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Substance use treatment

The Health Care Authority (HCA) provides funding and oversight for substance use treatment services for people enrolled in Apple Health (Medicaid). 

Do you need immediate assistance?

See what substance use treatment services are available to you as an Apple Health (Medicaid) client.

View behavioral health services

How do I get Apple Health treatment for a substance use disorder?

In Washington, the name of Medicaid is Washington Apple Health.

Are there member satisfaction surveys?

At least once a year, a voluntary survey will be sent to see how you or your family member feels about the services you received. If you are contacted please take the time to respond. Your voice is the best way to improve the quality of your care. Any information you provide will be confidential.

What types of services are available?

We support the following types of substance use treatment services:

How do I find a provider?

You can find a provider in our directory of certified treatment agencies.

Not sure how to decide if a provider is right for you? Find out what to ask when looking for a treatment program.

Who has priority for Apple Health treatment?

  • Pregnant individuals who use IV drugs
  • Pregnant individuals
  • Others who use IV drugs
  • Postpartum individuals (up to one year)

To learn more, download the pregnant women substance use disorder (SUD) resource guide.

Second-highest priority groups

  • Parents/legal guardians involved with Child Protective Services
  • Parenting adults
  • Youth

Frequently asked questions (FAQs)

Find answer to your questions about substance use treatment.

Yes. Research shows that treatment for substance use disorders works to reduce and stop use and the negative consequences. Addiction is a serious disease that not only harms individuals and families, but the entire community. The good news is that treatment and recovery programs have provided hope, healing and a new life to thousands of people in Washington and across the nation. 

HCA invests in treatment services that are evidence-based, and delivered by certified treatment agencies. Certified agencies meet established standards for providing effective services, which includes individual treatment plans to meet specific needs. Specialized treatment services are available for adolescents, pregnant and parenting individuals (and their children), members of minority populations, and those with disabilities. 

Treatment also saves public spending on emergency medical care, unemployment and criminal justice. Like any chronic health condition, early and ongoing treatment, and recovery support, are important for long-term health.

First, it's important to understand substance use disorder, and treat it with the same urgency as any other chronic and disabling disease. Anyone can develop a substance use disorder, but some people are at higher risk, such as those with a family history, and people who begin using alcohol or other drugs before their bodies and brains are developed. Next, help loved ones see that they need help, hold them accountable, and support them throughout treatment.

To get free referrals to treatment and recovery resources, and 24-hour emotional support, contact:


  • Treatment for substance use disorders is covered in all private and employer-sponsored health plans under the Affordable Care Act.
  • If you are enrolled in Apple Health (Medicaid), you will contact a treatment agency directly for setting up your care. You do not need a referral from your managed care plan, because this type of health care is funded directly by Medicaid.
  • If you are low-income and need help paying for treatment, apply for Apple Health at Washington Healthplanfinder