77 Treatment Centers in Louisville, KY

Louisville crisis and helpline numbers

If you are in immediate danger, call 911. Otherwise, any of the following are free, confidential, and available 24/7 unless noted.

What rehab actually costs in Louisville — and who pays

Louisville is unusual among Kentucky cities in that a major commercial insurer, Humana Inc., is headquartered downtown. Six Medicaid MCOs cover the full ASAM continuum, and prior-authorization for MOUD was removed in 2022.

Louisville is unusual among Kentucky cities in that a major commercial insurer, Humana Inc., is headquartered downtown at 500 W. Main Street. Most Louisville SUD providers are in-network with commercial Humana plans as well as Humana Healthy Horizons (the company's Kentucky Medicaid managed-care product). Other large Jefferson County payers include Anthem Blue Cross Blue Shield of Kentucky (commercial and Medicaid), Aetna, UnitedHealthcare, and Cigna.

Kentucky expanded Medicaid in 2014 under executive order by Governor Steve Beshear, and today Kentucky Medicaid covers adults up to 138% of the federal poverty line. In Jefferson County, Medicaid is delivered through six managed-care organizations: Passport Health Plan by Molina, Anthem Medicaid, Humana Healthy Horizons, WellCare of Kentucky, Aetna Better Health of Kentucky, and UnitedHealthcare Community Plan. All six cover the full ASAM continuum — outpatient (Level 1.0) through medically monitored inpatient (Level 3.7) — plus methadone, buprenorphine, and naltrexone.

A 2022 rule change by the Kentucky Department for Medicaid Services removed prior-authorization requirements for initiation of medication for opioid use disorder (MOUD). A buprenorphine prescription started in a Louisville emergency department or in a Seven Counties outpatient visit can be filled the same day on Medicaid without a 24–72 hour PA window.

For uninsured residents, the path is different. The Healing Place charges residents nothing. Seven Counties Services offers sliding-scale fees based on income. FQHCs (Park DuValle, Family Health Centers) apply sliding-scale fees as low as $25 per visit. Self-pay rates at commercial residential programs in Louisville typically range $15,000–$35,000 for a 30-day inpatient stay; ask directly about settlement-funded scholarship beds, which have expanded under the 2025 Kentucky Opioid Abatement Advisory Commission allocation to Louisville Metro.

Harm reduction, naloxone, and mutual-aid recovery in Louisville

Where to get sterile supplies, free naloxone, and connection to the 400+ AA and NA meetings that run every week in Jefferson County.

Louisville's public-health-operated syringe services program is housed at 400 E. Gray Street; main-site hours are Monday through Friday, 9:00am–3:00pm. The program also runs rotating mobile and satellite sites across Portland, the West End, the South End, and downtown. On-site services include sterile syringe exchange (1-for-1 plus starter kits for new participants), free naloxone with training, fentanyl test strips, HIV and hepatitis C testing, wound-care assessment, and direct linkage to medication for opioid use disorder. Participation is anonymous.

Naloxone outside the exchange

Under Kentucky's statewide naloxone standing order, any Louisville pharmacist may dispense naloxone without a patient-specific prescription. The Kentucky Office of Drug Control Policy maintains a map of participating pharmacies. Louisville Metro Corrections also distributes naloxone kits to individuals at release.

Mutual-aid recovery networks

The Louisville AA Intergroup Central Office at 332 W. Broadway, Suite 110 maintains a searchable meeting directory covering roughly 400 weekly Alcoholics Anonymous meetings across Jefferson County, including in-person, hybrid, and women's-only, young-people's, and LGBTQ+-focused formats. Narcotics Anonymous meetings are listed at louisvillena.org. SMART Recovery and Refuge Recovery meetings also run weekly in Louisville, with schedules hosted by the respective national organizations.

Recovery community centers

Peer-run recovery community centers in Louisville include The Healing Place alumni network and Volunteers of America's peer-support services. Peer specialists are increasingly embedded in Louisville emergency departments and in Louisville Metro Corrections as part of the post-2023 opioid-settlement expansion.

Sources and authority references

All statistics, legal citations, and provider details on this page trace to the primary sources below. Every link opens in a new tab and is not affiliated with RehabHive.

• KRS 218A.133 (Kentucky Good Samaritan overdose immunity)
• Senate Bill 192 (2015 RS) legislative record
• Jefferson County Coroner
• Louisville Metro Department of Public Health & Wellness
• Kentucky Office of Drug Control Policy (ODCP)
• Kentucky Department for Medicaid Services
• KASPER — Kentucky PDMP
• Louisville Metro Syringe Exchange / Harm Reduction
• 988 Kentucky Lifeline
• CDC WONDER (Jefferson Co. FIPS 21111)
• HRSA health center finder
• Kentucky Opioid Abatement Advisory Commission
• SAMHSA National Helpline / findtreatment.gov

Editorial review: This page is maintained by the RehabHive Editorial Team. Medical and legal claims were last reviewed on 2026-04-23. We do not provide medical advice. For clinical decisions, consult a licensed provider. For emergencies, call 911.