Drug and Alcohol Rehab Centers in Paintsville, KY
Addiction treatment providers across Paintsville are gathered on this page, including areas such as Downtown Paintsville, West Van Lear, Van Lear, Auxier, and Prestonsburg. Scroll down to browse inpatient rehabs, outpatient programs, virtual treatment providers, counselors, and therapists serving the area.
All Paintsville addiction treatment centers listed below, including facilities serving Dwale, Allen, and Inez, are reviewed against bodies such as the Kentucky Cabinet for Health and Family Services, SAMHSA, The Joint Commission, and CARF International. Explore the options below.
3 Drug and Alcohol Rehab Treatment Centers in Paintsville, KY
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Drug and Alcohol Rehabs in Paintsville, KY
Paintsville is the seat of Johnson County, in the Big Sandy region of eastern Kentucky on US 23.
Loretta Lynn was born at Butcher Hollow a few miles east, and the cabin is open to visitors, while Chris Stapleton and Crystal Gayle also came from this county.
US 23 through here is designated the Country Music Highway, and the museum in Paintsville marks the extraordinary number of performers who came from a stretch of road this short.
Johnson County’s provisional overdose counts are suppressed by the CDC under small-count disclosure rules, which reflects a small population rather than an absence of the problem.
Paintsville carries considerably more treatment provision than its size suggests, because it sits inside the Big Sandy corridor that Mountain Comprehensive Care serves from Prestonsburg.
Around thirteen facilities sit within twelve miles, including three indicating residential care, five intensive outpatient and seven medication-assisted treatment.
What is absent is detox, with nothing indicated within twelve miles and one across thirty, the same gap running through the whole Big Sandy region.
Mountain Comprehensive Care Center is the regional Community Mental Health Center, covering Johnson alongside Floyd, Magoffin, Martin and Pike.
Which Level of Care Do You Need
The figures below use a twelve-mile catchment with wider numbers where they change the picture, covering Downtown Paintsville, Prestonsburg and the surrounding Johnson County communities.
Medically Supervised Detox
Withdrawal handled under clinical supervision is what detox means in practice, typically three to seven days for alcohol and five to ten for opioids, and it opens the sequence where dependence is physical. Around one facility within thirty miles of Paintsville indicates detox provision, though none sits within twelve. A lone provider serving this area makes availability the first question to put. Alcohol withdrawal is most dangerous in the opening days, so overnight medical staffing is worth confirming before admission.
Inpatient Residential Treatment
Residential programs house people for as long as treatment lasts, commonly a month and sometimes considerably longer. Around three facilities within twelve miles of Paintsville indicate residential provision, rising to about five within thirty. Under Kentucky’s 1115 waiver Medicaid funds residential stays of up to thirty days, which puts a bed within reach without paying privately.
Outpatient, IOP and PHP Treatment
Kentucky Medicaid works to the American Society of Addiction Medicine criteria, which means an assessment should place you at a defined level rather than at whatever a provider offers. Around eleven providers within twelve miles offer standard outpatient services, five indicate intensive outpatient, one partial hospitalization and seven medication-assisted treatment, rising to twenty-nine and nine within thirty. Having that middle tier locally is what distinguishes the Big Sandy corridor from the rest of the coalfields.
Dual Diagnosis and Co-Occurring Disorders Treatment
Treating the drinking or the drug use while leaving an untreated mental health condition in place is what dual diagnosis care is designed to prevent. Around six providers within twelve miles of Paintsville indicate this work, rising to about eighteen within thirty. Mountain Comprehensive Care handles mental health and addiction treatment within one organization, so it is the shortcut to integrated care for anyone without insurance.
Sober Living Homes and Transitional Living
Recovery residences are substance-free houses for the period after a program ends, and they are not listed separately here. The Kentucky Recovery Housing Network holds the state register on behalf of the National Alliance for Recovery Residences. Nothing obliges a residence to certify, so ask, and ask again if a program is recommending its own housing. Housing costs across Johnson County are among the lowest in Kentucky, though the terrain concentrates supply in the valleys.
Addiction Treatment Cost and Insurance Coverage in Paintsville, KY
The Big Sandy region prices at the lower end of the Kentucky range, and Mountain Comprehensive Care carries most of what is publicly funded across five counties.
How Much Does Addiction Rehab Cost?
Intensive outpatient in Paintsville runs roughly $2,500 to $8,800 a month and is well supplied locally. Residential treatment costs $5,800 to $23,000 a month with Medicaid covering up to thirty days, standard outpatient $1,200 to $4,800 a month and partial hospitalization $6,800 to $13,000 a month. Medical detox, which means traveling, runs $1,400 to $4,800 a week.
Given reporting in 2026 on Medicaid billing in Kentucky’s treatment industry, and how quickly capacity grew across eastern Kentucky, it is worth asking any program what proportion of its treatment hours are delivered by licensed clinicians rather than peer staff.
| 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.
Approval is a separate hurdle from coverage. Detox and residential admissions almost always need prior authorization, and your share normally turns on network status. West Virginia begins around half an hour east, but Kentucky Medicaid does not pay for out-of-state care, so a closer program across the line is frequently the more expensive one.
Free and State-Funded Addiction Rehab in Paintsville, KY
Mountain Comprehensive Care Center is the regional Community Mental Health Center for Johnson County, one of the fourteen established under KRS Chapter 210 that between them cover all 120 Kentucky counties. It exists to serve people the private market does not reach, and its crisis line is open at all hours.
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
Paul B. Hall Regional Medical Center in Paintsville serves the county, with Highlands ARH in Prestonsburg fifteen minutes south and Pikeville Medical Center around forty-five minutes southeast taking the more serious presentations.
Alcoholics Anonymous meets across Johnson County through the week, and Celebrate Recovery meets in churches throughout the Big Sandy region. Narcotics Anonymous operates an eastern area. Nearby Prestonsburg, Salyersville and Louisa carry further listings, with more across Kentucky.
Since the 1115 waiver took effect, Kentucky Medicaid has covered methadone and short-term residential care, so the publicly funded route reaches further here than it does in many states.
Free and confidential, available now
Mountain Comprehensive Care Center 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, Johnson County, twelve months ending December 2021 and December 2025, data as of 5 July 2026.
- Kentucky Department for Behavioral Health, Developmental and Intellectual Disabilities — Mountain Comprehensive Care Center 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, Paintsville and Johnson County, August 2026, and market rate research, Kentucky, 2026. Ranges are indicative and vary by facility, length of stay and coverage.