Reliable transportation is a major barrier to healthcare for many Kentuckians. This guide brings together statewide and regional transportation programs, medical transport options, Medicaid services, and community-based solutions—all in one easy-to-use page.  

What This Page Provides

Use this page to help individuals find:

• Non-emergency medical transportation (NEMT)
• Medicaid transportation services
• Public bus routes
• Rural transit programs
• Ride-share options
• Veteran transportation
• Disability transportation
• Addiction treatment transport resources
• Emergency contacts

 If someone is in immediate danger or a medical emergency:

• Call 911 for emergency medical assistance
• 988 for mental health or suicide crisis support

 Use this list for Medicaid-covered medical rides, including doctor visits, therapy, MAT/MOUD appointments, rehab, hospital discharges, pharmacy trips, and more.

Provider: Pennyrile Allied Community Services (PACS)
Phone: 1-800-467-4601
Counties: Caldwell, Christian, Crittenden, Hopkins, Livingston, Lyon, Muhlenberg, Todd, Trigg

Provider: Audubon Area Community Services
Phone: 1-800-816-3511
Counties: Daviess, Hancock, Henderson, McLean, Ohio, Union, Webster

Provider: TARC – Transit Authority of River City
Phone: 502-213-3217
Counties: Jefferson

Provider: TANK – Transit Authority of Northern Kentucky
Phone: 859-578-6949
Counties: Boone, Campbell, Kenton

Provider: Communicare Transportation
Phone: 1-800-641-8385
Counties: Breckinridge, Grayson, Hardin, LaRue, Marion, Meade, Nelson, Washington

Provider: Bluegrass Ultra-Transit Service (BUS)
Phone: 1-800-456-6588
Counties: Anderson, Bourbon, Boyle, Clark, Estill, Fayette, Franklin, Garrard, Jessamine, Lincoln, Madison, Mercer, Nicholas, Powell, Scott, Woodford

Provider: Federated Transportation Services of the Bluegrass (FTSB)
Phone: 1-800-456-6588
Counties: Casey, Clinton, Cumberland, Green, McCreary, Pulaski, Russell, Taylor, Wayne

Provider: ACCGO – Transit (Ashland/Greenup Area)*
Phone: 1-800-927-1833
Counties: Boyd, Carter, Elliott, Greenup, Lawrence, Lewis

Provider: FIVCO Transit
Phone: 1-800-927-1833
Counties: Boyd, Carter, Elliott, Greenup, Lawrence

Provider: Gateway Community Action Transportation
Phone: 1-800-927-1833
Counties: Bath, Menifee, Montgomery, Morgan, Rowan

Provider: Big Sandy Area Development District Transit
Phone: 1-800-633-7034
Counties: Floyd, Johnson, Magoffin, Martin, Pike

Provider: Cumberland Valley Transit
Phone: 1-800-775-9767
Counties: Bell, Clay, Harlan, Jackson, Knox, Laurel, Rockcastle, Whitley

Provider: Lake Cumberland Community Action Transit
Phone: 1-800-456-6588
Counties: Adair, Casey, Clinton, Cumberland, Green, McCreary, Pulaski, Russell, Taylor, Wayne

Provider: KRADD – Kentucky River Community Action Transit
Phone: 1-800-372-1758
Counties: Breathitt, Knott, Lee, Leslie, Letcher, Owsley, Perry, Wolfe

Provider: Buffalo Trace Transit
Phone: 1-800-326-3917
Counties: Bracken, Fleming, Lewis, Mason, Robertson

Provider: Paducah Area Transit System (PATS)
Phone: 1-866-735-1088
Counties: Ballard, Calloway, Carlisle, Fulton, Graves, Hickman, Marshall, McCracken

 Major City Transportation

Lexington – Lextran

• Fixed bus routes
• Reduced fare for seniors & disabled passengers
   

Louisville – TARC

• Citywide routes
• ADA services (TARC3)
   

Northern Kentucky – TANK

• Bus routes connecting NKY to Cincinnati

 Many Kentuckians qualify for free or reduced-cost bus passes. Here are the easiest ways to get them:

1. Medicaid Riders

If you have Kentucky Medicaid, you may receive:

• Free bus passes
• Transit reimbursement 
• Covered medical-appointment rides 
• How to apply:
  Call your regional Medicaid transportation broker and request public transit coverage.

2. Public Transit Discount Programs

Most transit systems offer reduced fares for:

• Seniors
• Individuals with disabilities
• Students
• Veterans
• Low-income riders 

Examples:

• Lextran (Lexington) – Reduced fare card
• TARC (Louisville) – Reduced passes & disability fare
• TANK (Northern KY) – Student and disability discounts
   

3. Community Action Agencies

Local agencies often provide free bus passes for:

• Medical appointments
• Job interviews
• Recovery programs
• Emergency needs
• Call your county’s Community Action Agency to check availability.

4. Recovery & Shelter Programs

Many programs provide free passes for clients, including:

• MAT/MOUD clinics
• Recovery centers
• Homeless shelters
• Domestic violence programs
• Ask your case worker or program coordinator.

5. Schools & Universities

Some Kentucky schools offer free or discounted transit:

• UK → Free Lextran rides
• UofL → TARC discounts
• NKU → TANK passes
• Show your student ID.

6. Veterans Support

Veterans may receive discounted or free transportation through:

• County Veteran Service Offices
• DAV ride programs
• VA medical shuttles

 These programs serve areas with little to no public transportation.

• LKLP Community Action (Eastern KY) – demand-response rides
   
• Mountain Comprehensive Care Transit – rural medical transport
   
• Daniel Boone Transit (SE KY)
   
• Big Sandy Community Action Transit (Prestonsburg area)
   
• Audubon Area Transit (Western KY)
   
• Community Action of Southern KY Transit (Bowling Green region)
   
• Gateway Community Action Transit (Morehead region)

 1. ADA / Disability Transportation

• TARC3 (Louisville)
• Lextran Paratransit
• TANK Paratransit
• Regional paratransit programs for counties without city services
   

2. Veteran Transportation Services

• VA Medical Center shuttle services
• Disabled American Veterans (DAV) Volunteer Van Program
• County veteran service offices
   

3. Addiction & Recovery Transportation

• Transportation included with many MAT programs
• Recovery Kentucky programs
• Sober living houses with transport support
• Peer support transport services

  Use these when public transportation is limited:

• Uber Health (used by clinics/hospitals)
• Lyft Rides for medical appointments
• Medicaid-approved ride-share programs
• Church-based volunteer ride ministries
• Local nonprofits offering volunteer transport

  Great for everyday support, not just medical care:

1. Senior Transportation Programs

• Area Agencies on Aging
• Senior Center ride programs
• Meals-on-Wheels transit assistance
   

2. Housing & Shelter Transport

• Salvation Army
• Catholic Action Center
• Women’s & men’s crisis shelters
   

3. Mental Health Appointments

• CMHCs (Community Mental Health Centers) provide rides when possible
• Peer support specialists offering transport