Casa Aviva

Located in San Bruno, CA, Casa Aviva operates in CA's broader addiction-treatment market. The facility offers specific levels of care: Inpatient, Dual Dx. What this page tries to do is frame the specific questions worth asking, which are rarely the ones that get asked first.

Care levels at Casa Aviva

The facility's documented care levels are The facility offers specific levels of care: Inpatient, Dual Dx. — each of which is appropriate for specific clinical presentations. Matching the level to the specific clinical need is the pre-admission work. The gap between "this facility offers residential" and "residential is the right level for this patient" is wider than most facility websites suggest. Bridge it with an outside assessment before committing.

Insurance and payment

Casa Aviva accepts both Medicaid and commercial insurance, which is the broadest payer profile and typically correlates with programs that operate at scale across the economic spectrum. The facility also accepts TRICARE or military benefits. The insurance problem is almost never that treatment is uncovered — it is that the specific admission was authorized under different terms than the ones in the benefit summary. Get the Verification of Benefits in writing; everything else follows from that one move.

Specialty programming

The facility's documented specialty programming includes: Young adults, Adult women, Pregnant/postpartum women. "Specialty track" is a marketing category often; it becomes a clinical category when specific clinicians deliver specific programming for a documented number of hours per week. Ask for those specifics.

Before you call

Questions that matter before admitting to Casa Aviva: ASAM level of care (not the facility's category, the clinical level); written VOB; MAT policy. If the clinical situation involves opioid use disorder, confirm explicitly whether Casa Aviva offers medication-assisted treatment — buprenorphine, methadone, or naltrexone. Programs that do not are operating outside the current standard of care. The ones who answer those quickly are usually the ones worth considering. The ones who dodge are almost always worth skipping.