Kentucky Medicaid can be used to cover a variety of drug abuse treatment services like detox, outpatient rehab, medication-assisted treatment (MAT), and more.
If you qualify for Medicaid in the state of Kentucky and need assistance covering addiction rehab, Kentucky Medicaid is an affordable and practical option.
With over 1.2 million beneficiaries in the state, this Medicaid program provides health insurance for about 22% of the population.
What Addiction Treatment Services Are Covered By Medicaid In Kentucky?
Kentucky Medicaid provides beneficiaries with many behavioral health and substance use disorder treatment services so that everyone can get the treatment they need.
The services covered under Medicaid are strictly evidence-based treatment approaches and may not include other holistic or experimental methods.
Kentucky Medicaid covers these treatment options for substance abuse:
- screening, assessment, and testing
- dual diagnosis treatment for co-occurring disorders
- crisis intervention
- day treatment/partial hospitalization program (PHP)
- peer support
- detoxification
- outpatient treatment
- intensive outpatient program (IOP)
- individual and group therapy
- family services, including counseling
- medication-assisted treatment (MAT)
- prescription drugs, including buprenorphine, methadone, and Vivitrol for opioid abuse treatment
Top 5 Rehab Centers In Kentucky That Accept Medicaid
Out of all the drug rehab centers that take Kentucky Medicaid, we’ve chosen five for this list.
The top rehab centers listed below were chosen for:
- accreditation
- Google ratings
- use of evidence-based treatment
- client testimonials
- other important selection criteria
1. Addiction Recovery Care (ARC), Multiple Locations
ARC is a faith-based program with over a dozen treatment programs specialized to meet the needs of any recovering individual.
The rehab facility is backed by:
- LegitScript certification
- accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
- a 4.3-star Google rating
Here, drug and alcohol treatment options include:
- detox
- residential treatment
- intensive outpatient programs
- outpatient programs
- MAT
Location and contact information:
332 River Bend Rd.
Louisa, KY 41230
(888) 520-8736
2. Brookside Addiction Treatment Services, Pikeville, Kentucky
This is a drug and alcohol treatment program offering detox, MAT, aftercare, and other services.
Trusted features of the rehab center include:
- a 4.6-star Google rating
- client testimonials
- use of evidence-based treatment
Location and contact information:
- 400 Venters Ln.
- Pikeville, KY 41501
- (606) 658-3078
3. Ethan Health, Multiple Locations
Drug and alcohol treatment centers are located in Burlington and Richmond, Kentucky.
Top qualities of Ethan Health include:
- CARF accreditation
- LegitScript certification
- a 4.5-star Google rating
At Ethan Health, recovering individuals can choose between the following programs:
- OP
- IOP
- case management
- peer support
- therapy
- MAT
- Suboxone, buprenorphine, and Vivitrol treatment
Location and contact information:
6150 1st Financial Dr.
Burlington, KY 41005
(859) 212-6386
4. Isaiah House, Multiple Locations
This is a non-profit treatment center with facilities in Willisburg, Chaplin, Harrodsburg, Danville, and Versailles, Kentucky.
Some of their top qualities include:
- CARF accreditation
- LegitScript certification
- a 4.3-star Google rating
- recognition from Newsweek as one of the best addiction treatment centers in 2020
Addiction treatment programs include:
- short-term and long-term residential treatment
- outpatient services
- MAT
Location and contact information:
2084 Main St.
Willisburg, KY 40078
(859) 375-9200
5. Western KY Medical, Hopkinsville, Kentucky
This addiction program is provided under Pinnacle Treatment Centers, a network of addiction treatment providers.
This location provides OP, MAT, therapy, telehealth, and more.
Western KY Medical has:
- CARF accreditation
- a 4.5-star Google rating
Location and contact information:
609 Hammond Plaza
Hopkinsville, KY 42240
(270) 887-8333
Find additional rehab centers in Kentucky
Factors That Affect Kentucky Medicaid Coverage For Addiction Treatment
Some factors might affect your overall cost for addiction treatment. The items described below will help to determine your out-of-pocket costs.
Substance Abuse Copayments
Copays are required for some services, such as ER visits for non-emergencies. However, most of the services provided by Kentucky Medicaid are free.
You pay no copays for substance abuse services and prescriptions. Some behavioral health services will come with a copay ranging from $0 to $50.
Kentucky Medicaid Prior Authorization
You may need prior authorization (PA) before beginning a new treatment program or medication.
This is what Medicaid uses to decide whether a service is medically necessary. Your provider or treatment specialist will submit a request, and if the request is granted you can start treatment.
If the request is denied, this means Medicaid won’t cover the service.
Waitlists For Medicaid Rehab Centers
Treatment facilities that take Medicaid are usually in higher demand, so you may need to wait longer to get treatment.
Who Qualifies For Kentucky Medicaid?
Kentucky Medicaid provides health coverage for the following low-income groups:
- children
- adults
- parent and caretaker relatives
- pregnant women
- those age 65 or older
- people with disabilities
Kentucky Medicaid Income Eligibility Requirements
Individuals applying for Kentucky Medicaid must be low-income residents of the state. For a single person, the income limit is $217 and the resource limit is $2,000.
The general federal annual income limits are as follows:
- one-person household: $17,131
- two-person household: $23,169
- three-person household: $29,207
- four-person household: $35,245
- five-person household: $41,284
- six-person household: $47,322
- seven-person household: $53,360
- eight-person household: $59,398
How To Use Your Kentucky Medicaid Plan For Drug Rehab
To use your Kentucky Medicaid plan for substance abuse treatment, you need to enroll in a health plan.
The following health plans under Kentucky Medicaid cover addiction treatment:
- Aetna Better Health of Kentucky
- Anthem Blue Cross Blue Shield
- Humana Healthy Horizons in Kentucky
- Passport Health Plan by Molina Healthcare
- United Healthcare Community Plan
- WellCare of Kentucky
Health plans may not offer the same services across the board, so verify that the health plan you choose covers the specific treatment programs you need.
After you’re enrolled, you can bring your Medicaid ID to the drug addiction center of your choice and begin treatment right away.
Kentucky Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Here we’ve answered some of the most commonly asked questions about Medicaid coverage for drug and alcohol addiction treatment in Kentucky.
How Much Does It Cost To Go To A Kentucky Medicaid Drug Rehab?
Your final cost will depend on your health plan’s copays, and the number of days Medicaid will cover at the rehab center.
If you go to rehab for 15 days and there’s a $50 copay for residential or inpatient treatment, it will cost $750 in total.
However, other treatment programs (such as detox) are fully covered by Medicaid and won’t cost you anything out-of-pocket.
Do Any Private Rehab Centers Accept Kentucky Medicaid?
Private rehab centers do not usually accept Medicaid. These treatment programs accept self-payment options or private health insurance.
What If I Need To Stay In Rehab Longer Than Kentucky Medicaid Covers?
If you need to stay in treatment longer than your health plan covers, you have options.
You can use one of the following to finance the rest of your drug treatment program:
- grants, federal or state
- scholarships offered by the drug rehab center
- sliding fee scale payment options
- self-pay or savings
Many drug rehab centers will work with their clients to find a payment plan that’s realistic for their financial situation.
Call Us To Find Drug Or Alcohol Rehab In Kentucky
Rehab programs can get very pricey, but with the help of Kentucky Medicaid affordable care is possible.
If you or a loved one want to learn more about your options in treatment, call our helpline.
Our representatives are ready to take your call and walk you through the steps you need to take to enroll in a rehab program in Kentucky that fits your needs. Call now.
Article Sources- Kentucky Cabinet for Health and Family Services—Behavioral Health and Substance Use Disorder
https://chfs.ky.gov/agencies/dms/member/Pages/SubstanceAbuse.aspx - Kentucky Cabinet for Health and Family Services—Department for Medicaid Services (DMS)
https://chfs.ky.gov/agencies/dms/Pages/default.aspx - Kentucky Cabinet for Health and Family Services—KENTUCKY MEDICAID PROGRAM PUBLIC NOTICESUBSTANCE USE DISORDER
https://chfs.ky.gov/agencies/dms/DMSNews/SUDSPAPublicCommentNotice.pdf