According to SAMHSA, there are over 450 behavioral health services and drug rehab centers in Kentucky for the treatment of drug and alcohol use. Programs and services include over 100 detoxification centers and over 400 outpatient centers. In addition, there are over 60 long-term residential programs. There are 34 drug rehab centers in Lexington, Kentucky. These options include detoxification services, outpatient drug rehab, and residential substance use treatment programs.

List of rehabs in Kentucky

Here is a list of the different drug rehab programs in Kentucky. The list can be incomplete so please do not hesitate to contact a treatment specialist at 1-800-304-2219. provides an extensive directory listing of many available services. Our directory offers contact information and our counselors to help navigate the different services. No one form of substance use treatment is right for every person.

Rehabilitation should meet treatment and recovery goals. When you first contact, one of our addiction professionals gathers preliminary information. We can then refer you to the best possible drug rehab in Kentucky options that fit your needs based on this information.

TIPS: If you feel you're going to use

  • Find a peer support group: Kentucky 12-step meetings and find peer support groups through the directory.
  • Stay active and distracted—go for walks, find a fitness center or a local community center.
  • Access open or free counseling services or contact Kentucky 2-1-1.
  • Find an activity that you enjoy—experience Red River Gorge, Kentucky Horse Park, Mammoth Cave National Park, or the Louisville Zoo.
  • Avoid risky situations to prevent relapse. Heroin and fentanyl continue to remain widely used drugs.

TIPS: If you want to help someone

  • Find local help through Kentucky Health and Family Services or
  • Be aware of overdose risks—access community resources through the Kentucky Office of Drug Control Policy.
  • Addiction assessments and screening tools are vital and available through Kentucky Health and Family Services.
  • Plan and execute a family intervention with the help of a professional interventionist.
  • Avoid enabling anyone addicted to drugs or alcohol.

DRS femme2A

Kentucky Long-Term Drug Rehab and its professionals believe that long-term drug rehab is the best option for a full recovery and life-long sobriety. Here are some reasons why:

  • Long-term programs provide excellent structure and routine and teach healthy habits and behavior. Because of the length of time, you spend at treatment, there is a significant focus on ensuring these changes stick.
  • Residential long-term programs in Kentucky provide more than one treatment methodology. For example, this could include behavioral therapies, holistic treatment, experiential therapy, or traditional 12-step.
  • There is more opportunity for extended care or aftercare. Because of the time spent at a long-term program, you develop lasting sober relationships with other sober like-minded individuals.
  • Long-term programs generally attend to multiple needs—for example, helping clients with associated medical, psychological, social, vocation, or legal problems.
  • Facilities are often in remote locations away from your current environment, making it easier to focus on treatment.

According to SAMHSA and N-SSATS:

Approximately 13.8% of Kentucky's SAMHSA-listed substance use treatment programs are classified as long-term residential treatment. Below is a small breakdown of some of these resources for different demographics and payment options.

Long-Term Drug Treatment Options for Specific Demographics:

  • 32 programs specifically help adult women only.
  • 18 treatment centers providing long-term care help pregnant or post-partum women.
  • Only one treatment center provides help for adolescents
  • 38 residential programs are facilities for men only.
  • 15 programs are providing long-term care cater to seniors and older adults.
  • 20 rehab programs provide help to the LGBTQ

Payment Options for Long-Term Drug Rehab:

  • 56 programs accept Medicaid.
  • 68 centers take private health insurance.
  • 45 programs offering long-term care take cash or self-payment.
  • Nine treatment centers offer a sliding fee payment scale based on income.

Regardless of your situation financially or type of addiction, will help you find the treatment you need. For more information, consult our directory service or contact one of our addiction professionals.

Different Rehab Options in Kentucky

Outpatient Treatment  
12-Step Recovery  
Faith-Based Programs  


According to SAMHSA, there are only seven inpatient drug and alcohol treatment centers in Kentucky. Generally, when a substance use treatment program is classified as inpatient, it offers more medical support than a residential facility. However, inpatient programs provide much of the same detox, therapy, and aftercare as standard drug rehab.

Inpatient Drug Rehab for Specific Demographics:

  • Only a few inpatient drug rehab programs provide specific help to women only.
  • Three treatment facilities are men-only programs.
  • Roughly three facilities provide help specifically for adolescents.

Payment Options for Inpatient Drug Rehab Programs:

  • Seven inpatient drug rehab centers take Medicaid health insurance.
  • Over five of the facility accept private health insurance plans.
  • No drug rehab center listed offers a sliding-fee scale for payment.

Kentucky Treatment Breakdown

According to SAMHSA:

Detox Programs

In Kentucky, drug and alcohol detox programs include medical facilities and clinical detox services. There are over 100 detox programs in the state. Detox is the first step on the recovery pathway, typically operating through private clinics, local clinics, and treatment centers.

Short-Term Residential Drug Rehab

Short-term inpatient drug rehab generally offers treatment for less than one month. There are over 80 short-term residential programs in the state. These programs are excellent options for most forms of addiction and substance use.

Long-Term Inpatient Treatment

Long-term inpatient drug rehab is the best possible option to treat addiction. There are over 60 different programs in Kentucky. Generally, facilities provide services for three to six months, yet this could be longer for some patients. In addition, programs operate within the private sector and publicly-funded sector.

Outpatient Drug Rehab

Like many other states, outpatient care remains the most accessible form of substance use treatment in Kentucky. There are over 400 outpatient services. These options include regular outpatient drug rehab, intensive outpatient treatment, and outpatient detox programs.

Cost of Treatment in Kentucky

The cost of treatment can be a major factor in what kind of care someone who's struggling with substance use receives. Finances can affect how quickly a person gets the help they need and even whether they can receive treatment. Kentucky has a serious addiction crisis, so treatment affordability is vital.

According to SAMHSA:

  • Medicaid covers over 160 substance use treatment programs in Kentucky.
  • Roughly 170 programs take private health insurance.
  • Over 250 substance use treatment programs offer self-pay
  • There are 137 facilities in Kentucky that have sliding scale payment assistance for those who qualify.

Paying for Treatment with Medicaid in Kentucky

Medicaid is one option for assistance paying for treatment. To qualify for Medicaid, the person must meet certain criteria that prove they cannot afford private health insurance, along with other factors. In Kentucky, Medicaid enrolment is accessible through Kynect, the same platform that's used for its exchange marketplace.

Kentucky's exchange is widely utilized. In 2015, more than 106,000 people signed up for individual market coverage through Kynect. Kinect allows people to see if they qualify for Medicare or any subsidies to help them pay for private insurance policies. For example, if someone doesn't qualify for Medicaid, they may be able to get help paying the premium of a private insurance policy. Those who qualify for neither type of assistance are assumed to be able to afford private health insurance plans. But sadly, this often isn't the case.

Using Private Insurance to pay for Drug Rehab in Kentucky

Private insurance is generally accepted at more programs than Medicaid, and this is the case for Kentucky. Often, these are privately funded programs that don't receive state or federal assistance, so they may only accept cash or top-tier insurance policies for payment. Another advantage of paying with private health insurance is that the programs that accept it usually have no waiting list to start treatment immediately.

The following insurers are offered through Kentucky's exchange marketplace:

  • Anthem
  • Caresource
  • Molina (new for 2022)
  • Ambetter/Wellcare (new for 2022)

Paying for Treatment when Uninsured

All too often, money is a limiting factor in the care a person receives. But there are usually options that can help them get into treatment or find better care faster. Sadly, there's rarely time to research these options or get the person insured when treatment is needed.

If they don't already have health insurance, it's best to move forward with finding affordable treatment and if that's difficult, any available assistance. This may include contacting facilities that offer sliding scale payment options or monthly payment plans. A sliding scale is a system where a person can pay lower rates depending on their level of financial hardship. Kentucky has 136 such facilities.

For more information on how to pay for treatment, you can reach out to one of the treatment specialists at or contact the center directly.

State and Local Resources in Kentucky

Kentucky Office of Drug Control Policy

  • Treatment and recovery resources are provided along with the KY Help Call Center which offers referrals across the state. Options will include everything from medication-assisted treatment to faith-based care. A live specialist will assist callers in working through all the variables, such as location and cost.

Kentucky Housing Corporation

  • The Kentucky Housing Corporation provides recovery programs. These services help Kentucky residents recover from substance abuse, which often leads to chronic homelessness. The Recovery Kentucky centers were designed to reduce the state’s drug problem and resolve some of the state’s homelessness issues.

Kentucky Alcohol Prevention Enhancement Specialist

  • Alcohol PES is a project of the New Vista Regional Prevention Center. It provides research on effective best practices, projects, ideas, and links to bolster alcohol prevention efforts in Kentucky. The work is guided through the utilization of the Strategic Prevention Framework.

See the Signs Kentucky

  • See the Sign Kentucky is a resource that helps detect and prevent opioid abuse and suicide in the state. Individuals can find guides to recognizing the signs of opioid addiction and suicide.'s Evaluation of Drug Rehab in Kentucky

After reviewing state statistics and options available for Drug and Alcohol Rehabilitation in Kentucky, discovered the following pros and cons:


  • The Department of Medicaid Services offers services to assist beneficiaries with behavioral health and substance use disorder treatment needs. An individual can contact a managed care organization for more information.
  • There is an even mix of SAMHSA-listed substance use treatment programs classified as private non-profit and private for-profit, 48% and 50% respectively. Overall, this means more affordable access and more treatment options that benefit the individual. (source N-SSATS)
  • Detoxification programs are extensive, with over 100 available—roughly 8% are residential non-hospital programs, and 3% are hospital inpatient detox.


  • Only 41% of substance use treatment centers in the state provide treatment at no charge or minimal payment for clients who can not pay. In addition, 57% offer a sliding fee scale. It is on par compared to other states, yet many Kentuckians cannot afford treatment, nor can they find treatment near them.
  • Approximately 53% of programs only accept state-financed health insurance plans other than Medicaid, while 75% of programs accept Medicaid.

Overall, the most significant barriers to treatment in Kentucky are affordability and access to specific programs or our bounced around between providers. However, according to a 2019 survey, twice as many Kentucky adults with a drug use problem entered treatment when a friend or family member intervened. There are excellent treatment options within the state, and Medicaid and private health insurance pay for the bulk of most services.

Kentucky Drug Use & Rehab Statistics

In 2019, twice as many Kentucky adults with a drug use problem entered treatment. In addition, more adults in the state say they know a friend or family member who has experienced problems due to using drugs.

According to the Foundation for a Healthy Kentucky:

  • In 2019, 54% of Kentucky adults who have a family member or friend with a drug problem reported the person entered treatment.
  • 31% of Kentucky adults said a friend or family member experienced problems because of using drugs.
  • Heroin and methamphetamine use continues to increase.

According to SAMHSA:

  • 9% of treatment admissions involved heroin and other opiates.
  • 9% of treatment admissions involved alcohol and alcohol with a secondary drug.

According to the NSDUH:

  • Between 2017 and 2019, 3.3% of people aged 12 and older had a past-year illicit drug use disorder.
  • 5% of people aged 12 or older had a past-year alcohol use disorder.
  • 5% of people aged 12 or older had a past-year substance use disorder.

What's new in Kentucky

2 May 2022

The Latest News on Addiction and Recovery in Kentucky

Opioid settlement dollars used to treat and prevent addiction—

Officials in Kentucky are making plans to use massive payouts from opioid settlements to treat current drug addicts and prevent others from becoming addicted.

Over the past six years, it was estimated that over 47.1 million pain pills flowed through Floyd County. The county is now joining other counties that are opting to use the settlement funding to ensure more people are getting treatment.

Frequently Asked Questions

How bad is the opioid problem in Kentucky?
Is adolescent drug abuse a problem in Kentucky?
What are some commonly abused drugs in Kentucky?
What forms of drug prevention help the residents of Kentucky?
Are there drug courts for possession and DUI in Kentucky?

Get help for veterans


Marcel Gemme, DATS

Marcel Gemme, DATS


on June 24, 2022

More Information

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.

Dr. Rohit S. Adi, MD, DABAM

Dr. Rohit S. Adi, MD, DABAM

Medically Reviewed

on June 24, 2022

More Information

Dr. Rohit S. Adi is certified in addiction medicine, through examination, by the American Board of Addiction Medicine. While in Louisiana, he worked as an emergency-room physician at Our Lady of Lourdes Regional Medical Center in Lafayette, Louisiana, but then transferred to Our Lady of the Lake Regional Medical Center in Baton Rouge, where he works to this day. Holding numerous positions throughout his medical career, Dr. Adi has seen the devastating effects caused by drugs and alcohol. Having the ability to do something about the problem, he co-founded a holistic drug rehabilitation center in Louisiana, where he serves as the facility's Medical Director.