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Long term drug treatment is typically done in a residential setting where the individual will stay and live on the premises of a drug treatment facility for 90 days or longer. Individuals that are best suited for a long term drug treatment program are typically people that have completed other types of treatment such as counseling, outpatient therapy or short term residential rehabs with little to no success. This gives the recovering addict relief from outside sources and temptations, allowing them to focus solely on their addiction and recovery without distraction.

A long term drug treatment program typically directs the treatment focus on the "resocialization" of the individual. This addiction treatment model uses the program's entire "community," including other residents, staff, and the social context, as active components of addiction treatment. The primary focus of a long term drug treatment program is on developing personal accountability, responsibility and socially productive lives. A long term drug treatment program is highly structured with activities designed to help residents examine damaging beliefs and destructive patterns of behavior and to adopt new constructive strategies for dealing with life's challenges.

Getting treatment for drug addiction or alcoholism is important to everyone. If you can't afford to pay for a drug rehab center right now, Medicaid can make it possible for you to get the care that you need so that you can rehabilitate successfully and recover from addiction.

Medicaid is available only to certain low-income individuals and families who fit into an eligibility group that is recognized by federal and state law. Medicaid does not pay money to you; instead, it sends payments directly to the drug rehab center. Depending on state's rules in Louisiana, you may also be asked to pay a small part of the cost (co-payment) for some addiction treatment services.

Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are an U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group.

Your child may be eligible for coverage if he or she is an U.S. citizen or a lawfully admitted immigrant, even if you are not (however, there is a 5-year limit that applies to lawful permanent residents). Eligibility for children is based on the child's status, not the parent's. Also, if someone else's child lives with you, the child may be eligible even if you are not because your income and resources will not count for the child.

In general, you should apply for Medicaid if your income is low and you match one of the descriptions of the Eligibility Groups. (Even if you are not sure whether you qualify, if you or someone in your family needs drug treatment or any other health care and you cannot afford it, you should apply for Medicaid and have a qualified Louisiana caseworker evaluate your situation.)

Drug rehab centers that offer sliding scale fees are variable costs for treatment services, or taxes based on one's ability to pay for addiction treatment. Such fees are thereby reduced for those who have lower incomes or less money to spare after their personal expenses. Regardless of income, every person should be able to obtain treatment.

Drug rehab centers may have various motivations for offering their services at a sliding scale. These may include the desire to be charitable to those less able to afford addiction treatment, their ability to get a tax deduction for offering their services as charity, or their ability to benefit from the revenue even from a partial payment. Some drug rehab centers may have their profits that would have been obtained from a full-price sale subsidized by some other means. These may include charging a higher cost to a wealthier client, obtaining grants from government agencies or non-profit organizations, or obtaining a tax deduction.

Whatever the motivation the sliding scale payment method makes it less difficult to obtain addiction treatment, for those with lower income.

The growing costs of drug rehabilitation is staggering. Surveys show that many individuals who need treatment for drug addiction and alcoholism aren't getting it due to the costs involved with drug rehabilitation and counseling. For that reason, many never even step foot into a drug rehab center even though there are a number of options available for payment assistance. For some, it is difficult to admit that they require financial assistance when it comes to seeking treatment for addiction. However, many drug rehab centers even some private rehabs offer payment assistance to those who are struggling with drug addiction or alcoholism. Most drug rehabilitation organizations will request that those seeking financial assistance or reduced payments investigate all avenues before providing payment assistance. Typically, when all other avenues have been exhausted, consideration for payment assistance will be made.