Lighthouse Counseling Services

Located in Madisonville, KY, Lighthouse Counseling Services operates in KY's broader addiction-treatment market. The facility's programming is outpatient (Outpatient, Dual Dx), not residential. What this page tries to do is frame the specific questions worth asking, which are rarely the ones that get asked first.

Care levels at Lighthouse Counseling Services

Lighthouse Counseling Services is an outpatient-focused program (Outpatient, Dual Dx) — patients live at home or in sober living and attend treatment sessions. This level of care is clinically appropriate for mild-to-moderate substance use disorder, or for patients stepping down from residential. The gap between "this facility offers residential" and "residential is the right level for this patient" is wider than most facility websites suggest. Bridge it with an outside assessment before committing.

Insurance and payment

Lighthouse Counseling Services accepts both Medicaid and commercial insurance, which is the broadest payer profile and typically correlates with programs that operate at scale across the economic spectrum. The insurance problem is almost never that treatment is uncovered — it is that the specific admission was authorized under different terms than the ones in the benefit summary. Get the Verification of Benefits in writing; everything else follows from that one move.

Specialty programming

The facility's documented specialty programming includes: Young adults, Seniors or older adults, Criminal justice (other than DUI/DWI)/Forensic clients. "Specialty track" is a marketing category often; it becomes a clinical category when specific clinicians deliver specific programming for a documented number of hours per week. Ask for those specifics.

Before you call

Three questions for Lighthouse Counseling Services before you sign anything: what ASAM level you are being admitted at; what the written VOB says for your plan; how the program handles MAT. If the clinical situation involves opioid use disorder, confirm explicitly whether Lighthouse Counseling Services offers medication-assisted treatment — buprenorphine, methadone, or naltrexone. Programs that do not are operating outside the current standard of care. These three together tell you most of what a facility's about.