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Dozens Died in Sober Living Homes as Arizona Fumbled Fraud Response

by

Jennifer Costin

August 30, 2023

Generally an individual comes into an Oxford House following a 28-day rehabilitation program or at least a 5 to 10 day detoxification program. Each house adheres to the absolute requirement that any member who returns to using alcohol or drugs must be immediately expelled. Finally, a transitional housing center with a sobriety requirement could be of great help if you’re struggling with housing insecurity, mainly due to addiction struggles. Our compassionate and knowledgeable Rehab Advisors will help you find the right treatment program for your needs and budget. Tough days might come, but with our supportive sober community, you’re never alone.

The Oxford House Model provides a community based, supportive, and sober living environment.

Some sober living homes have exercise equipment, fitness areas, recreational space, pools and cookout areas. The homes may also be near an outpatient treatment center or on the campus of residential rehab facility. Sober living homes are maintained through fees, and residents can usually stay as long as they want. There is no in-house treatment or requirement to attend a specific recovery program, but 12-step participation is popular in Oxford Houses. A new house member must be interviewed by current residents and must receive an 80 percent vote of approval to be accepted.

Meanwhile, word spread on social media that white vans were appearing on reservations and people with addiction were disappearing, said state Sen. Theresa Hatathlie, a Democrat from Coalmine Mesa on the Navajo Nation. Hatathlie said the behavioral health facilities’ tactics of sending vans to tribal communities grew increasingly aggressive as they recruited clients with promises of free food, housing and clothing. Police intervened but didn’t yet fully understand what was happening, the state senator said. That same year, Ducey appointed Jami Snyder, a deputy director at AHCCCS and former head of Texas’ Medicaid agency, to serve as director of AHCCCS. She pursued new initiatives, like additional mental health services and housing options for Medicaid recipients. She also had a more hands-off approach to agency operations, including fraud prevention, than her predecessors, according to former AHCCCS employees.

Building a Recovery Community

These homes can offer an in-between option for individuals after they complete a treatment program and before they return to their homes and lives. This transition can provide continued support while residents learn to apply their newly learned self-reliant skills to real-life situations while they remain drug- or alcohol-free in a community environment. Regardless of their differences, both sober living homes and halfway houses provide essential transitional housing that helps individuals maintain long-term recovery from substance abuse. They offer a safe, supportive environment with structure and accountability, allowing individuals to rebuild their lives. By providing a supportive community and access to resources, sober living homes and halfway houses can make all the difference in helping individuals achieve long-term sobriety. Sober living is designed for individuals who have completed primary addiction treatment and are seeking a supportive environment to continue their recovery.

Oxford House – Horizon Park

Jeffrey Hustito was one of at least two Native Americans to die in sober living homes in December 2022 as AHCCCS tried to root out fraud by suspending payments to providers. At least 10 behavioral health providers, including Beyond4Wallz, received suspension notices from AHCCCS that month. Behavioral health outpatient clinics drove the most significant increase, with officials later saying that many of these facilities were part of the multilayered scheme to defraud Medicaid. The clinics would often coordinate with unregulated sober living homes to house patients eligible for the program. The clinics would then pay the homes for supplying patients, using a cut of the outsize profits they made billing the American Indian Health Program. The deaths, almost all from drug and alcohol use, span from the spring of 2022 to the summer of 2024, according to a review of records from the Maricopa County Office of the Medical Examiner.

Sober Living vs. Halfway Houses

A member of the Ok Rehab team will discuss your treatment options, take you through the types of recovery housing, and make sure you feel at ease. During the evening, housemates attend group therapy sessions such as 12-step meetings and reflect on the day together. After this, they’re free to relax and retire to their rooms to watch TV or read. To boost their chances of maintaining recovery, housemates are often encouraged, if not required, to participate in 12-step groups such as Alcoholics Anonymous or Narcotics Anonymous 10. Residents of sober living communities are treated not as patients, but as individuals sharing an ethical space with others. Though some types of recovery housing accept applications from anyone in need, it’s important to note their limitations.

sober living homes

  • Hustito believed treatment would provide a stepping stone to steady employment, maybe as a welder or a cook.
  • In her clinical work, she specializes in treating people of color experiencing anxiety, depression, and trauma through depth therapy and EMDR (eye movement desensitization and reprocessing) trauma therapy.
  • The average stay is about a year, but many residents stay three, four, or more years.
  • This level of independence is ideal for those who are further along in their recovery journey and ready to self-manage.
  • These homes allow for independence while guided by a set of recovery-focused house rules, standards, and expectations.

This level typically has slightly higher costs due to supervisory and testing fees. Unlike sober living houses, rehab centers provide intensive, structured treatment—typically in a residential setting—and focus on helping individuals through the early stages of recovery. More akin to the original sober living homes 4 of the 20th century, transitional houses help formerly homeless individuals find stability. Help is provided to secure independent housing and ensure people build a structured routine to cement their sobriety goals. Victims were enrolled in the  American Indian Health Program through the state’s Medicaid Agency, the Arizona Health Care Cost Containment System (AHCCS). The homes billed AHCCS for patient care in excess of $1,000 per day per patient.

  • Reimbursement claims had ranged from roughly $150 to $2,500 for the same service, according to interviews and internal records.
  • Sober living houses are mainly designed to bridge the gap between inpatient treatment and community living.
  • While living alone can be incredibly healing further down the line, it’s not recommended for the early stages of recovery, where having support is crucial.
  • This balance is crucial as it helps residents gradually adjust to life outside of a treatment center.
  • The 105-page lawsuit was filed on behalf of sober living facilities it claims were racially discriminated against during the state’s crackdown on fraudulent sober living homes.

Some homes are part of a behavioral health care system where residents live next to a rehab clinic, participate in outpatient therapy and have access to the clinic’s recreational activities. A halfway house is a residential environment designed to support individuals in their transition from structured treatment settings, such as rehab or detox centers, back to independent living in mainstream society. Halfway houses provide a supportive and structured environment where residents continue their recovery while gradually reintegrating into society. While some may be hungry to integrate back into society after a stint in https://yourhealthmagazine.net/article/addiction/sober-houses-rules-that-you-should-follow/ a treatment program, there is an expectation that you will remain an active participant in the home and follow its rules. Some sober living houses may be placed in neighborhoods with high crime rates. Individuals who need additional time to reinforce positive habits and effective coping mechanisms before reintegrating into their everyday lives may find sober living homes a beneficial option.

sober living homes

Sober House Directory

The national partnership includes The Carter Center and newsrooms in select states throughout the nation. “We remain focused on sustainable solutions that prioritize member health and safety, and a strong and stable provider network. We continue to collaborate with law enforcement and Tribal partners to protect the populations we serve,” AHCCCS said in a statement. But many Sober Houses Rules That You Should Follow people still became homeless as facilities closed their doors with little notice or coordinated care for patients, according to advocates. In May, the cap on reimbursement rates went into effect, though it’s not clear what prompted AHCCCS to address vulnerabilities that staff had identified more than a year earlier. Gov. Katie Hobbs, a Democrat who took office in January 2023, blamed her Republican predecessor, Doug Ducey, for failing to relay the scale of the scheme that persisted for years under his leadership.

Jennifer Costin

Jennifer Costin

Hello! I'm Jennifer Costin, the creative mind behind this website. As an avid content writer, I am passionate about Business, Digital Marketing and Tech News. With 5 years of experience in Digital Marketing.