HIPAA compliant, BAA available

Measurement-Based Care for Kentucky Mental Health Teams

For certified community behavioral health clinics, regional mental health centres, primary care practices and private clinicians from Paducah to Pikeville. Send validated scales by email or QR code, have them scored on submission, and keep the six-month depression picture Kentucky's CCBHC measures ask about on one chart per client. US customer data stays in Google Cloud US regions.

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HIPAA compliant, BAA available
US data stays in Google Cloud US regions
SOC 2 Type II
Scored as soon as it is submitted
100+
validated assessments
BAA
available for HIPAA covered entities
US
regions holding US customer data
$25
per month

Kentucky's CCBHCs Report Depression Remission

  • Kentucky was selected in 2020 for the federal certified community behavioral health clinic (CCBHC) demonstration, which began on 1 January 2022 with four pilot clinics and now runs to 31 December 2027. The state was approved to expand in 2023, and six more CCBHCs came on in January 2026. The Department for Medicaid Services certifies the clinics, pays them a prospective rate and reports their quality measures to SAMHSA each year.

    Those measures go beyond counting visits. Clinics send raw data from their records for depression remission at six months among clients aged 12 and older with major depression or dysthymia, and for depression screening with an age-appropriate standardized tool and a follow-up plan. SAMHSA lists suicide risk assessment for children and adults as optional; Kentucky makes both mandatory for every clinic in its demonstration. Since April 2026 the state calculates the measures itself, and it encourages clinics to calculate them internally for their own quality improvement.

    Remission at six months only shows up if the scale was given at the start and again later. HiBoop sends the PHQ-9, scores it on submission and keeps every result on one chart per client, so a clinic can see who is due for a repeat and check its own numbers between state reports. It does not send data to the Department for Medicaid Services or to SAMHSA.

  • Remission at Six Months

    DEP-REM-6, for clients 12 and older with major depression or dysthymia, plus or minus 60 days

  • Suicide Risk Assessment, Required

    Optional in SAMHSA's specifications, mandatory for Kentucky's demonstration clinics for children and adults

  • Screening With a Follow-Up Plan

    Depression screening using an age-appropriate standardized tool, with a documented plan when positive

All regions

What HiBoop Does for Kentucky Care Teams

  • Kentucky lists screening and collaborative care codes on its Medicaid fee schedules, organizes public mental health care through regional boards, and sets its own rules for telehealth and for young people. HiBoop runs the scales and the charts; the clinical decisions are yours.

  • Baseline, Then the Six-Month Check

    Send the PHQ-9 at intake and schedule repeats, so each client's score at around six months sits next to the first one. Remission and response become something a team can see rather than reconstruct.

  • Suicide Risk Screening

    The C-SSRS Screener is in the same library as the PHQ-9 and PHQ-A, so a positive depression screen can lead straight into a structured risk screen and your own safety planning.

  • Scores That Support Billing Records

    Kentucky Medicaid lists 96127 for each standardized instrument with scoring and documentation. HiBoop records the scale, the score and the date for every administration, ready to export as CSV or PDF.

  • Tobacco, Alcohol and Drug Screening

    Kentucky's CCBHC measures include tobacco and unhealthy alcohol use screening. The TAPS covers tobacco, alcohol and other substances in one tool, alongside the ASSIST and CAGE-AID.

  • One Account for a Regional Centre

    Team and Network plans bring clinicians across a multi-county region into one account, with role-based access so each person sees only the clients their role allows.

  • Telehealth Check-Ins

    Clients in the eastern coalfields or the Purchase answer from an email link between video sessions. Identity checks, location and consent for each telehealth session remain part of your own practice.

Mental health in Kentucky

Research data

  • Each figure below links to the source it comes from.

  • 25.3%

    of Kentucky adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 17.1%

    of Kentuckians aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 25.7%

    of Kentucky adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

  • 4.9%

    of Kentucky adults had serious thoughts of suicide in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

Research from Kentucky

  • PHQ-9 outcomes in primary care

    In a randomized trial of 175 adults with PHQ-9 scores of 10 or more in University of Louisville primary care practices, clinician-supported computer-assisted CBT improved PHQ-9 scores more than usual care after treatment, with remission in 27.3% versus 12.0%.

    Wright et al., JAMA Network Open, 2022 PMID 35142833

  • Suicide risk screening on pediatric wards

    In a six-week nurse-led pilot of the Ask Suicide-Screening Questions on general pediatric wards at Kentucky Children's Hospital, 67 of 152 eligible admissions aged 12 and older were screened, and 3 had a nonacute positive screen followed by psychiatric assessment.

    Inman et al., Journal of Child and Adolescent Psychiatric Nursing, 2019 PMID 31025489

  • PHQ-2 and GAD-2 after a disaster

    Household surveys in eight eastern Kentucky counties six weeks after the July 2022 flood found about 15% of people with a PHQ-2 score of 3 or more and about 20% with a GAD-2 score of 3 or more.

    Johnson et al., Disaster Medicine and Public Health Preparedness, 2025 PMID 39749784

  • Depression care in Kentucky Medicaid

    Among Kentucky Medicaid claimants aged 14 and older from 2012 to 2019, the share with diagnosed depression or anxiety rose from 30.84% to 36.04%, and psychotherapy use among them rose from 24.4% to 36.5%.

    Han et al., Journal of Depression and Anxiety, 2022 PMID 37583369

How Kentucky Organizes and Pays for Behavioural Health

  • HiBoop is independent of these programs and bodies and does not connect to state or plan systems. This is the setting your MCO, regional board and licensing board know.

  • CCBHC Demonstration

    2022 to 2027

    Certified by the Department for Medicaid Services and paid a prospective rate, Kentucky's CCBHCs send raw quality data to the state, including depression remission at six months, depression screening with follow-up, and suicide risk assessment for children and adults. The state announced ten providers for expansion, with certification from January 2026.

    DEP-REM-6Suicide risk assessmentProspective payment

  • Kentucky Medicaid Managed Care

    Five MCOs

    Nearly 90% of Kentucky's roughly 1.35 million Medicaid members are in managed care with Aetna Better Health of Kentucky, Humana Healthy Horizons in Kentucky, Passport Health Plan by Molina Healthcare, UnitedHealthcare Community Plan or WellCare of Kentucky. Children in foster care and dually committed youth are in SKY, run by Aetna Better Health of Kentucky.

    SKY for youth in care96127 listedCollaborative care codes

  • Regional Community Mental Health Centres

    KRS Chapter 210

    State law divides Kentucky into 15 regional service areas, served by 14 private, nonprofit regional boards; Pathways, Inc. covers two of them. The Department for Behavioral Health, Developmental and Intellectual Disabilities works with these centres, each serving a designated multi-county region.

    15 regions14 boardsDBHDID

  • Licensing and Compacts

    Four boards

    Counsellors, social workers, marriage and family therapists and psychologists each have their own board. Kentucky has enacted PSYPACT (2021), the Counseling Compact (2022) and the Social Work Licensure Compact (2024). Most of these professions must complete board-approved suicide assessment, treatment and management training at least once every six years.

    PSYPACTCounseling CompactSuicide prevention training

Care Teams Across Kentucky

  • Each line names the regional community mental health centre the state lists for the area. HiBoop runs in a browser, so a Louisville group practice and a clinic in the eastern mountains use it the same way.

  • Louisville

    Seven Counties Services serves Jefferson County and six neighbouring counties as the regional mental health centre.

  • Lexington and the Bluegrass

    New Vista, based in Lexington, serves Fayette and 16 other Bluegrass counties.

  • Northern Kentucky

    NorthKey Community Care in Covington serves Boone, Kenton, Campbell and the surrounding counties.

  • Bowling Green and South Central

    LifeSkills serves Warren and nine other counties, and was among the providers named for Kentucky's CCBHC expansion.

  • Owensboro and the Green River

    RiverValley Behavioral Health serves Daviess and its neighbouring counties, and was also named for CCBHC expansion.

  • Paducah and the Purchase

    Four Rivers Behavioral Health serves McCracken and the far western counties.

  • Eastern Kentucky

    Mountain Comprehensive Care Center in Prestonsburg and Kentucky River Community Care in Jackson serve the eastern counties, where email and QR code check-ins between visits spare clients long mountain drives.

Data sovereignty

Why Kentucky clinics choose HiBoop

  • Why Kentucky Teams Use HiBoop

    • Data for US customers is stored in Google Cloud US regions, encrypted in transit and at rest
    • SOC 2 Type II certified, HIPAA compliant and ready to sign a BAA
    • Role-based access controls, with each view and export of client data logged
    • Care is $25/month for a single clinician, month to month, no credit card needed to start
    • Clients use their own phone: an email link or a QR code is all it takes

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    One clinician, monthly billing
    $25
    USD/month
    Team
    Starting price, unlimited clinicians
    $200
    USD/month
    Network
    Tailored for multi-site centres
    Custom
    Enterprise pricing

100+ validated scales for Kentucky clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Depression and Suicide Risk

    • PHQ-9 (Depression)
    • C-SSRS Screener (Suicide Risk)
    • GAD-7 (Anxiety)

  • Tobacco, Alcohol and Other Drugs

    • TAPS (Tobacco, Alcohol and Other Substances)
    • ASSIST (Substance Involvement)
    • CAGE-AID (Alcohol and Drug Use)

  • Children and Adolescents

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • CRAFFT-2.1 (Youth Substance Use)
Browse all assessments

Kentucky Records, Telehealth and Minors' Consent

  • HIPAA is the federal floor. Kentucky adds rules on who may counsel a 16-year-old without a parent, detailed duties for telehealth sessions, and a consumer data law that leaves HIPAA covered entities to HIPAA. None of these laws certifies software; the duties are your organization's, and HiBoop provides safeguards that help you meet them.

  • What Kentucky law asks

    • Know who may counsel a minor without a parent: a physician may provide outpatient mental health counselling to a child aged 16 or older on request, while other qualified mental health professionals may do so for a 16-year-old only if the young person is an unaccompanied youth (KRS 214.185)
    • For social workers delivering telehealth, obtain informed consent, explain the technology's privacy risks, assess whether telehealth suits the client, and verify the client's identity and document their location each session (KRS 335.158)
    • Treat Cabinet for Health and Family Services records that identify a patient as confidential, released only with consent or as the law allows (KRS 210.235)
    • Keep HIPAA safeguards and breach notification in place, with a business associate agreement for each vendor; the Kentucky Consumer Data Protection Act does not apply to covered entities or business associates

  • What HiBoop provides

    • A business associate agreement, signed with HIPAA covered entities
    • Hosting in Google Cloud US regions, with encryption in transit and at rest
    • Role-based access and a record of each view and export of client data
    • SOC 2 Type II certification, with the controls listed on our trust page

  • Reviewing HiBoop for your clinic?

    Our trust page covers hosting, encryption, access controls and our SOC 2 Type II report. Ask us for a BAA or for help with a security questionnaire.

    Go to the trust centre

Grants & funding for Kentucky mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more

  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more
View all grants & funding

Resources for Kentucky practitioners

Kentucky Policy, Billing and Privacy Sources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Kentucky require measurement-based care?

    Not for every provider. We found no Kentucky statute or regulation requiring all outpatient providers to use standardized symptom scales. Clinics in the Medicaid CCBHC demonstration do send the state data for depression remission at six months, depression screening and suicide risk assessment. Outside the demonstration, check your MCO contract for its expectations.

  • Does Kentucky Medicaid pay for 96127 and collaborative care?

    The Department for Medicaid Services' 2026 fee schedules list 96127 and the collaborative care codes 99492, 99493 and 99494, along with 99484; G2214 is not on the physician schedule. Kentucky notes that a listed rate does not guarantee coverage, and MCOs set their own policies, so confirm with the plan before you bill.

  • Will private insurers in Kentucky cover collaborative care?

    A 2026 law, KRS 304.17A-662, requires health benefit plans that cover mental health treatment to reimburse care delivered through the psychiatric collaborative care model, for plans issued or renewed from 1 January 2027. Medical necessity reviews are still allowed within parity rules.

  • Can a 16-year-old in Kentucky see a counsellor without a parent?

    It depends on who provides the care. Under KRS 214.185, a physician may provide outpatient mental health counselling to a child aged 16 or older on request without parental consent; other qualified mental health professionals may do so only for an unaccompanied youth aged 16 or older. Confirm the details with your counsel. HiBoop's role-based access lets you limit who sees a young client's scores.

Official sources for Kentucky

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.