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5 Best Sliding Scale Rehabs in Lexington, KY (2026)

We list 5 sliding scale rehabs in Lexington, KY, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 5Treatment facilities
  • 0Offer detox
  • 0Inpatient / residential
  • 5Accept Medicaid

Sliding Scale Fees: the basics

Sliding-scale rehab programs charge based on what you can afford, usually using your income and household size. The lower your income, the less you pay, and some people pay very little. Community health centers, nonprofit programs and publicly funded clinics often use sliding fees. You'll usually need to show proof of income. Read the full guide →

2026 rankings

Top 5 sliding scale rehabs in Lexington, KY

Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank

  1. Roaring Brook Recovery

    Lexington, KY

    8.8ExcellentStartDrugRehab Score 8.8 out of 10
    5.0Google218 reviews

    Best for: Intensive outpatient careCARF

    Why it made our list: CARF accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  2. UK Healthcare PATHways Program

    Lexington, KY

    7.5Very goodStartDrugRehab Score 7.5 out of 10

    Best for: Outpatient care with MATJoint Commission

    Why it made our list: Joint Commission accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  3. Changed Lives Mental Health and – Substance Abuse Counseling LLC

    Lexington, KY

    6.8GoodStartDrugRehab Score 6.8 out of 10
    4.6Google28 reviews

    Best for: Intensive outpatient care

    Why it made our list: Offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  4. Changed Lives Substance – Abuse Counseling LLC

    Lexington, KY

    6.8GoodStartDrugRehab Score 6.8 out of 10
    4.6Google28 reviews

    Best for: Intensive outpatient care

    Why it made our list: Offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  5. Crossroads Counseling Services

    Lexington, KY

    6.2GoodStartDrugRehab Score 6.2 out of 10
    3.8Google16 reviews

    Best for: Intensive outpatient care

    Why it made our list: Offers IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details

See the best rehab centers in Lexington, KY →

All sliding scale rehabs in Lexington, KY

Roaring Brook Recovery

Lexington, KY 40517

8.8ExcellentStartDrugRehab Score 8.8 out of 10
5.0Google218 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

UK Healthcare PATHways Program

Lexington, KY 40507

7.5Very goodStartDrugRehab Score 7.5 out of 10

Joint Commission accredited

Setting
Outpatient
Operator
Public
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

6.8GoodStartDrugRehab Score 6.8 out of 10
4.6Google28 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

Crossroads Counseling Services

Lexington, KY 40511

6.2GoodStartDrugRehab Score 6.2 out of 10
3.8Google16 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

More options in Lexington, KY

Sliding Scale Rehabs in other Kentucky cities

Frequently asked questions

How many sliding scale rehabs are in Lexington, KY?

We list 5 sliding scale rehabs in Lexington, KY, based on SAMHSA's FindTreatment.gov data (updated October 2026).

How do I choose the right program?

Look for state licensing and accreditation (The Joint Commission or CARF), the right level of care for your needs, evidence-based therapies, and insurance compatibility. Read our guide to choosing a rehab or call (833) 589-6933 to talk it through.

Will my insurance cover treatment?

Most private plans and Medicaid cover substance use treatment when it's medically necessary, but benefits vary by plan and network. Call (833) 589-6933 for a free, confidential benefits check.

Source: SAMHSA FindTreatment.gov, data updated October 2026. Listings are not endorsements.