Aetna Better Health of Kentucky coverage for addiction treatment.
Aetna Better Health of Kentucky is a CVS Health Medicaid managed care plan serving Kentucky Medicaid members across all 120 counties.
Golden Grove Recovery is open and admitting in Louisville, KY, and is in network with Aetna Better Health of Kentucky. Coverage information on this page describes Kentucky Medicaid substance use treatment in general — your individual coverage depends on your specific plan, plan year, and medical-necessity determination. Call admissions to talk through your situation.
Aetna Better Health coverage highlights.
Aetna Better Health of Kentucky is a CVS Health Medicaid managed care plan serving Kentucky Medicaid members across all 120 counties. The plan covers the clinical continuum of substance use treatment for substance use disorder treatment and provides integrated behavioral health services for members with co-occurring mental health conditions.
- Residential SUD treatment (ASAM 3.1, 3.3, 3.5) based on medical-necessity review
- Partial Hospitalization (PHP) and Intensive Outpatient (IOP)
- Outpatient SUD counseling and relapse-prevention programming
- Medication-Assisted Treatment — Suboxone, buprenorphine (Subutex), methadone, Vivitrol, oral naltrexone
- Integrated care for depression, anxiety and PTSD when co-occurring with SUD
- Care management for members with high-acuity or repeat-admission SUD
- Pharmacy benefit for MAT and associated medications
ASAM levels Aetna Better Health covers.
These are the levels Aetna Better Health covers as a Kentucky Medicaid benefit — not a list of what Golden Grove provides. Golden Grove offers residential care; if you need medical detox first, admissions will help arrange it. The card that links through is the residential level it offers; the rest are covered elsewhere in the state.
Intensive Outpatient (IOP)
Partial Hospitalization (PHP)
Low-Intensity Residential
Population-Specific Residential
Medium-Intensity Residential
View level →Medications covered under Aetna Better Health.
Aetna Better Health's covered substance use disorder (SUD) medications. Golden Grove's own MAT is Suboxone, Subutex and Vivitrol, delivered inside residential care. Methadone is a Kentucky Medicaid benefit provided through separately licensed opioid treatment programs, not at Golden Grove.
How auth works with Aetna Better Health.
Aetna Better Health of Kentucky uses ASAM criteria for medical-necessity determinations. Residential SUD admissions typically require prior authorization with concurrent review; PHP/IOP may be handled through notification.
Beyond clinical coverage.
Aetna Better Health members have access to 24/7 nurse advice, care coordination for members with complex behavioral-health needs, and transportation benefits through MTM for SUD appointments.
Aetna Better Health questions.
Is Golden Grove in network with Aetna Better Health?
Yes. Golden Grove Recovery is in network with Aetna Better Health of Kentucky for residential addiction treatment in Louisville, KY. What your plan covers depends on your plan year and medical necessity. Coverage check happens on the call.
Does Aetna Better Health cover residential addiction treatment?
Kentucky's 1115 waiver lets Medicaid pay for residential substance use treatment at licensed treatment centers in Kentucky. As a Kentucky Medicaid plan, Aetna Better Health covers it when it is medically necessary and authorized. Admissions will verify your benefits before admission.
Does Golden Grove provide medical detox?
Golden Grove Recovery provides residential treatment and does not provide medical detox on site. If you need medical detox first, admissions will help arrange it.
What should I have ready when I call?
Your Aetna Better Health member ID card. The member ID on your card is what admissions uses to verify benefits. Checking your coverage is confidential. It doesn’t mean you’ve decided anything. It just means you’ll know.
Verify your Aetna Better Health coverage.
Call admissions with your plan name. Coverage check happens on the call. Confidential. Checking your coverage doesn’t mean you’ve decided anything. It just means you’ll know.