Kentucky Medicaid Plan Lookup Tools

As a member of UnitedHealthcare Community Plan, one of the first things you will want to do is to choose a Primary Care Provider (PCP). Your PCP will provide and coordinate all your healthcare, including referrals to specialists. If you need special care that your PCP can’t give, he or she will help you find a specialist. If you do not choose a PCP, we will select one for you, which you can change later.

In addition one of our behavioral health providers will take care of your mental health and drug and alcohol treatment needs. If you need counseling, testing or need to see a behavioral health specialist, we will coordinate your behavioral health care needs.

Provider Directories

Please feel free to call our Member Services line, at 1-866-293-1796 (TTY: 711) and we will be happy to help you find or change your PCP.

To find a PCP or a Specialist in our network, please visit these online directories for complete information, including names, addresses, specialties, new patient’s availability and languages spoken. If you would like us to provide you with a printed version at no cost, please call us, at 1-866-293-1796 (TTY: 711).

Emergency and Urgent Care

The Emergency and Urgent Care List tells you what a real emergency is and provides a list of many urgent care centers that you can use. You can use these centers when you are sick or need medical care right away and your PCP is not available, but it's not a life-threatening situation. Urgent care centers are usually open in the evenings and on weekends.

Emergency rooms (ERs) are for major injuries or sudden sicknesses that may be life threatening and need medical care right away. In an emergency, you should call 911 or go to an ER immediately.

Behavioral health care includes mental health (your emotional, psychological, and social well-being) and substance (alcohol and drugs) use disorder treatment and rehabilitation services. All members have access to services to help with mental health issues like depression or anxiety, or to help with alcohol or other substance use disorders.

Talk to your PCP today about any health or behavioral health problems you have. Your PCP will refer you to a behavioral health provider with UnitedHealthcare Community Plan. They can refer you to specialists, and other facilities, such as hospitals and substance abuse and treatment services.

There are some treatments and services that need preapproval before you can get them. To learn more, talk to your doctor.

Search for a Behavioral Health Provider

Required care is 100% covered. If you need behavioral health care, your PCP and UnitedHealthcare Community Plan can help coordinate your care.

We cover:

  • Behavioral Health Services
  • Services to help figure out if you have a mental health need (diagnostic assessment services)
  • Individual, group and family therapy 
  • Mobile crisis management services 
  • Facility-based crisis programs 
  • Specialized behavioral health services for children with autism 
  • Outpatient behavioral health services 
  • Outpatient behavioral health emergency room services 
  • Inpatient behavioral health services 
  • Research-based intensive behavioral health treatment 
  • Partial hospitalization 
  • Other Supportive Services such as: Peer Supports, Comprehensive Community Supports and Targeted Case Management

Substance Use Disorder Services

  • Outpatient opioid treatment
  • Outpatient withdrawal management
  • Non-hospital medical withdrawal management
  • Alcohol and drug abuse treatment center withdrawal management crisis stabilization
  • Peer Support Services and Targeted Case Management

Additional health resources can be found at [link to liveandworkwell.com/ky] Find the balance, support and care you need to live the healthiest life possible.

If you believe you need access to more intensive behavioral health services that UnitedHealthcare Community Plan of Kentucky does not provide, talk with your PCP or call Member Services 1-866-293-1796.

Member Handbook

The UnitedHealthcare Community Plan Preferred Drug List (PDL) is a list of covered prescription drugs, and drugs needing prior authorization for enrollees in Kentucky Medicaid. Prior authorization is when your doctor has to call us before giving you the prescription to see if we will cover it.

Preferred Drug List for Kentucky Medicaid

Direct Member Reimbursement (DMR) Form