The Department for Medicaid Services offers services to assist beneficiaries with behavioral health and substance use disorder treatment needs. Contact your Managed Care Organization for information and assistance accessing these services.
Managed Care Organizations (MCO)
Aetna Better Health of KY
Anthem Blue Cross Blue Shield
Passport Health Plan
Wellcare of Kentucky
Evaluates presence of a mental health, substance use or co-occurring disorder to establish the need for 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 and 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 outside a provider facility.
Residential Crisis Stabilization
Designed to stabilize a crisis and divert the individual from a higher level of care and used when individuals in crisis who need overnight hospitalization but cannot safely be accommodated in the community.
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 a mental health, substance use or co-occurring disorder.
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
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
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.