The Department for Medicaid Services offers services to assist beneficiaries with behavioral health and substance use disorder treatment needs. Contact your managed care organization (MCO) for information and assistance accessing these services.
Managed Care Organizations
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
Evaluates the presence of mental health, substance use or co-occurring disorder to establish the need for an in-depth assessment
Defines the nature of a problem, determines a diagnosis and engages beneficiaries in developing appropriate treatment recommendations
Determines the cause of psychological symptoms and disorders, the correct diagnosis and appropriate course of treatment
Offers immediate, short-term, face-to-face, in-office help to those experiencing event-triggered emotional, mental, physical and behavioral distress or problems
Full-time response team to safely transition a beneficiary in crisis to the most appropriate services including short-term, face-to-face help outside a provider facility
Residential Crisis Stabilization
Designed to stabilize a crisis and divert the individual from a higher level of care when individuals in crisis need overnight hospitalization but cannot safely be accommodated in the community
Day treatment is a non-residential, intensive treatment program for children/youth younger than 21 with mental health, substance use or co-occurring disorders at high risk of out-of-home placement. Coordination with schools and other child-serving agencies is included.
Services provide social and emotional support by qualified adults and youth in recovery or family members of persons with mental health, substance use or co-occurring disorders.
Intensive Outpatient Program
Offers structured treatment significantly more intensive than individual, group and family outpatient therapies at least three days per week
Individual Outpatient Therapy
Individual outpatient therapy aims to reduce adverse symptoms, improve functioning and reduce presenting problems. Individual, family and group therapy services are limited to three hours per day but can be exceeded based on medical necessity.
Group Outpatient Therapy
Services provide face-to-face intervention in a group of no more than 12 unrelated persons or as part of multi-family group therapy. Participants share a therapy subject, focus and goals.
Family Outpatient Therapy
Scheduled visits between a therapist, beneficiary and the beneficiary’s family or household member to address issues in an effort to improve interpersonal relationships in the home