CleanSlate Centers

time icon 7 min read update icon Sept. 20, 2019
16 Ratings - Write Review
8.2
Grand Score
8.3
User Score
8.2
Grand Score
8.3
User Score
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CleanSlate offers opioid and alcohol addicts a straightforward outpatient treatment program with life-saving medications and care coordination.

Nashville-based CleanSlate is a company that was funded with private equity capital to develop a much-needed, comprehensive, evidence-based treatment model. Founded in 2009 in the face of the growing opioid epidemic, today it operates more than 50 outpatient treatment centers in ten states (Arizona, Connecticut, Florida, Indiana, Kentucky, Massachusetts, Ohio, Pennsylvania, Texas, and Wisconsin). It has treated over 30,000 patients.

What sets these centers apart is that they are led by physicians and licensed medical providers. They offer Medication-Assisted Treatment (MAT) that includes Suboxone for opioid treat and Vivitrol for alcohol dependence. Most locations are considered ‘in-network’ by many healthcare insurance companies and accept Medicare and Medicaid. Uniquely, they partner with health systems, public agencies and others to be able to provide patients with full services.

None of the centers are set up specifically to treat seniors, but for patients of all ages, they offer access to medication and related therapies in an office-based environment that is efficient and – at times – life-saving.

Grandfolk Scoring
Ease of enrollment 9/10
Customer support 8/10
Treatment method 10/10
Types of facility/program 7/10
States covered 10/10
Number of facilities 10/10
Certifications 6/10
Payment 9/10
Detox 10/10
Seniors 8/10
Cost 8/10
Ease of enrollment
Ways you can enroll
Online form for callback, walk-in or phone for appointment
Customer support
Is access easy?
Phone 24/7
Treatment method
12-step, medication and/or psychosocial therapy?
Medication and psychosocial therapy as needed; some 12-step support
Types of facility/program
Facilities/programs offered?
Outpatient programs
States covered
Where located?
AZ, CT, FL, IN, KY, MA, OH, PA, TX and WI
Number of facilities
How large is the chain?
Over 50
Certifications
Who certifies them?
CARF
Payment
What are payment options?
Insurance, Medicare, Medicaid and private pay
Detox
Detox service available?
Medication-assisted detox
Seniors
Special senior programs?
No
Cost
What is the cost of the service?
Depends on level of care needed and location
Age Score:
9
50-64 Years
9
65-74 Years
8
75-84 Years
7
85-Older

CleanSlate does not offer any special seniors programs. However, its treatment protocol is handled within an outpatient format, which means it might be the equivalent of a standard doctor’s visit somewhere in your neighborhood or other convenient location. The older we get, the less we want to be away from our homes. Unless it is essential to escape from the familiar environment where drugs or alcohol are easily obtained, this may be a viable, more affordable alternative to inpatient care.

Health Score:
9
Great Health
8
Good Health
7
Fair Health
4
Poor Health

Despite not having specific seniors programs, CleanSlate’s centers are led by physicians and licensed medical providers. They will use Medication-Assisted Treatment (MAT) with Suboxone for opioid treatment and Vivitrol for alcohol dependence to relieve withdrawal effects and block cravings. After such detox, medication is also used to prevent relapse by blocking receptors in the brain.

To prescribe one of these controlled substances, a doctor will have to consider a patient’s degree of addiction, the addictive product, medical co-conditions, as well as other prescribed medications. There are many benefits to a convenient outpatient program, but if a senior’s health is severely compromised, it may be better to enter an inpatient program where one’s health can be monitored 24/7 during treatment.

Pros:

  • CleanSlate’s programs are a straightforward combination of medicine, accountability and psychosocial interventions.
  • Its patients include all age, racial, ethnic, gender and socioeconomic populations.
  • Its individualized treatment plans may include access to transportation, housing, insurance, translation assistance, hearing-impaired communication, LGBTQ community linkage and referrals to specialists for HIV, Hep-C, PrEP, and STI.
  • Caron follows evidence-based practices that meet ASAM (American Society of Addiction Medicine) guidelines.
  • CleanSlate has worked with the Drug Enforcement Agency to ensure that strict protocols are followed to monitor controlled medications and their use.
  • CleanSlate is considered ‘in-network’ by many healthcare insurance companies. Most locations also accept Medicare and Medicaid.

Cons:

  • Not all insurance companies are accepted.
  • Some facilities are said to be very slow phoning in critical prescriptions to pharmacies; one facility answered the criticism as being due to limits (quotas) of scripts doctors are allowed to sign, probably the arbitrary 100-patient limit the FDA puts on doctors using buprenorphine in treatments.
  • CleanSlate does not appear to be LegitScript-monitored as there is no such indication on its website or in an online search.
  • The DOJ reached a $750,000 civil settlement with CleanSlate in Massachusetts for allegations of unlicensed prescribing and improper Medicare billing.

Bottom Line:

CleanSlate represents a newer treatment format for both opioid and alcohol abuse that rests more on Medication-Assisted Treatment than in more traditional facilities. By combining that with an office-based, outpatient structure, detoxing and relapse avoidance are supported by medications which are closely monitored. Complementary therapeutic services are provided well beyond the traditional 30-day treatment cycle. Individual and group therapy are provided by staff trained in CBT and DBT (cognitive and dialectical behavior therapies), and 12-step support groups may be recommended.

Frequently Asked Questions:

How all-inclusive are the services provided? When evaluating a potential MAT program – especially an outpatient program – it is essential to find a provider who offers regular office visits, individualized treatment plans and care coordination efforts that help you access whatever care might be needed. CleanSlate does all this. CleanSlate works with many entities to supplement its protocols as needed: city, county, state, and federal agencies and resources, plus law enforcement, community groups and spiritual communities.

What types of facilities are available? Outpatient only. However, unlike residential or inpatient treatment, CleanSlate’s treatment may be far more convenient since it allows a senior to stay at home while still receiving the highest quality care. In fact, the American Society of Addiction Medicine (ASAM) determined outpatient MAT to be the most appropriate kind of care for most people with a diagnosis of opioid use disorder, in particular.

Is any financing available? CleanSlate’s staff works with patients to examine insurance and payment options for maximum coverage. To avoid economic hardship, they will also seek financial support for those with no insurance or Medicare. Patients may qualify for Medicaid or state- and locally funded addiction treatment programs. The Veterans Administration or one’s state or county Department of Public Health may also have resources available.

More Information:

Product Details

Overview: Alcohol and opioid abuse are diseases that affect people across all ages, races, ethnicities, genders and socioeconomic strata. This company believes that long-term remission can be reached through evidence-based medical management, individualized to each patient, with coordination and monitoring of behavioral therapy. Its practices follow the guidelines of ASAM (American Society of Addiction Medicine). Whenever needed, CleanSlate reaches out to local government and community resources to support the effort being made by the patient. In short, the package combines medicine, accountability and psychosocial interventions.

Package Details: Treatment is defined individually, based on a full assessment of a patient’s physical, medical and psychological needs.

Other Services: None.

Additional Company Details

Contract Details: There is no formal contract between CleanSlate and a patient beyond prepayment or insurance for services rendered for as long as the patient complies and participates.

Warranty: None  

Accreditations: CleanSlate’s treatments are evidence-based practices that follow the ASAM (American Society of Addiction Medicine) guidelines. It is accredited by CARF (the Commission on Accreditation of Rehabilitation Facilities). Its treatment programs were honored with the inaugural 2012 “Science and Service Award for Office-based Opioid Treatment” by the Federal Government’s SAMHSA (Substance Abuse and Mental Health Service Administration). It does not appear to be certified by LegitScript. CleanSlate is not accredited with the Better Business Bureau, but different facilities do carry BBB ratings ranging from A+ to B+.

Company Details: CleanSlate was founded in 2009 in response to the escalating opioid epidemic and the absence of facilities that offered Medication-Assisted Treatment (MAT) on a broad basis. The company works to forge relationships with other healthcare providers, counseling centers, health insurance networks, government officials and local communities.

Counter to many traditional substance abuse treatment facilities, CleanSlate believes that opioid and alcohol addictions are chronic brain diseases and that a biological, psychological and social approach is the best treatment. It prioritizes MAT over 12-step programs as a way to help patients withdraw from drug or alcohol dependence. It also feels the 30-day cycle provided by so many insurers is too short to transition a patient towards robust recovery effectively.

In 2018, controlling investor Granite Growth Health Partners was joined by HealthQuest Capital in raising an additional $25 million in funding to expand the network. Patrick Kennedy is on the Board of Directors of CleanSlate.

Contact:

CleanSlate Centers
10 Cadillac Dr 
Brentwood, TN 37027-5078
Phone: 833-505-HOPE
Website: https://www.cleanslatecenters.com

Sharon O'Day - Senior Advisor

Sharon O’Day fixes financial lives. She is a tell-it-like-it-is money expert with a successful career in global finance, plus an MBA from the Wharton School. Today she specializes in getting entrepreneurial women over 50 back on their game so they can have more money, less stress and more joy. With her “Over Fifty and Financially Free” strategies, they take actions that lead to their ultimate goal: financial peace of mind.