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.
Kentucky Medicaid plans typically cover MAT
Aetna Better Health
View Aetna Better Health MAT coverage →Anthem Medicaid
View Anthem Medicaid MAT coverage →Humana Healthy Horizons
View Humana Healthy Horizons MAT coverage →Passport
View Passport MAT coverage →UnitedHealthcare Community Plan
View UnitedHealthcare Community Plan MAT coverage →WellCare
View WellCare MAT coverage →MAT medications covered
| Medication | Used For | Setting |
|---|---|---|
| Suboxone (buprenorphine + naloxone) | OUD | Office-based |
| Subutex (buprenorphine alone) | OUD — pregnancy standard | Office-based |
| Methadone | OUD | Licensed OTP only |
| Vivitrol (extended-release naltrexone) | OUD and AUD | Office-based monthly injection |
| Oral naltrexone | OUD and AUD | Pharmacy |
| Acamprosate | AUD | Pharmacy |
| Disulfiram | AUD | Pharmacy |
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 typically starts during detox and continues through residential, PHP / IOP, and indefinitely at the outpatient level.
Talk to our admissions team about MAT
Call us or send a message — we'll discuss your situation and help you understand your treatment options.
Frequently asked questions
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 Medicaid 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.