Drug and Alcohol Rehab Centers in Olive Hill, KY
This page brings together drug and alcohol addiction treatment providers in Olive Hill, including nearby communities such as Grayson, Sandy Hook, Morehead, Garrison, and Vanceburg. Scroll down to browse inpatient rehabs, outpatient programs, virtual treatment providers, counselors, and therapists nearby.
Every Olive Hill addiction treatment center listed below, including providers around Lakeview Heights, is checked against bodies such as the Kentucky Cabinet for Health and Family Services, SAMHSA, The Joint Commission, and CARF International. Browse the listings below.

5 Drug and Alcohol Rehab Treatment Centers in Olive Hill, KY
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Drug and Alcohol Rehabs in Olive Hill, KY
Olive Hill sits in Carter County in the northeastern Kentucky foothills, on US 60 between Morehead and Grayson.
Carter Caves State Resort Park lies a few miles north, with more than twenty caves cut through the limestone and a natural bridge that carries a road across it.
The town was a clay and brick center for much of the twentieth century, and the industry’s decline shaped the county in the same way coal shaped those further south.
Carter County has recorded a substantial decline in overdose deaths, from 24 in the twelve months to December 2021 to 11 in the twelve months to December 2025 on provisional CDC counts, a fall of 54 percent.
Olive Hill’s treatment profile is one of the more unusual in Kentucky.
Around seven facilities sit within twelve miles, four of which indicate residential care and three partial hospitalization, but only three offer standard outpatient and just one medication-assisted treatment.
That is close to an inversion of the normal rural pattern, where outpatient exists and beds do not, and it means the intensive end is better covered here than the everyday one.
Pathways is the regional Community Mental Health Center, covering Carter alongside nine other counties across the Gateway and FIVCO regions.
Which Level of Care Do You Need
The figures below use a twelve-mile catchment with wider numbers where they change the picture, covering Olive Hill, Grayson and the surrounding Carter County communities.
Medically Supervised Detox
Where dependence is physical, treatment opens with detox: several days of withdrawal managed under clinical supervision. Nothing within thirty miles of Olive Hill indicates detox provision. Because detox generally has to be completed before a residential program will admit, and four residential providers sit locally, arranging that first step through Pathways is the practical starting point.
Inpatient Residential Treatment
Living at the program is what residential means, usually for thirty to ninety days, inside a structure that carries the whole week. Around four facilities within twelve miles of Olive Hill indicate residential provision, rising to about nine within thirty. For a town of 1,500 that local capacity is remarkable, and Kentucky Medicaid pays for stays of up to thirty days under the state’s 1115 waiver.
Outpatient, IOP and PHP Treatment
Levels of care in Kentucky follow the American Society of Addiction Medicine continuum, so ask which ASAM level an assessment has placed you at and check the program actually delivers it. Around three providers within twelve miles offer standard outpatient services and three indicate partial hospitalization, with only one offering medication-assisted treatment locally, rising to eighteen and four within thirty. The near-absence of local maintenance treatment is the gap that matters most, because it is the level with the best evidence for opioid dependence.
Dual Diagnosis and Co-Occurring Disorders Treatment
When a substance use disorder and a mental health condition occur together, integrated treatment tackles them simultaneously rather than queueing one behind the other. Around six providers within twelve miles of Olive Hill indicate this work, rising to about seventeen within thirty. That is a high proportion of a small local market, and Pathways handles both mental health and addiction treatment within one organization.
Sober Living Homes and Transitional Living
Sober living homes are shared, substance-free houses people move into after a program finishes. This directory covers treatment rather than housing. Kentucky certification runs through the Kentucky Recovery Housing Network, an affiliate of the National Alliance for Recovery Residences. No operator has to certify, which is exactly why the question is worth putting, especially where a house and a treatment program share ownership. In a place where beds substantially outnumber other services, that question carries more weight than usual.
Addiction Treatment Cost and Insurance Coverage in Olive Hill, KY
Northeastern Kentucky prices at the lower end of the state range, and the local market here is unusually weighted toward residential care.
How Much Does Addiction Rehab Cost?
Residential treatment near Olive Hill costs roughly $5,800 to $23,000 a month and is unusually well supplied for a town this size, with Medicaid covering stays of up to thirty days. Partial hospitalization runs $6,800 to $13,000 a month and standard outpatient $1,200 to $4,800 a month. Medical detox, which means leaving the region, runs $1,400 to $4,800 a week.
Given reporting in 2026 on Medicaid billing in Kentucky’s treatment industry, and the concentration of residential capacity in a town this small, asking what proportion of a program’s treatment hours are delivered by licensed clinicians is particularly worth doing here.
| Level of care | Monthly | Daily |
|---|---|---|
| Medical detox (7–14 days) | $1,400 – $4,800 per week | $200 – $685 |
| Residential inpatient | $5,800 – $23,000 | $190 – $765 |
| PHP | $6,800 – $13,000 | $225 – $435 |
| IOP | $2,500 – $8,800 | $85 – $295 |
| Outpatient | $1,200 – $4,800 | $40 – $160 |
| Level of care | Monthly | Daily |
|---|---|---|
| Residential inpatient | $16,000 – $48,000+ | $530 – $1,600 |
| PHP | $13,500 – $31,000 | $450 – $1,035 |
| IOP | $9,000 – $23,000 | $300 – $765 |
| Outpatient | $4,800 – $15,000 | $160 – $500 |
Does Insurance Cover Rehab?
Yes. Addiction treatment sits among the essential health benefits most plans are required to include. What a plan actually pays varies with the employer, the network and the level of care, so two people with the same insurer can face very different bills. Six managed care organizations administer Kentucky Medicaid: Aetna Better Health, Anthem Blue Cross Blue Shield, Humana Healthy Horizons, Passport by Molina, UnitedHealthcare Community Plan and WellCare.
Being covered and being approved are different things. Expect prior authorization ahead of any detox or residential admission, and expect network status to settle what you actually pay. Because medication-assisted treatment is nearly absent locally, ask specifically about buprenorphine from a prescriber rather than assuming a clinic visit is required, since any DEA-registered provider can now prescribe it.
Free and State-Funded Addiction Rehab in Olive Hill, KY
Pathways is the regional Community Mental Health Center for Carter County, one of the fourteen established under KRS Chapter 210 that between them cover all 120 Kentucky counties. Being without insurance is not an obstacle here, and the regional crisis line operates around the clock.
There is a public scorecard for Kentucky behavioral health and substance use providers, published under House Bill 695 and built on Medicaid claims data. Reporting in 2026 on billing in the state’s treatment industry makes it worth consulting, alongside asking what share of a program’s hours are delivered by licensed clinicians.
More Help and Recovery Support
St Claire HealthCare in Morehead and King’s Daughters Medical Center in Ashland both serve this area, each around half an hour away in opposite directions.
Alcoholics Anonymous meets in Olive Hill and the surrounding towns, and Celebrate Recovery meets in churches throughout Carter County, where it is frequently the nearest support available. Narcotics Anonymous operates a northeastern area. Nearby Grayson, Morehead and Vanceburg carry further listings, with more across Kentucky.
Because Kentucky expanded Medicaid in 2014 and later added a substance use waiver, Medicaid here pays for up to thirty days of residential care and for methadone, which puts more of the continuum within reach.
Free and confidential, available now
Pathways regional crisis line — 24 hours a day, whether or not you have Medicaid 988 Suicide & Crisis Lifeline — call or text 988
References and Citations
- CDC National Center for Health Statistics — VSRR provisional county-level drug overdose death counts, Carter County, twelve months ending December 2021 and December 2025, data as of 5 July 2026.
- Kentucky Department for Behavioral Health, Developmental and Intellectual Disabilities — Pathways regional Community Mental Health Center service area.
- Kentucky Cabinet for Health and Family Services — Behavioral Health and Substance Use Disorder Provider Scorecard, published under House Bill 695 section 22 (2025).
- Centers for Medicare and Medicaid Services — Kentucky Section 1115 substance use disorder demonstration, methadone coverage and residential stays of up to thirty days.
- Rehab Seekers directory listings, Olive Hill and Carter County, August 2026, and market rate research, Kentucky, 2026. Ranges are indicative and vary by facility, length of stay and coverage.