Does Medicaid Pay for Drug Rehab in Kentucky?
Kentucky’s Department of Medicaid Services offers services to assist people with behavioral health and substance use disorder treatment needs. These services include:
- Screening, or the evaluation of a mental health, substance use, or co-occurring disorder to establish the need for an in-depth assessment.
- Assessment, which defines the nature of the problem and determines a diagnosis
- Psychological testing, or the determination of the cause of symptoms and disorders
- Outpatient or intensive outpatient treatment, which offers structured treatment to reverse adverse symptoms and reduce problems.
- Partial hospitalization, which is a short-term, intensive treatment for adults whose cases require more intensive treatment than what outpatient programs offer.
- Residential services, providing daily therapy and skill-building in a structured, supportive environment.
Kentucky’s Medicaid program is divided among five managed care organizations:
- Aetna Better Health of KY
- Anthem Blue Cross Blue Shield
- Humana CareSource
- Passport Health Plan
- Wellcare of Kentucky
Keep in mind, a new Medicaid copay policy took effect in Kentucky in early 2019. The policy ruled that most Medicaid enrollees will begin paying copays for some services. (A copay is a fee charged for certain services that is paid to the healthcare provider at the time of service.)
Healthcare services that are exempt from copays include:
- Emergency services
- Some family planning services
- Preventive services including health screenings, checkups, and patient counseling
If your income is at or below the Federal Poverty Level (FPL), you cannot be refused services even if you cannot cover the copay. Pregnant women can never be refused services.
Since June 2019, methadone for the treatment of opioid use disorder and 30-day stays at residential treatment facilities are covered under Kentucky’s Medicaid program. These changes are part of Governor Matt Bevin’s Medicaid waiver, an attempt to change how Medicaid operates in the Bluegrass State. In 2017, 1,565 people died of drug overdoses in Kentucky.
For more information about Kentucky’s Medicaid copay policy, visit chfs.ky.gov
Get Addiction Treatment Help Today
JourneyPure Bowling Green accepts Kentucky Medicaid. Finding out your insurance options can be an overwhelming process, especially if you or someone you love is suffering from substance use or a mental health disorder. Fortunately, we here at JourneyPure have knowledgeable advisors available to answer any and all questions you might have. We strive to make sure the payment process is as simple, straightforward, and streamlines as possible.