Passport Health Plan by Molina Healthcare addiction treatment coverage
Passport covers the clinical continuum of substance use treatment for substance use disorder. Discuss your coverage with Golden Grove Recovery in Louisville, Kentucky.
What Passport is
Passport Health Plan by Molina Healthcare is one of Kentucky Medicaid's original managed care organizations, serving Medicaid members across all 120 Kentucky counties. Passport covers substance use disorder (SUD) treatment as a core benefit, including medical detox, residential, PHP, IOP, outpatient, and medication-assisted treatment.
What Passport covers for SUD treatment
- Residential addiction treatment (ASAM 3.1, 3.3, 3.5) subject to medical necessity
- Partial Hospitalization (PHP, ASAM 2.5) and Intensive Outpatient (IOP, ASAM 2.1)
- Outpatient SUD counseling with no visit cap when medically necessary
- Medication-Assisted Treatment — Suboxone, Subutex, methadone, Vivitrol, and oral naltrexone
- Integrated behavioral health benefits for co-occurring mental health conditions
- Non-emergency medical transportation (NEMT) to SUD appointments
Levels of care Passport covers
| ASAM | Description |
|---|---|
| 1 | Outpatient (ASAM 1) |
| 2.1 | Intensive Outpatient (ASAM 2.1) |
| 2.5 | Partial Hospitalization (ASAM 2.5) |
| 3.1 | Clinically Managed Low-Intensity Residential (ASAM 3.1) |
| 3.3 | Clinically Managed Population-Specific High-Intensity Residential (ASAM 3.3) |
| 3.5 | Clinically Managed High-Intensity Residential (ASAM 3.5) |
MAT covered by Passport
Passport covers the following FDA-approved medications for opioid and alcohol use disorder:
SuboxoneSubutexMethadoneVivitrolOral Naltrexone
Read more about how Medicaid covers MAT, including authorization and pharmacy benefits.
How prior auth works with Passport
Passport typically requires prior authorization for residential SUD treatment and for some MAT prescriptions. Outpatient SUD and PHP/IOP admissions are generally handled through notification and concurrent review rather than a multi-day pre-auth.
Member benefits that apply to SUD
Members receive a pharmacy benefit through Molina's formulary, member services at 1-800-578-0603, and access to Molina's care management team for complex SUD and dual-diagnosis cases.
More on Passport at https://www.molinahealthcare.com/members/ky/en-us.html.
Talk to admissions about Passport coverage
Call us or send a message — we'll discuss what your Passport plan covers and the next step.
Frequently asked questions
Does Passport cover residential addiction treatment?
Yes. Passport covers residential SUD treatment (ASAM 3.1, 3.3, 3.5) based on medical-necessity determination using ASAM criteria. Prior authorization with concurrent review is typical.
Does Passport cover Suboxone or methadone?
Passport covers Suboxone, Subutex, Methadone, Vivitrol, Oral Naltrexone as part of its MAT benefit. Methadone is delivered through licensed opioid treatment programs (OTPs).
Will Passport cover medical detox?
Kentucky Medicaid plans cover medical withdrawal management when medically necessary, with coverage details that vary by level of care and setting. If detox is part of your situation, talk to our admissions team about the right path for you.
What does prior authorization look like with Passport?
Passport typically requires prior authorization for residential SUD treatment and for some MAT prescriptions. Outpatient SUD and PHP/IOP admissions are generally handled through notification and concurrent review rather than a multi-day pre-auth.
Is Golden Grove Recovery in-network with Passport?
Golden Grove Recovery is in pre-opening setup. The information on this page is provided to help you understand Kentucky Medicaid coverage for substance use treatment. Contact our admissions team to discuss your individual situation and treatment options.