Gaines and Associates
Also known as Counseling of the Commonwealth
OutpatientDual diagnosisMedicaidPrivate insuranceTRICARE / VASliding scaleSelf-pay
Services reported to SAMHSA
- Levels of care
- Regular outpatient treatment
- Treatment focus
- Substance use treatment · Treatment for co-occurring disorders plus serious mental illness (SMI) in adults · Treatment for co-occurring disorders plus serious emotional disturbance (SED) in children
- Opioid treatment
- Accepts clients using MAT but prescribed elsewhere
- Treatment approaches
- Anger management · Brief intervention · Cognitive behavioral therapy · Contingency management/motivational incentives · Motivational interviewing · Relapse prevention · Substance use disorder counseling · Telemedicine/telehealth therapy · Trauma-related counseling
- Education and counseling
- Substance use disorder education · Individual counseling · Group counseling · Family counseling · Marital/couples counseling
- Special programs
- Adolescents · Young adults · Adult women · Pregnant/postpartum women · Adult men · Seniors or older adults · Veterans · Active duty military · Members of military families · Criminal justice (other than DUI/DWI)/Forensic clients · Clients with co-occurring mental and substance use disorders · Clients with co-occurring pain and substance use disorders · Clients with HIV or AIDS · Clients who have experienced sexual abuse · Clients who have experienced intimate partner violence, domestic violence · Clients who have experienced trauma
- Exclusive programs
- Specially designed program for DUI/DWI clients
- Ages accepted
- Children/Adolescents · Young Adults · Seniors
- Genders accepted
- Female · Male
- Payment accepted
- Medicaid · Federal military insurance (e.g., TRICARE) · Private health insurance · Cash or self-payment
- Payment assistance
- Sliding fee scale (fee is based on income and other factors)
- Ownership
- Private for-profit organization
- Recovery support
- Housing services · Assistance with obtaining social services
- Transitional services
- Aftercare/continuing care · Discharge Planning
- Other services
- Case management service · Domestic violence services, including family or partner · Mental health services · Social skills development · Suicide prevention services
Questions to ask Gaines and Associates
- Is my specific plan in network, and do you need prior authorization before admission?
- How many hours a week is the outpatient or IOP schedule, and are evening groups available?
- If I need medication for opioid or alcohol use disorder, do you prescribe it or refer out?
- Do you treat mental health conditions such as depression or anxiety at the same time?
- Is there a waitlist, and how soon can you do an assessment?
- What happens after the program ends: aftercare, alumni groups or step-down care?
Also confirm the facility is licensed by Kentucky. If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
Paying for treatment at Gaines and Associates
Gaines and Associates reports accepting Medicaid, Private insurance, TRICARE / VA, Sliding scale, Self-pay. With Kentucky Medicaid, treatment is usually covered at little or no cost, though some levels of care need prior authorization. Most private plans must cover substance use treatment on terms comparable to other medical care under federal parity law. A sliding fee scale is available, so bring proof of income.
Frequently asked questions
What services does Gaines and Associates offer?
Gaines and Associates reports these levels of care to SAMHSA: Outpatient, Dual diagnosis. Call to confirm current services and openings.
Does Gaines and Associates accept insurance?
It reports accepting Medicaid, Private insurance, TRICARE / VA, Sliding scale, Self-pay. Ask whether your specific plan is in network before admission.
Where is Gaines and Associates located?
244 West Irvine Street, Richmond, KY 40475.
How far is the nearest medical detox from Richmond?
From the center of Madison County, the closest program offering medical detox is in Richmond, about 4.4 miles away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
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See all 12 facilities in Richmond · Outpatient · MAT · Accepts Medicaid · Accepts Medicare · Private insurance · Sliding scale
Last reviewed 2026-10-06. Facility details come from SAMHSA's FindTreatment.gov locator and facility-provided information. Confirm services, availability and payment directly with the facility.