Can you just get an internal med/regular doc to continue on with your prescription for a bit while you look for the elusive pain center that will do narcotics? Maybe it has to do with Kentucky's PDMP and the management centers want to play it safe. You're not in California anymore :-(

http://www.natlalliance.org/pdfs/Kentucky1.pdf

Lots of places only use narcotics for short-term, after surgery or cancer, etc. not management.