Kentucky Medicaid · MAT Coverage

Does Kentucky Medicaid cover Suboxone, methadone, and MAT?

Yes. Kentucky Medicaid plans typically cover Medication-Assisted Treatment for opioid use disorder and alcohol use disorder. Suboxone, Subutex, methadone, Vivitrol, and naltrexone are all on the formulary.

Call (502) 610-4829Verify My Coverage

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.

Medications on Kentucky Medicaid formulary

MAT medications covered.

All six Kentucky Medicaid MCOs cover the medications below. Specific formulations and brand vs generic preferences vary by plan.

Medication Used For Setting
Suboxone buprenorphine + naloxone OUD Office-based
Subutex buprenorphine alone OUD — pregnancy standard Office-based
Methadone methadone OUD Licensed OTP only
Vivitrol extended-release naltrexone OUD and AUD Office-based monthly injection
Oral naltrexone naltrexone OUD and AUD Pharmacy
Acamprosate acamprosate AUD Pharmacy
Disulfiram disulfiram AUD Pharmacy

Insurance disclaimer: Golden Grove Recovery is in pre-opening setup. The information on this page helps you understand Kentucky Medicaid coverage for substance use treatment. Contact admissions to discuss your individual situation and treatment options.

MAT in pregnancy

Subutex for pregnant Medicaid members.

Pregnant members with opioid use disorder benefit from Subutex (buprenorphine alone, without naloxone) or methadone delivered through an OTP. Both are covered by all six Kentucky Medicaid plans and are the clinical standard of care during pregnancy.

MAT across the treatment continuum

MAT continues across every level of care.

MAT typically starts during detox and continues through residential, PHP / IOP, and indefinitely at the outpatient level.

Pick your plan

Kentucky Medicaid plans typically cover MAT.

Kentucky Medicaid

Aetna Better Health

See Aetna Better Health's MAT coverage detail.

View Aetna Better Health MAT coverage → Kentucky Medicaid

Anthem Medicaid

See Anthem Medicaid's MAT coverage detail.

View Anthem Medicaid MAT coverage → Kentucky Medicaid

Humana Healthy Horizons

See Humana Healthy Horizons's MAT coverage detail.

View Humana Healthy Horizons MAT coverage → Kentucky Medicaid

Passport

See Passport's MAT coverage detail.

View Passport MAT coverage → Kentucky Medicaid

UnitedHealthcare Community Plan

See UnitedHealthcare Community Plan's MAT coverage detail.

View UnitedHealthcare Community Plan MAT coverage → Kentucky Medicaid

WellCare

See WellCare's MAT coverage detail.

View WellCare MAT coverage →
Frequently asked

Common questions about MAT coverage.

Does Kentucky Medicaid cover Suboxone?
Yes. Kentucky Medicaid plans typically cover Suboxone for opioid use disorder. Specific formulations may require pharmacy prior authorization depending on the plan's preferred drug list.
Does Kentucky Medicaid cover methadone?
Yes. Methadone for OUD is a covered Kentucky Medicaid benefit, but it can only be dispensed at federally licensed opioid treatment programs (OTPs).
Does Kentucky Medicaid cover Vivitrol?
Yes. Vivitrol (extended-release naltrexone) is typically covered by Kentucky Medicaid plans for OUD and alcohol use disorder. Vivitrol requires patients to be opioid-free for 7-14 days before the first injection.
Can I get MAT during pregnancy on Kentucky Medicaid?
Yes. Subutex (buprenorphine alone, without naloxone) is the standard MAT for pregnant members with OUD, and is typically covered by Kentucky Medicaid plans.
Are MAT prescriptions limited or capped on Medicaid?
No. MAT is a long-term treatment for OUD and AUD, and Medicaid does not impose arbitrary duration caps.
Take the next step

Talk to admissions about MAT.

MAT is a long-term treatment, not a short-term fix. When you're ready, we're ready — we'll walk you through which medication fits clinically.

Call (502) 610-4829 Verify Insurance