Payment Options by Treatment Facility Type, 2012

"Facilities were asked to indicate whether or not they accepted specified types of payment or insurance for substance abuse treatment. They were also asked about the use of a sliding fee scale and if they offered treatment at no charge to clients who could not pay.
"• The proportions of all facilities reporting acceptance of specific payment options were:
"  • Cash or self-payment  90 percent
"  • Private health insurance  65 percent
"  • Medicaid  58 percent
"  • State-financed health insurance  40 percent
"  • Medicare  33 percent
"  • Federal military insurance  33 percent
"• Facilities operated by federal and tribal governments were least likely to accept cash or self-payment (41 and 42 percent, respectively). Private for-profit and federal government-operated facilities were less likely to accept Medicare, Medicaid, or state-financed health insurance than were facilities operated by private non-profits and state, local, or tribal governments.
"• Acceptance of Access to Recovery vouchers was reported in 35 states or jurisdictions. The proportion of facilities accepting Access to Recovery vouchers ranged from 2 percent in Utah to 74 percent in Idaho [Table 6.19b].16
"• Use of a sliding fee scale was reported by 62 percent of all facilities, ranging from 18 percent of facilities operated by the federal government to 82 percent of facilities operated by local governments.
"• Facilities operated by tribal governments were the most likely to accept IHS/63817 contract care funds (70 percent).
"• Treatment at no charge for persons who cannot afford to pay was offered by 50 percent of all facilities, ranging from 21 percent of private for-profit facilities to 84 percent of facilities operated by tribal governments."