How APRNs in Kentucky Can Help with MAT and Psychiatric Medication Management in Addiction Recovery

When navigating recovery from addiction, continuity of care and access to appropriate medication management are crucial. In Kentucky, Advanced Practice Registered Nurses (APRNs) play a central role in supporting individuals throughout their recovery journeys, including the management of medication-assisted treatment (MAT) and psychiatric medications. But how does this care continue after leaving a treatment program? And can it be done via telehealth? This guide breaks it down.

APRNs and Their Scope of Practice in Kentucky

APRNs in Kentucky are independent healthcare providers who are authorized to evaluate, diagnose, and manage treatments. However, prescribing medications requires collaborative agreements with physicians:

• CAPA-NS (Non-Scheduled Drugs): Required initially to prescribe non-controlled medications. After four years of continuous prescribing, APRNs can often prescribe independently.

• CAPA-CS (Controlled Substances): Required to prescribe controlled medications, such as those used in MAT and psychiatric care.

These agreements allow APRNs to play a vital role in both primary and specialized care settings.

Managing Medication-Assisted Treatment (MAT) in Kentucky

In Kentucky, an APRN may prescribe and monitor MAT and psychiatric medication

APRNs are permitted to prescribe MAT medication in Kentucky such as buprenorphine for opioid use disorder. They must follow professional standards (201 KAR 20:065), which include:

• Conducting comprehensive physical, medical, and psychiatric evaluations

• Reviewing the patient’s 12-month history in the KASPER (Kentucky All Schedule Prescription Electronic Reporting) system

• Providing informed consent

• Integrating behavioral health supports

Real-World Example: An APRN in a Lexington community clinic provides MAT to individuals recovering from opioid addiction. They handle everything from the initial intake to follow-up medication adjustments and counseling referrals.

Psychiatric Medication Management by APRNs

APRNs with psychiatric-mental health certifications (PMHNPs) are allowed to prescribe psychiatric medications, including:

• Schedule II psychostimulants (e.g., Adderall): 30-day supply

• Schedule III substances: 30-day supply, no refills

• Schedule IV and V: Refills not exceeding a 6-month supply

APRNs must conduct mental health assessments and maintain careful documentation.

Real-World Example: A PMHNP in Bowling Green manages depression and anxiety medications for clients recovering from substance use. They provide both pharmacologic treatment and supportive counseling.

An APRN provides full medical and psychiatric evaluations to ensure the best possible care.

APRN Client Requirements for Care

To receive MAT or psychiatric care from an APRN, clients are typically required to:

• Complete a full medical and psychiatric evaluation

• Undergo lab tests and drug screenings

• Participate in treatment planning

• Sign an informed consent agreement

• Engage in behavioral therapy or support programs

• Comply with regular follow-up visits

Special Considerations: Women of childbearing age must receive pregnancy counseling and testing to avoid risks like neonatal abstinence syndrome.

Can APRNs Provide Services via Telehealth?

Yes. APRNs in Kentucky can deliver care through telehealth platforms, including:

• Synchronous (live video/audio)

• Asynchronous (store-and-forward messaging)

• Remote patient monitoring

• Audio-only encounters (when video is not feasible)

APRNs must hold an active Kentucky license, as they are not covered under the Nurse Licensure Compact for APRNs. This ensures they are fully authorized to provide telehealth services to patients residing in Kentucky.

Prescribing via Telehealth

APRNs may prescribe medications, including controlled substances, via telehealth if they:

• Establish a valid patient-provider relationship

• Follow proper evaluation protocols

• Use secure, compliant platforms

  
  

Medicaid and Telehealth

Kentucky Medicaid reimburses telehealth services at the same rate as in-person visits. This includes audio-only and remote patient monitoring, making telehealth an accessible option for many recovering individuals.

Real-World Example: A rural APRN offers virtual follow-up appointments to clients who’ve completed a residential program. They adjust medications, monitor progress, and coordinate continued care—all without requiring patients to travel.

How to Access MAT and Psychiatric Care from an APRN in Kentucky

If you're seeking MAT or psychiatric care, you can start by finding a licensed APRN in Kentucky. Many APRNs offer services in person and via telehealth, providing flexibility based on your needs.

One great resource to help connect you with licensed APRNs and addiction treatment services is RecoveryGlue.org. This platform provides a variety of addiction treatment options, including access to APRNs who specialize in MAT and psychiatric care. It helps individuals find the support they need for recovery, making it easier to access professional services.

To begin, clients should:

1. Research Licensed APRNs: Look for APRNs who specialize in addiction treatment and psychiatric care. Local recovery centers or healthcare directories may provide referrals.

2. Verify Credentials: Make sure the APRN is licensed in Kentucky and has the appropriate certifications for prescribing MAT and psychiatric medications.

3. Schedule an Appointment: You can book an appointment for an initial evaluation, which can be done either in person or remotely.

4. Attend Regular Follow-ups: After the initial visit, it’s important to attend follow-up appointments to monitor progress and make any necessary adjustments to the treatment plan.

Final Thoughts

APRNs in Kentucky are well-equipped to provide safe, effective, and compassionate care to those in recovery—both during and after treatment. Through a combination of in-person and telehealth services, they help ensure consistent access to MAT and psychiatric support.

Whether you're in a city or a rural area, APRNs can be essential allies on the road to recovery.

Need help finding an APRN who offers telehealth for addiction or psychiatric treatment in Kentucky? Reach out to a local recovery network or your treatment provider for referrals.