Kentucky Medicaid can be used to cover a variety of drug abuse treatment services like detox, outpatient rehab, medication-assisted treatment (MAT), and more.
Below are addiction treatment facilities in Kentucky that accept Medicaid and offer behavioral health services for opioid abuse, alcohol addiction, and other substance use disorders.
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 healthcare 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 recovery services and treatment options:
- screening, assessment, and testing
- dual diagnosis treatment for co-occurring disorders
- crisis intervention
- short-term options, such as day treatment/partial hospitalization program (PHP)
- peer support
- detoxification
- outpatient treatment
- intensive outpatient program (IOP)
- individual and group therapy
- family services, including family counseling
- medication-assisted treatment (MAT)
- prescription drugs, including buprenorphine, methadone, and Vivitrol for opioid abuse treatment
Top 5 Drug And Alcohol Rehab Facilities 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 criteria indicating quality care
1. Addiction Recovery Care (ARC), Multiple Locations
Addiction Recovery Care (ARC) is a faith-based program with over a dozen treatment programs specialized to meet the needs of any person in recovery.
ARC was formed over 17 years ago and has expanded to over 30 locations in 22 central and eastern Kentucky counties.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- state licensure
- licensed staff
Levels of care:
- residential treatment
- partial hospitalization program (PHP)
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- 12-step recovery groups
- cognitive behavioral therapy (CBT)
- relapse prevention
- group therapy
- counseling
- telehealth
Payment options:
- Medicare
- Medicaid
- private health insurance
- self-payment
Location and contact information:
332 River Bend Rd.
Louisa, KY 41230
(888) 520-8736
2. Commonwealth Counseling Centers, Prestonsburg, Kentucky
Commonwealth Counseling Centers considers the unique needs of each client and tailors treatment to meet those needs.
Clients can receive different levels of outpatient treatment depending on the severity of their substance use disorder (SUD).
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
- state licensure
- licensed staff
Levels of care:
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- 12-step recovery groups
- LGBTQ+ services
- veterans treatment
- counseling
- relapse prevention
- motivational interviewing (MI)
Payment options:
- sliding fee scale
- self-payment
- Medicaid
- Medicare
- TRICARE
- private health insurance
Location and contact information:
156 N. Lake Dr.
Prestonsburg, KY 41653
(606) 506-5077
3. Ethan Health, Burlington, Kentucky
Ethan Health has over 100 years of substance abuse treatment experience.
This rehab center has served over 2,500 clients with drug and alcohol addiction treatment services.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- state licensure
- licensed staff
Levels of care:
- detoxification
- intensive outpatient program (IOP)
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- dual diagnosis treatment
- veterans treatment
- pregnant women’s addiction treatment
- family therapy
- LGBTQ+ services
- buprenorphine treatment
Payment options:
- Medicaid
- private health insurance
Location and contact information:
6150 1st Financial Dr.
Burlington, KY 41005
(859) 212-6386
4. Isaiah House, Multiple Locations
Isaiah House is a treatment center with facilities in Willisburg, Chaplin, Harrodsburg, Danville, and Versailles, Kentucky.
As a faith-based comprehensive treatment program, Isaiah House strives to address all aspects of clients’ lives that substance abuse affects.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- Substance Abuse and Mental Health Services Administration (SAMHSA) certification
- state licensure
- licensed staff
- non-profit status
Levels of care:
- residential treatment
- detoxification
- partial hospitalization program (PHP)
- medication-assisted treatment (MAT)
- aftercare
Treatment services:
- sober living
- naltrexone treatment
- medication management
- 12-step recovery groups
- veterans treatment
- relapse prevention
Payment options:
- government funding
- TRICARE
- Medicare
- Medicaid
- private health insurance
Location and contact information:
2084 Main St.
Willisburg, KY 40078
(859) 375-9200
5. Spero Health, Hopkinsville, Kentucky
Spero Health is an integrated healthcare services organization specializing in local and affordable drug and alcohol addiction treatment.
Based in Nashville, TN, Spero Health operates more than 95 outpatient service clinics in the U.S.
Trusted features:
- Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
- state licensure
- licensed staff
Levels of care:
- outpatient program (OP)
- medication-assisted treatment (MAT)
Treatment services:
- case management
- individual therapy
- counseling
- pregnant women’s addiction treatment
- relapse prevention
Payment options:
- Medicare
- Medicaid
- TRICARE
- private health insurance
- self-payment
Location and contact information:
111 Susan Ave.
Hopkinsville, KY 42240
(270) 962-2255
Find additional rehab centers in Kentucky.
Factors That Affect Kentucky Medicaid Coverage For Addiction Treatment
Some factors might affect your overall cost of 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 rehab 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 accept Medicaid are usually in higher demand, so you may need to wait longer to get treatment.
Who Qualifies For Kentucky Medicaid?
The Medicaid health insurance program was created to help people with limited incomes and resources obtain healthcare.
Kentucky Medicaid provides health coverage for the following low-income groups:
- children
- adults
- parent and caretaker relatives
- pregnant women
- people 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.
Recent federal annual income limits are as follows:
- one-person household: $19,392
- two-person household: $26,228
- three-person household: $33,064
- four-person household: $39,900
- five-person household: $46,737
- six-person household: $53,573
- seven-person household: $60,409
- eight-person household: $67,245
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 Center?
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 addiction 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 recovery center
- sliding fee scale payment options
- self-pay or savings
- military insurance, if applicable
Many drug rehab centers will work with their clients to find a payment plan that’s realistic for their financial situation.
Find An Addiction Treatment Center Today
If you or a loved one want to learn more about treatment options, visit DetoxRehabs.net or call us for confidential assistance.
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