Kentucky Medicaid · Anthem Medicaid

Anthem Blue Cross Blue Shield Medicaid coverage for addiction treatment.

Anthem Blue Cross Blue Shield Medicaid is one of Kentucky's managed care organizations, covering Medicaid members across the state with a broad behavioral health and substance use disorder (SUD) benefit.

Golden Grove Recovery is preparing to open in Louisville, KY. 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.

What's covered

Anthem Medicaid coverage highlights.

Anthem Blue Cross Blue Shield Medicaid is one of Kentucky's managed care organizations, covering Medicaid members across the state with a broad behavioral health and substance use disorder (SUD) benefit. Anthem's Kentucky Medicaid plan covers the clinical continuum of substance use treatment for SUD treatment, including detox, residential, PHP, IOP, outpatient, and medication-assisted treatment.

Levels of care covered

ASAM levels Anthem Medicaid covers.

MAT covered

Medications covered under Anthem Medicaid.

Suboxone (buprenorphine + naloxone) Subutex (buprenorphine) Methadone (via OTP partners) Vivitrol (extended-release naltrexone) Oral Naltrexone

Read more about our MAT program →

Prior authorization

How auth works with Anthem Medicaid.

Residential SUD admissions and some MAT induction scenarios typically require prior authorization or concurrent review. Anthem generally applies ASAM criteria for medical-necessity determinations.

Member benefits

Beyond clinical coverage.

Anthem Medicaid members have access to 24/7 nurse line support, case management for high-risk SUD cases, and non-emergency medical transportation (NEMT) to treatment appointments.

Visit Anthem Medicaid's member site →

Other plans we work with

All Kentucky Medicaid MCOs.

Take the next step

Verify your Anthem Medicaid coverage.

When you're ready, we're ready — we'll walk you through what's covered and what comes next. Free, confidential, no obligation.