UnitedHealthcare Community Plan of Kentucky coverage for addiction treatment.
UnitedHealthcare Community Plan of Kentucky is UnitedHealthcare's Kentucky Medicaid managed care plan.
Golden Grove Recovery is open and admitting in Louisville, KY, and is in network with UnitedHealthcare Community Plan 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.
What's covered
UnitedHealthcare Community Plan coverage highlights.
UnitedHealthcare Community Plan of Kentucky is UnitedHealthcare's Kentucky Medicaid managed care plan. It covers the full American Society of Addiction Medicine (ASAM) substance use disorder (SUD) treatment continuum and integrates behavioral health services for members with co-occurring mental health conditions. The plan also administers specialized programs for pregnant members and members transitioning from justice-involved settings.
- Residential SUD treatment (ASAM 3.1, 3.3, 3.5) based on medical-necessity determination
- PHP (ASAM 2.5) and IOP (ASAM 2.1) with concurrent-review authorization
- Standard outpatient SUD counseling, group therapy, and relapse-prevention services
- Medication-Assisted Treatment — Suboxone, buprenorphine (Subutex), methadone, Vivitrol, oral naltrexone
- Integrated treatment for co-occurring mental health conditions
- Maternity Support Services for pregnant members with SUD (coordinated MAT during pregnancy)
- Non-emergency medical transportation (NEMT) for treatment appointments
Levels of care covered
ASAM levels UnitedHealthcare Community Plan covers.
These are the levels UnitedHealthcare Community Plan 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 →
MAT covered
Medications covered under UnitedHealthcare Community Plan.
UnitedHealthcare Community Plan'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.
Suboxone (buprenorphine + naloxone)
Subutex (buprenorphine)
Methadone (through licensed OTPs)
Vivitrol (extended-release naltrexone)
Oral Naltrexone
Prior authorization
How auth works with UnitedHealthcare Community Plan.
UnitedHealthcare Community Plan typically applies ASAM criteria for SUD medical-necessity determinations. Residential admissions typically require prior authorization; PHP/IOP are generally handled through notification plus concurrent review.
Member benefits
Beyond clinical coverage.
Kentucky Medicaid members of UnitedHealthcare Community Plan access the plan's 24/7 nurse advice line, its Optum Behavioral Health network for dual-diagnosis services, and care management for complex SUD and pregnancy-related cases.
Frequently asked
UnitedHealthcare Community Plan questions.
Is Golden Grove in network with UnitedHealthcare Community Plan?
Yes. Golden Grove Recovery is in network with UnitedHealthcare Community Plan 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 UnitedHealthcare Community Plan 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, UnitedHealthcare Community Plan 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 UnitedHealthcare Community Plan 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.
Take the next step
Verify your UnitedHealthcare Community Plan 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.