts Molina Medicaid for opioid use disorder treatment in Washington, you can also just click the “Sign up” button in the top right corner of the screen to get started.
How does Workit Health’s virtual program for Suboxone treatment work?
You begin by downloading the Workit Health app and creating an account. During this step, we’ll verify your insurance or give you pricing information. Have your Molina Healthcare Apple Health (Medicaid) card and your ID ready when you sign up!
In the app, you can schedule your first appointment, which will be an orientation to show you how the program works. This orientation appointment will not be with a provider. The care team member who does your orientation will tell you how to order drug tests, which are shipped to you at no extra cost. Our drug testing process is 100% virtual, simple, and nonjudgmental. At your orientation, your care team member will also help you schedule an appointment with a clinician.
Your appointment with your clinician will take place via video chat. Workit affiliated providers are compassionate, kind, and dedicated to helping people make positive change. After this provider visit, if clinically appropriate, the clinician will e-prescribe Suboxone (buprenorphine/naloxone) to your local pharmacy. You will have regular follow-up appointments with your clinician, and you will need to complete regular drug tests. This is required both by law and by the ethical guidelines for providing excellent care.
Through the Workit Health app, you will receive ongoing support through recovery group meetings, learn new coping tools by completing courses in our interactive curriculum, and message your care team if questions come up. This treatment program for opioid use disorder is covered by Molina Healthcare Apple Health (Medicaid).