How to Find Detox 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[1]. 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.

Rehab Options in Maryland

Substance abuse treatment begins with a detox. This process removes the addictive substance from the body. [3] 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. [4]

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
	Facilities
	No.	%
Outpatient	372	90.07%
Regular	348	84.26%
Intensive	247	59.81%
Day Treatment/Partial Hospitalization	55	13.32%
Detoxification	78	18.89%
Methadone/buprenorphine maintenance or naltrexone treatment	186	45.04%
Residential (non-hospital)	74	17.92%
Short Term	36	8.72%
Long Term	64	15.50%
Detoxification	25	6.05%
Hospital Inpatient	10	2.42%
Treatment	8	1.94%
Detoxification	10	2.42%
Total	413	100.00%

How Much is Rehab in Maryland?

For most uninsured patients, the inability to pay for treatment keeps them from getting professional help. [5] 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. [6] 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). [13].

State-Funded Rehab & 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. [7] 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.[8] 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
	Facilities
	No.	%
Private Non-Profit	139	33.66%
Private for Profit	233	56.42%
Local, county, or community government	18	4.36%
State government	15	3.63%
Federal Government	8	1.94%
Tribal Government	0	0.00%
Total	413	100.00%

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

Ways to Pay for Rehab 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. [10] 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
	No.	%
Cash or self-payment	369	89.35%
Private Health Insurance	245	59.32%
Medicare	144	34.87%
Medicaid	325	78.69%
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%
Other payments	0	0.00%
Sliding fee scale	186	45.04%
Treatment at no charge or minimal payment for clients who can’t pay	137	33.17%
Total	413	100.00%

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.

Treatment Center Accreditations 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. [11] 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. [12]

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
	No.	%
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%
Total	413	100.00%

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.

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