Behavioral Health and Substance Use Disorder

​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 
(855) 300-5528
Anthem Blue Cross Blue Shield 
(855) 690-7784
Humana Healthy Horizons in Kentucky 
 (800) 444-9137
Passport Health Plan by Molina Healthcare 
(844) 778-2700 
United Healthcare Community Plan 
(866) 293-1796 
WellCare of Kentucky 
(877) 389-9457


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

Psychological Testing

Determines the cause of psychological symptoms and disorders, the correct diagnosis and appropriate course of treatment

Crisis Intervention

Offers immediate, short-term, face-to-face, in-office help to those experiencing event-triggered emotional, mental, physical and behavioral distress or problems

Mobile crisis

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

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.

Peer Support

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

Collateral Outpatient Therapy

Collateral services are face-to-face encounters with a parent/caregiver/guardian, school personnel or others in a position supervision of a member younger than 21. Services cannot be provided without written approval from a member's parent or legal guardian/ representative.

Partial Hospitalization

Partial hospitalization is a short-term, intensive treatment (four to six weeks, fewer than 24 hours per day) for adults and children individuals not effectively served in community-based or intensive outpatient programs due to substance use, mental health co-occurring disorders.

Service Planning

Creates a beneficiary's individualized plan for services needed for maximum recovery and restoration to the best possible functional level.

Residential Services for Substance Use Disorders

Residential treatment providing intensive treatment and skills building in a structured, supportive environment for children and adults entering alcohol/drug addiction recovery. Twenty-four-hour live-in facilities offer planned, structured care to help beneficiaries make necessary changes to live a drug- or alcohol-free lives.

Screening, Brief Intervention and Referral to Treatment
(Substance use only)

Provides effective intervention strategies for individuals with non-dependent substance use disorders prior to the need for more extensive, specialized care.

Assertive Community Treatment
(Mental health only)

Provides services for beneficiaries through a multidisciplinary team of mental health professionals ranging from assessment, case management and individual, family and group outpatient therapy to peer support, mobile crisis intervention and basic living skills training.

Comprehensive Community Support Services (Mental health only)

A robust array of community support services to enable beneficiaries to live independently in the community through skills training to reduce mental health disorder symptoms and restore the beneficiary to their best possible functional level.

Therapeutic Rehabilitation Program
(Mental health only)

Rehabilitative service for adults with serious mental illnesses and youth/children younger than 21 with a serious emotional disability. Services focus on social, personal and daily living skills and aim to maximize mental health disorder symptom reduction and restore the beneficiary’s best possible functional level. Services are delivered individually or in a group.

Other Services

Additional services may be available from the Department for Behavioral Health and Intellectual Disabilities. Call (502) 564-4527 for additional information.

Administrative Regulations

907 KAR - Cabinet for Health and Family Services - DMS Title page
907 KAR 15:005 Definitions for 907 KAR Chapter 15
907 KAR 15:010 Coverage provisions and requirements regarding behavioral health services provided by individual behavioral health providers, behavioral health provider groups and behavioral health multi-specialty groups
907 KAR 15:020 Coverage provisions and requirements regarding services provided by behavioral health services organizations
907 KAR 15:040 Coverage provisions and requirements regarding targeted case management for individuals with a substance use disorder.
907 KAR 15:050 Coverage provisions and requirements regarding targeted case management for individuals with mental health or substance use disorder and chronic or complex physical health issues
907 KAR 15:060 Coverage provisions and requirements regarding targeted case management for individuals with a severe mental illness and children with a severe emotional disability
907 KAR 15:070 Coverage provisions and requirements regarding services provided by residential crisis stabilization units
907 KAR 15:080 Coverage provisions and requirements regarding outpatient chemical dependency treatment center services.

Contact Information