We list 144 sliding scale rehabs in Kentucky, based on SAMHSA's FindTreatment.gov data, with the most in Morehead (8), Louisville (6), and Ashland (6). Compare services, insurance accepted and accreditation, or call for free help choosing.
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
Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank
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.
Best for: Supervised detoxCARF
Why it made our list: CARF accredited; offers detox, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Detox and residential careCARF
Why it made our list: CARF accredited; offers detox, residential care, PHP, and outpatient care; accepts private insurance, Medicaid, and self-pay.
Best for: Residential treatmentJoint CommissionCARF
Why it made our list: Joint Commission, CARF, COA, and NCQA accredited; offers residential care, IOP, outpatient care, and MAT; accepts Medicaid and sliding-scale fees.
Best for: Residential treatmentCARF
Why it made our list: CARF accredited; offers residential care, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and self-pay.
Best for: Residential treatmentCARF
Why it made our list: CARF accredited; offers residential care, IOP, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and TRICARE.
Best for: Residential treatmentCARF
Why it made our list: CARF accredited; offers residential care, PHP, IOP, and outpatient care; accepts Medicaid, Medicare, and self-pay.
Best for: Intensive outpatient careCARF
Why it made our list: CARF accredited; offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
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.
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.
Nicholasville, KY 40356
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Scottsville, KY 42164
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Mount Sterling, KY 40353
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Ashland, KY 41101
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Elizabethtown, KY 42701
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Inez, KY 41224
CARF accredited
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale +1 more
“Get help” calls our free helpline, not this facility.
Rush, KY 41168
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Mount Sterling, KY 40353
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
London, KY 40741
Joint Commission · CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Olive Hill, KY 41164
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Flemingsburg, KY 41041
Joint Commission · CARF · COA · NCQA accredited
Levels of care
Payment accepted
Medicaid · Sliding scale · State-funded
“Get help” calls our free helpline, not this facility.
Morehead, KY 40351
Joint Commission · CARF · COA · NCQA accredited
Levels of care
Payment accepted
Medicaid · Sliding scale · State-funded
“Get help” calls our free helpline, not this facility.
Morehead, KY 40351
Joint Commission · CARF · COA · NCQA accredited
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale +1 more
“Get help” calls our free helpline, not this facility.
Morehead, KY 40351
Joint Commission · CARF · COA · NCQA accredited
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale +1 more
“Get help” calls our free helpline, not this facility.
Kirksey, KY 42054
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Ashland, KY 41102
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Hopkinsville, KY 42240
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Hopkinsville, KY 42240
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Hazard, KY 41701
Joint Commission · CARF accredited
Levels of care
Payment accepted
Medicaid · TRICARE · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Morehead, KY 40351
Joint Commission · CARF · COA · NCQA accredited
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale +1 more
“Get help” calls our free helpline, not this facility.
Paducah, KY 42001
CARF accredited
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale
“Get help” calls our free helpline, not this facility.
Morehead, KY 40351
Joint Commission · CARF · COA · NCQA accredited
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale +1 more
“Get help” calls our free helpline, not this facility.
Morehead, KY 40351
CARF · NCQA accredited
Levels of care
Payment accepted
Medicaid · Sliding scale
“Get help” calls our free helpline, not this facility.
Ashland, KY 41101
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Hopkinsville, KY 42240
CARF accredited
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale
“Get help” calls our free helpline, not this facility.
Nicholasville, KY 40356
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Lexington, KY 40517
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Whitley City, KY 42653
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Louisville, KY 40203
CARF · COA accredited
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale
“Get help” calls our free helpline, not this facility.
Louisville, KY 40217
CARF · COA accredited
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale
“Get help” calls our free helpline, not this facility.
We list 144 sliding scale rehabs in Kentucky, based on SAMHSA's FindTreatment.gov data (updated October 2026).
The most listings are in Morehead (8), Louisville (6), and Ashland (6).
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.
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.
