Medi-Cal and Coverage
Medi-Cal accepted | CARF 3-Year Accreditation (Horizon Treatment Services) | Nonprofit since 1976
Reviewed by Itzia Cruz, LCSW, Clinical Services Director | Last reviewed [Month YYYY]
Horizon Treatment Services is a nonprofit that accepts Medi-Cal, and for eligible members care is often available at no cost. You don’t need to check your coverage online first. Call the program you’re interested in, or contact us and we’ll help you find the right starting point.
There is no judgment here. Medi-Cal accepted.
If this is an emergency, call 911. If you're thinking about suicide, call or text 988.
Pick the situation that sounds most like yours.
See how to start at each Horizon program, and whether you need a county referral.
Match what you're going through to a level of care, then call.
Private insurance, no insurance, or outside our counties: here's what to do.
Families, caseworkers, and referral partners can call on someone's behalf.
Yes, Horizon Treatment Services accepts Medi-Cal. We’re a Medi-Cal and county-partnered nonprofit, not a private-pay program, and we’ve served Bay Area communities since 1976. If you have private insurance or no coverage at all, call anyway. Staff will talk through your situation and what’s available to you.
In California, Medi-Cal covers substance use treatment through each county’s behavioral health system. Alameda, Santa Clara, and San Mateo counties all take part in the Drug Medi-Cal Organized Delivery System (DMC-ODS), a county-run network of care for eligible Medi-Cal members, organized around American Society of Addiction Medicine (ASAM) levels of care.
Your county and your clinical needs shape where care starts. Some Horizon programs take calls directly; others need a referral from a county access line or a county provider. The table below shows the route for each program.
Some programs need a county referral first. Your county’s behavioral health line can help with screening and referrals for Medi-Cal treatment.
CenterPoint line: (844) 682-7215
ACCESS line: (800) 686-0101
Behavioral Health Call Center: 1-800-704-0900
Behavioral Health Access Line: (800) 334-6622
Each program handles its own screening and admission. Here’s how to start at each one.
| Program (location) | Level of care | How to start | Cost and coverage |
|---|---|---|---|
| Cherry Hill (San Leandro, Alameda County) | Sobering (stays of 23 hours or less); clinically managed detox | Call the program’s screening line, or Alameda County’s CenterPoint line at (844) 682-7215. Walk-ins accepted for sobering. Referrals also come from county providers and law enforcement. | Ask when you call |
| Palm Avenue Detox (San Mateo) | Clinically managed detox | Call the program for a phone screening. For other levels of care in San Mateo County, call the county ACCESS line at (800) 686-0101. | Ask when you call |
| Mission Street Recovery Station (San Jose, Santa Clara County) | Sobering and triage (voluntary stays up to 23 hours and 59 minutes) | Referral from an approved Santa Clara County provider. The county Behavioral Health Call Center is 1-800-704-0900. | Ask when you call |
| Butte County Sobering Center (Chico) | Sobering (voluntary stays up to 23 hours and 59 minutes) | Call the center or walk in. Butte County Behavioral Health’s Access Line is (800) 334-6622. | Ask when you call |
| Cronin House (Hayward) | Co-ed adult residential treatment, stays up to 90 days based on clinical need | Call Cronin House to talk through fit. Alameda County Medi-Cal members may also need a referral through CenterPoint at (844) 682-7215. Court referrals come from the court. | Medi-Cal accepted; no cost for eligible Medi-Cal members |
| Project Eden Adult Outpatient (Pleasanton) | Adult outpatient counseling | Call to schedule a phone screening and intake assessment. Court-ordered clients are welcome. | Alameda County Medi-Cal covers all services; fees may apply without Medi-Cal |
| Project Eden Youth Outpatient & Prevention Services (Hayward and Alameda County schools) | Youth outpatient counseling and prevention | Call or send the form on the program page. No school or court referral is needed. | Medi-Cal accepted; prevention services free; outpatient counseling on a sliding scale |
| Diversion Triage Center (Pleasanton) | Short-term diversion for adults 18+ in a mild to moderate crisis that doesn’t meet 5150 criteria | Referral from law enforcement, crisis teams, or community-based programs. | Ask the referring agency |
| Gateway Medical Sobering Center (Albuquerque, NM) | Medical sobering, up to 24 hours | Referrals 24/7 from emergency departments, EMS, law enforcement, hospitals, community partners, and family. | Medi-Cal is California’s program; ask Gateway about New Mexico coverage |
| Chrysalis (Oakland) | Women’s residential | Closed for renovation. A new facility is scheduled to open in 2027. Women’s residential care is available now at Cronin House. | Not applicable |
Explore Horizon programs
A phone screening answers that question, not a web page. Use the table as a rough guide, then call.
| If you need… | Level of care | Horizon programs |
|---|---|---|
| A safe place to get through intoxication, for a day or less | Sobering | Cherry Hill, Mission Street, Butte County, Gateway (NM) |
| Support getting safely through withdrawal | Clinically managed detox (withdrawal management) | Cherry Hill, Palm Avenue |
| Structured, 24/7 support to build recovery skills | Residential | Cronin House (co-ed) |
| Counseling while you live at home | Outpatient | Project Eden Adult Outpatient |
| Help for a teen or young adult, or prevention support | Youth outpatient and prevention | Project Eden Youth Outpatient & Prevention Services |
| An alternative to jail for an adult in crisis (via law enforcement or crisis teams) | Diversion | Diversion Triage Center |
Programs list co-occurring services, so substance use and mental health needs such as depression, anxiety, or trauma can be addressed together. At Cronin House, on-site Incidental Medical Services (IMS) certification supports medications for addiction treatment (MAT).
Getting started takes one call. Here’s what usually happens.
If you're not sure where to start, call our main line and we'll help you choose.
Staff ask about your substance use, health, and goals, and whether you have Medi-Cal.
If you need detox before residential treatment, or a county referral first, staff will explain that step.
Staff walk you through the program and help you start your plan.
Don’t have your Medi-Cal card, or not sure whether you’re enrolled? Call anyway. You don’t need every answer before you reach out.
We’ll help you figure out the right next step. There is no judgment here. Medi-Cal accepted.
Call the program or our main line. Horizon is a Medi-Cal and county-partnered provider, and staff will talk through your situation and the options available to you.
Call anyway. Staff can talk through your options, and your county’s behavioral health access line can help you learn whether you may qualify for Medi-Cal or county-funded treatment.
Medi-Cal treatment is organized by county, so start with your own county’s behavioral health access line. In New Mexico, the Gateway Medical Sobering Center in Albuquerque accepts referrals 24 hours a day.
Next step
Family members, caseworkers, and partner agencies can call a program on someone’s behalf. Each program sets its own referral route, so use the table above to find the right one.
Partner resources
A nonprofit safety net since 1976.
Horizon started as Horizon House on an Alameda County contract and has served Bay Area communities for more than 40 years. We accept Medi-Cal and work with families, businesses, and public agencies.
Accredited and licensed.
Horizon Treatment Services holds CARF 3-Year Accreditation, and our California programs are licensed by the California Department of Health Care Services (DHCS). Each program’s license number is posted on its page.
One connected continuum.
Sobering, detox, residential, outpatient, youth prevention, and diversion all sit within one organization, so you can step up or step down without starting over.
No judgment, and everyone welcome.
We serve people regardless of race, gender, class, or sexual orientation. Spanish-speaking staff and bilingual resources are available.
Credentialed clinical leadership.
Our leadership includes licensed clinicians and physician medical directors, among them an addiction psychiatrist and addiction medicine physicians.
Yes. Horizon Treatment Services accepts Medi-Cal, and for eligible members care is often available at no cost. Each program screens by phone, so call the program you’re interested in or our main line at (510) 582-2100 to talk through your eligibility and next steps.
Medi-Cal covers substance use treatment for eligible members through county behavioral health systems, including detox (withdrawal management), residential, and outpatient care when it’s clinically appropriate. Where you start depends on your county and your needs, and some programs require a county referral.
No. There’s nothing to check online first. Call the program, and staff will ask about your coverage during the phone screening. If you don’t have your Medi-Cal card handy, call anyway.
Call anyway. Horizon is a Medi-Cal and county-partnered nonprofit, and staff will walk through your situation and the options open to you. Your county’s behavioral health access line can also help you learn whether you may qualify for Medi-Cal.
It depends on the program. Cherry Hill and the Butte County Sobering Center accept walk-ins for sobering, Project Eden takes calls directly, and Mission Street requires a Santa Clara County provider referral. Alameda County Medi-Cal members may need a CenterPoint referral for residential care.
Yes. Family members, caseworkers, and partner agencies can call a program on someone’s behalf. Staff will explain the next step. Sharing your treatment information with others generally requires your written permission.
Yes. Horizon protects substance use treatment records under federal confidentiality rules (42 CFR Part 2) and HIPAA, and we don’t sell client health information. You can read how we use and share information in our Notice of Privacy Practice.
Not right now. Chrysalis in Oakland is closed for renovation, and a new facility is scheduled to open in 2027. Women’s residential services are available now at Cronin House, our co-ed residential program in Hayward.
Many are. Project Eden prevention services are free, youth outpatient counseling is offered on a sliding fee scale, and Medi-Cal is accepted. Call Project Eden to learn what your family qualifies for.
Yes. Horizon operates the Gateway Medical Sobering Center in Albuquerque, New Mexico, which provides up to 24 hours of medically supervised sobering care for adults. Referrals are accepted 24 hours a day from emergency departments, EMS, law enforcement, community partners, and family.
You don’t have to sort out coverage on your own. Call the program you’re interested in, or reach out and we’ll help you find the right next step.
There is no judgment here. Medi-Cal accepted.
Itzia Cruz, LCSW, Clinical Services Director, Horizon Treatment Services. Our full clinical and medical leadership, including our physician medical directors, is listed on our leadership page.
Meet our clinical and medical leadership
Mailing address: Horizon Treatment Services, P.O. Box 4217, Hayward, CA 94540 (mailing only; not a program location) | contact@hsimail.org
Medical disclaimer: The information on this page is for general education and doesn’t replace professional medical advice, diagnosis, or treatment. Coverage depends on your eligibility, your county, and your clinical needs. If you’re in crisis or having a medical emergency, call 911 or 988.
