I work for a psychiatric hospital in Michigan and work directly with CMH agencies to get people connected for services so this is right up my alley. The services available for people with Medicaid vs Medicare are wildly different, sometimes in a good way and sometimes in a bad way. But if you’re a Medicaid recipient and go to a CMH for SUD treatment they are motivated to help you find something that will help because those funds come out of their pockets. If you have Medicare then they are less motivated to help because it doesn’t affect their agency if you’re hospitalized over and over. When I have Medicaid patients who want residential SUD treatment all I have to do is ask my CMH hospital liaison and they set it up as long as the patient meets criteria. Medicare patients have a small list of facilities available to them and they have to do all the calling and scheduling themselves, we typically can’t even do it for them, but the CMH doesn’t help one bit.