The First Step
What the first call to RRA actually sounds like — and what happens in the days after.
From First Call to First Day
A licensed counselor — not a phone tree — answers within sixty seconds, day or night. Most calls last 15 to 25 minutes; we listen first to what is happening, who is calling, and how urgent the situation is. About one in eight first calls ends with a referral to a different program if RRA is not the right fit, and that is the point.
Once you decide to move forward, insurance verification completes within 2 to 4 hours. A 30-minute clinical phone assessment happens that same day or the next morning. Admission is typically scheduled within 48 to 72 hours of the first call; same-day admission is possible when a bed is open and the medical situation calls for it.
If your family is on the call — spouse, parent, adult child — we welcome them on the line. Rosario meets with every admitted family during their first week. The family-systems work that defines RRA does not start in week three; it starts on day one.
Admissions Process
Call Us
Reach out 24/7 at (209) 381-9044.
Assessment
Thorough clinical assessment to determine your best level of care.
Insurance Verification
We verify your benefits and explain coverage clearly.
Arrival
Coordinated travel and compassionate intake.
Insurance Accepted
- Aetna
- Blue Cross Blue Shield
- Cigna
- Humana
- Ambetter
- Health Net
- Oscar Health
- MultiPlan
- Medicare
- Medicaid (Medi-Cal)
Plan not listed? Call us — we likely still work with your insurance, or can offer self-pay and sliding-scale options.
What to Bring on Day One
Our admissions counselor emails a personalized checklist after your assessment. The basics:
- Photo ID and your insurance or Medi-Cal card
- Current medications in original pharmacy bottles — including supplements
- Seven days of comfortable, layerable clothing (laundry on-site)
- Closed-toe shoes for the equine barn and greenhouse paths
- Swimwear for the therapy water spaces or sauna
- A journal, books, recovery readings if you have them
- Two or three meaningful photos for your nightstand
- Alcohol-free toiletries (we will swap anything that contains alcohol)
Please leave at home: laptops and tablets, valuables, jewelry, weapons of any kind, anything containing alcohol, and outside medications not pre-cleared with our medical team.
Common Questions, Honest Numbers
How long does treatment usually last?
Medical detox averages 3 to 7 days. The median residential stay in our 2024 cohort was 67 days; the range was 30 to 102 days. PHP runs 2 to 4 weeks; IOP runs 8 to 12 weeks. The 2024 NIDA outcomes review puts the strongest one-year sobriety rates at 90+ day treatment episodes, which is why our default residential plan targets 60 to 90 days when clinically appropriate.
What will insurance actually cover?
In our 2024 cohort, 79% of residents had insurance cover detox and residential in full or near-full. Median out-of-pocket cost was $1,180. We verify your specific deductible, co-insurance, and out-of-pocket maximum within 2 to 4 hours of your first call — in plain English, before you commit to anything. For self-pay residents and those falling between coverage and cash, we have a Ramon Memorial Fund that supported 23 admissions in 2024.
Is medical detox safe?
Statistically yes, and dramatically safer than unsupervised withdrawal. The 2024 SAMHSA report estimates medically supervised detox reduces medical complications by 75 to 90 percent compared to attempting withdrawal alone. Our medical team is on the unit 24 hours a day, monitoring vitals and adjusting medication-assisted treatment in real time.
I have tried treatment before. Does that hurt my chances?
The research says the opposite. About 56% of our 2024 admissions had been through at least one prior treatment episode, and the 2023 NIDA literature review confirms that prior treatment correlates with BETTER, not worse, outcomes on a subsequent attempt — each episode adds clinical information the next team can use. Bring your previous treatment records if you have them.
Can my family visit during treatment?
Yes. Scheduled weekend visits begin in week two of residential. About 71% of 2024 residents had at least one family-systems session in their first three weeks. Sessions can happen in person or via video for relatives outside the Sacramento Valley. Our parent and sibling support groups continue free of charge for twelve months after discharge.
What about my job and my kids?
FMLA protects most jobs for up to 12 weeks of medical leave. Our admissions team helps you think through employer notification, childcare logistics, and short-term financial planning before you arrive. PHP and IOP exist specifically for working adults and parents who cannot step away for 60 days — about 44% of our 2024 admissions used PHP or IOP rather than residential precisely for this reason.
What about a small program means I will not get specialized care?
Smaller does not mean less specialized. Our 70-clinician team includes board-certified addiction medicine physicians, two clinical psychologists, certified addiction counselors, family-systems specialists, and licensed creative-arts therapists. The 37-bed scale means every resident is known by name — the trade-off is depth of relationship, not depth of clinical training.