MAT Clinics in Montana: Methadone, Suboxone & Vivitrol Treatment
Looking for MAT clinics in Montana? This guide explains medication options, Montana Medicaid, telehealth and where to start. The September 8, 2026 CMS directory identifies 4 Medicare-enrolled methadone opioid treatment program (OTP) locations across 4 counties, making travel planning especially important.
On this page — jump to a section
- Montana MAT at a Glance
- Get Help Finding a Clinic
- Find MAT Clinics by City
- Treatment Options by Medication
- Methadone OTP Rules
- Paying for MAT
- Telehealth MAT
- Overdose and Treatment Access
- Areas with Limited Access
- Montana Resources
- Special Populations
- How to Choose a Clinic
- Frequently Asked Questions
- Sources and Editorial Standards
- Nearby States
Montana MAT at a Glance
What this means for you: Montana’s four listed methadone sites are concentrated in Belgrade, Billings, Kalispell and Missoula; for many residents, local buprenorphine services and telehealth are worth exploring.
Get Help Finding a Clinic in Montana
Need help exploring Montana treatment options?
Talk through your location, medication preferences and coverage questions with a treatment-navigation contact. For clinic-specific admission information, speak with the clinic directly.
Call 1-(347) 591-7540For an overdose or immediate danger, call 911. For emotional crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide.com is a treatment-navigation resource, not a clinic. Calls go to our navigation line and may be answered by or routed to participating treatment providers or navigation partners.
Find MAT Clinics by City in Montana
The CMS Medicare OTP file dated September 8, 2026 lists one location in each of four cities. These are Medicare-enrolled OTP listings, not a census of every type of substance use treatment provider.
Montana cities with methadone clinics
Montana methadone OTP directory: 4 cities
Belgrade (Bozeman area) — 1 OTP
Community Medical Services SAMHSA-certified OTP
8707 Jackrabbit Ln, Belgrade, MT 59714-8995
Gallatin County
Billings — 1 OTP
Community Medical Services SAMHSA-certified OTP
2040 Rosebud Dr, Ste 7, Billings, MT 59102-6294
Yellowstone County
Kalispell — 1 OTP
Community Medical Services SAMHSA-certified OTP
795 Sunset Blvd, Ste F, Kalispell, MT 59901-3699
Flathead County
Missoula — 1 OTP
Community Medical Services SAMHSA-certified OTP
2415 S Catlin St, Missoula, MT 59801-7822
Missoula County
Suboxone, buprenorphine and Vivitrol providers in Montana
Suboxone doctors in Montana and other buprenorphine providers may practice in primary care, psychiatry or addiction medicine outside the four OTP cities. Search FindTreatment.gov by ZIP code and ask whether a provider offers buprenorphine, extended-release naltrexone or an injectable option. Montana DPHHS also publishes a county-based list of residential substance use treatment services; those programs are not automatically methadone OTPs.
Listings are based on the CMS Medicare OTP file dated September 8, 2026. Contact each location to confirm services, intake, hours and accepted insurance.
MAT Treatment Options in Montana by Medication
Methadone clinics in Montana
Montana has four CMS-listed, Medicare-enrolled methadone OTPs, all operated by Community Medical Services in Belgrade, Billings, Kalispell and Missoula. Methadone for opioid use disorder is provided through certified opioid treatment programs; many patients attend frequently at first, with take-home arrangements based on clinical decisions and applicable rules. This limited geographic footprint is especially important if you live in eastern Montana or the Hi-Line. Learn about methadone treatment and how OTPs work.
Buprenorphine and Suboxone in Montana
Office-based buprenorphine may offer a more reachable option for people far from Montana’s four methadone centers. Suboxone is a buprenorphine/naloxone product; clinicians also prescribe other formulations. The federal X-waiver requirement ended in 2023, although a clinician must still meet applicable prescribing requirements. Ask whether visits can begin in person or through telehealth, and how prescriptions and follow-up visits work. Read the buprenorphine and Suboxone guide.
Long-acting buprenorphine injections: Sublocade and Brixadi
Sublocade and Brixadi are long-acting injectable buprenorphine products given by qualified clinicians. For Montana residents facing lengthy travel, an injection schedule may be worth discussing with a clinician, although eligibility and visit timing depend on the medication and individual circumstances. They are not the same as daily methadone dosing at an OTP. Ask a local buprenorphine prescriber whether an injectable is available and what your insurance covers. See Sublocade information.
Naltrexone and Vivitrol in Montana
Extended-release naltrexone (Vivitrol) is an opioid-blocking medication given as a recurring injection after an appropriate opioid-free period. It does not require daily visits to a methadone OTP, so it may fit some treatment plans outside Billings, Missoula, Kalispell and Belgrade. Starting naltrexone too soon after opioid use can trigger withdrawal; a clinician must evaluate the timing. See Vivitrol treatment information.
| Medication | Where to get it in Montana | Visits at the start | Montana Medicaid |
|---|---|---|---|
| Methadone | Certified OTP, including four CMS-listed sites | Often frequent; individualized take-homes | Covered for OUD |
| Buprenorphine / Suboxone | Qualified office-based or other authorized prescriber | Determined by clinician | Covered for OUD |
| Sublocade / Brixadi | Qualified injection provider | Product-specific clinical schedule | Confirm product and billing details |
| Naltrexone / Vivitrol | Participating clinician or program | Evaluation and opioid-free period first | Covered for OUD |
Methadone (OTP) Rules in Montana
Montana methadone opioid treatment programs are licensed by DPHHS and operate under federal SAMHSA and DEA requirements, including 42 CFR Part 8. The four listed locations span Gallatin, Yellowstone, Flathead and Missoula counties; residents elsewhere may need to arrange substantial travel for ongoing care.
Intake and starting treatment
A methadone clinic typically conducts an assessment, reviews medical and substance-use history, discusses medications, and determines whether methadone is appropriate. Ask your selected Montana OTP which identification, insurance documents, current prescriptions and prior treatment records to bring. The clinic can explain its intake schedule and whether you need multiple visits before routine dosing begins.
Take-home doses and travel
Federal OTP regulations updated in 2024 allow additional clinician discretion for take-home methadone doses. That does not make take-home doses automatic: the program assesses clinical safety and applies relevant state requirements. In Montana, winter roads and travel distance can complicate frequent dosing. Before relocating or traveling, discuss guest dosing or an OTP-to-OTP transfer with the clinic; arrangements require coordination.
Paying for Medication Assisted Treatment in Montana
Montana Medicaid and the HELP Plan
Montana Medicaid covers methadone, buprenorphine and naltrexone treatment for opioid use disorder under the federal Medicaid MAT coverage requirement. Montana expanded Medicaid on January 1, 2016, according to KFF. People looking for MAT clinics that accept Medicaid in Montana should ask the clinic whether it participates in their specific coverage arrangement and whether the proposed medication or formulation needs extra approval. Review insurance coverage for MAT.
| Service | Covered | Notes |
|---|---|---|
| Methadone for OUD | Yes | Through eligible treatment arrangements; confirm participating OTP |
| Buprenorphine for OUD | Yes | Confirm prescriber, formulation and pharmacy |
| Naltrexone for OUD | Yes | Confirm formulation and administration |
| Outpatient substance use services | Ask Montana Medicaid | Benefits depend on the service and eligibility |
| Residential substance use services | Ask Montana Medicaid | Ask about facilities, eligibility and authorizations |
Medicare
Medicare Part B has an OTP benefit for eligible opioid use disorder treatment, including services furnished by participating OTPs. Prescriptions outside that structure can involve different Medicare pharmacy or medical benefit rules. Before scheduling at Community Medical Services in Montana, confirm how the clinic bills your Medicare coverage and what you may owe.
Private insurance and costs
Private plans may cover medication, visits and counseling, but networks, copays and prior authorization can vary. Ask for the total expected cost of intake, follow-up appointments, medication and any laboratory services. Mental health and substance use parity protections do not guarantee that every service or clinician is covered by every plan.
No insurance or limited income
If you have no insurance, ask Montana Medicaid about eligibility, including expansion coverage, and ask treatment programs whether they have a sliding-scale or other payment option. A local community health center can also help you explore assessment or referral routes. For background, visit MAT costs and insurance or verify insurance.
Need help exploring Montana treatment options?
Talk through your location, medication preferences and coverage questions with a treatment-navigation contact. For clinic-specific admission information, speak with the clinic directly.
Call 1-(347) 591-7540For an overdose or immediate danger, call 911. For emotional crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide.com is a treatment-navigation resource, not a clinic. Calls go to our navigation line and may be answered by or routed to participating treatment providers or navigation partners.
Telehealth MAT in Montana
Telehealth Suboxone in Montana may help some patients begin or continue buprenorphine care without traveling regularly to Belgrade, Billings, Kalispell or Missoula. Federal DEA/HHS temporary telemedicine flexibilities for prescribing controlled medications remain in effect through December 31, 2026; state-specific requirements and clinical policies can still affect whether remote prescribing is possible. Ask the prescriber whether an in-person assessment is necessary, how monitoring works and which Montana pharmacies can fill prescriptions.
Methadone for opioid use disorder remains tied to certified OTP dispensing; a video visit is not a substitute for every OTP dosing requirement. For remote-care questions, see our telehealth MAT guide.
Opioid Overdose in Montana: Why Access Matters
Montana recorded 170 all-drug overdose deaths in 2024, with an age-adjusted death rate of 15.3 per 100,000, according to CDC NCHS data reported by KFF. Its opioid overdose death rate was 9.3 per 100,000. The 2024 all-drug rate was lower than the national rate of 23.1, yet the distance to an available methadone OTP remains a major access issue.
| Year | All-drug rate | Opioid rate |
|---|---|---|
| 2019 | 14.1 | 7.2 |
| 2020 | 15.6 | 8.6 |
| 2021 | 19.5 | 11.1 |
| 2022 | 19.4 | 12.3 |
| 2023 | 17.1 | 12.0 |
| 2024 | 15.3 | 9.3 |
The 2022 all-drug rate was 19.4 in Montana, compared with 32.6 nationally; by 2024 the corresponding figures were 15.3 and 23.1. Montana’s 2024 overdose death total was below its 2022 peak of 208. These statistics describe the state, not an individual’s recovery prospects. Learn about overdose response and naloxone.
| Counties with a listed OTP | CMS-listed OTP presence |
|---|---|
| Gallatin, Yellowstone, Flathead, Missoula | Yes — one in each county |
| Other 52 Montana counties | No listed location in this CMS file |
Areas of Montana with Limited MAT Access
Fifty-two of Montana’s 56 counties do not have a methadone OTP in the September 2026 CMS Medicare-enrollment file. The suggested cities below are starting points rather than confirmed nearest clinics; check real travel routes and clinic hours before planning a trip, especially in winter. Office-based buprenorphine and telehealth may reduce the burden of repeated travel.
North-central Montana and the Hi-Line
Areas: Cascade (Great Falls), Hill (Havre), Blaine, Glacier (Browning) and Toole (Shelby).
OTP city options: Kalispell, Missoula or Billings.
Southwest Montana
Areas: Lewis and Clark (Helena), Silver Bow (Butte), Deer Lodge (Anaconda), Beaverhead (Dillon), Jefferson and Madison.
OTP city options: Belgrade or Missoula.
Eastern Montana
Areas: Custer (Miles City), Dawson (Glendive), Richland (Sidney), Roosevelt, Valley (Glasgow), Rosebud and Big Horn.
OTP city options: Billings.
Northwest outside Kalispell
Areas: Lincoln (Libby), Lake (Polson) and Sanders.
OTP city options: Kalispell or Missoula.
South-central Montana
Areas: Park (Livingston), Stillwater, Carbon, Sweet Grass and Fergus (Lewistown).
OTP city options: Belgrade or Billings.
For residents of rural or tribal communities, ask a local health department about Montana’s Opioid Education and Naloxone Distribution Program and search for office-based medication providers by ZIP code. Availability of methadone, buprenorphine and injectable treatment varies by individual program.
Montana Resources and Helplines
Montana DPHHS · BHDD
The state Behavioral Health and Developmental Disabilities Division oversees substance use services and licenses OTPs. Agency information.
Treatment provider directory
Montana DPHHS maintains information about licensed residential substance use services. Browse providers.
Naloxone and overdose response
Montana’s OENDP connects residents with regional naloxone distribution hubs; visit TogetherWeCanMT.com or ask your health department. Naloxone is also sold over the counter.
National crisis and treatment lines
For immediate danger, call 911. For emotional crisis help, call or text 988. SAMHSA’s National Helpline is 1-800-662-4357.
Other Montana treatment resources
These programs can be places to ask about assessment, residential treatment or referral; they are not additional methadone OTP listings: Montana Chemical Dependency Center in Butte (406) 496-5400; Rimrock Foundation in Billings; Boyd Andrew Community Services in Helena (406) 443-9688; Western Montana Addiction Services in Missoula (406) 532-9752; Many Rivers Whole Health in Great Falls and Kalispell (406) 727-2512; and Badlands Treatment Center in Glendive (406) 377-6001.
Montana Good Samaritan protections
Montana Code § 50-32-609 provides certain protections from drug-related charges when a person in good faith seeks medical assistance for someone experiencing an actual or reasonably perceived overdose. The protection has limits and is not immunity for unrelated offenses. Montana’s Help Save Lives From Overdose Act and statewide standing order also expanded naloxone access.
MAT for Special Populations in Montana
Pregnant and postpartum people
Pregnant people in Montana can ask an obstetric clinician and a medication treatment program to coordinate care. Montana’s Good Samaritan statute also includes protections for a pregnant woman who seeks or receives substance use disorder evaluation, treatment or support services. Starting or stopping medication during pregnancy requires individualized medical advice, not abrupt changes made without clinical support.
Veterans
Veterans in Great Falls, Billings, Missoula and rural Montana can ask their VA care team about assessment, medication for opioid use disorder and community-care referrals. Availability of a particular drug or visit format depends on the treating facility. When discussing a referral, explain whether the long distance to one of the four CMS-listed methadone OTPs is a barrier.
Adolescents and young adults
Young people and families in Montana can seek an age-appropriate assessment from a pediatric, behavioral-health or addiction specialist. Medication selection and consent requirements can differ by age and clinical situation. Parents and caregivers may find practical guidance in helping a loved one with opioid use.
People leaving jail or prison
Continuity of treatment after detention matters, particularly if someone returns to a Montana county without a listed methadone OTP. Ask the correctional medical team or discharge planner to coordinate prescriptions, insurance enrollment, naloxone access and appointments before release. A community prescriber may be more accessible for buprenorphine, depending on clinical circumstances.
Rural and tribal communities
Montana has widespread rural travel barriers and several tribal communities. Montana DPHHS lists culturally specific residential programs including White Sky Hope Center in Box Elder (406) 395-4837 and Crystal Creek Lodge in Browning (406) 338-6330. These are not listed as methadone OTPs; ask each program about medication options and referrals. Naloxone distribution through regional OENDP hubs can also support overdose prevention.
How to Choose a MAT Clinic in Montana
Choose a Montana treatment program based on the medication you need, realistic travel distance, coverage and whether it offers timely follow-up. Methadone care differs from seeing an office-based buprenorphine prescriber, so start by identifying which setting fits your situation.
Questions to ask methadone clinics
- Are you a certified OTP offering methadone for OUD at this address?
- When is the next available intake appointment?
- What is the expected schedule for initial visits and dosing?
- How are take-home dose decisions made?
- Can you coordinate guest dosing or a transfer if I travel?
Questions to ask buprenorphine or Vivitrol providers
- Do you offer buprenorphine, Suboxone or injectable treatment?
- Is an in-person first visit needed, or is telehealth an option?
- Do you accept Montana Medicaid or my private plan?
- How often will follow-up visits take place?
- What will medication, appointments and testing cost?
What to expect at your first visit
- Describe your treatment goals and current health needs.
- Review medications, history, possible withdrawal risks and insurance.
- Discuss suitable medications and the expected follow-up plan.
- Agree on safety steps, access to naloxone and contact details for care.
Need help exploring Montana treatment options?
Talk through your location, medication preferences and coverage questions with a treatment-navigation contact. For clinic-specific admission information, speak with the clinic directly.
Call 1-(347) 591-7540For an overdose or immediate danger, call 911. For emotional crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide.com is a treatment-navigation resource, not a clinic. Calls go to our navigation line and may be answered by or routed to participating treatment providers or navigation partners.
FAQs About MAT Clinics in Montana
How many methadone clinics are in Montana?
Montana has four Medicare-enrolled methadone OTP locations in the CMS September 8, 2026 file. They are in Belgrade (Bozeman area), Billings, Kalispell and Missoula, and all are operated by Community Medical Services. These are OTP listings, not a count of all addiction treatment programs.
Does Montana Medicaid cover Suboxone and methadone?
Yes. Montana Medicaid covers medication for opioid use disorder, including methadone and buprenorphine, as required under federal Medicaid law. The state expanded Medicaid in January 2016. Confirm your specific clinic, medication formulation, copays and any approval requirements with Montana Medicaid and the provider.
Are there free methadone clinics in Montana?
A universal list of free methadone clinics in Montana is not established here. Montana Medicaid may help eligible people pay for covered treatment. If you are uninsured, ask the Belgrade, Billings, Kalispell or Missoula OTP about financial arrangements, and check Medicaid eligibility before assuming treatment must be self-paid.
Can I get telehealth Suboxone in Montana?
Telehealth buprenorphine treatment may be possible in Montana when the clinician, patient and prescription meet current federal and state requirements. Federal DEA/HHS temporary telemedicine prescribing flexibilities extend through December 31, 2026. Ask the provider whether an in-person visit, monitoring or a local pharmacy arrangement is needed.
Where are opioid treatment programs in Montana located?
The four CMS-listed opioid treatment programs in Montana are Community Medical Services locations in Belgrade, Billings, Kalispell and Missoula. Each site is in a different county: Gallatin, Yellowstone, Flathead and Missoula. Use the directory above for the listed addresses and contact numbers before planning travel.
Are there Suboxone doctors in Montana outside the main OTP cities?
Buprenorphine can be prescribed in office-based medical settings and does not require attendance at one of Montana’s four methadone OTPs. For communities such as Helena, Great Falls, Butte or Miles City, search FindTreatment.gov by ZIP code and ask about local providers, remote visits and current appointment capacity.
Does Montana offer Vivitrol treatment?
Vivitrol is an extended-release naltrexone option that may be provided in suitable clinical settings in Montana. A clinician must assess whether it is appropriate, including the required opioid-free interval. Ask a local treatment provider about access to the injection and whether Montana Medicaid or other insurance covers the appointment and medication.
What if my Montana county does not have a methadone clinic?
Fifty-two of Montana’s 56 counties have no listed methadone OTP in the September 2026 CMS file. You can look into office-based buprenorphine, telehealth where appropriate, or contact a listed OTP in Belgrade, Billings, Kalispell or Missoula to ask about dosing logistics and transfers.
How can I get naloxone in Montana?
Montana’s Opioid Education and Naloxone Distribution Program uses regional hubs to help people access naloxone. Ask a local health department or visit TogetherWeCanMT.com for program information. Naloxone is also available over the counter. For a suspected overdose, call 911 immediately.
Can I switch from methadone to buprenorphine in Montana?
A medication change is a clinical decision and should be supervised because switching from methadone to buprenorphine can cause withdrawal if timing and dosing are not managed appropriately. Talk with your Montana OTP or prescriber about the risks, alternatives and a safe transfer plan; do not change medication on your own.
Sources, Methodology and Editorial Standards
This guide uses the CMS Medicare Opioid Treatment Program Providers file dated September 8, 2026 for the four listed OTP sites and contact information. State program descriptions come from Montana DPHHS, while Medicaid expansion information and overdose trends come from KFF and CDC NCHS. Public directory entries may change after publication.
- CMS Medicare Opioid Treatment Program Providers · Sep 8, 2026
- Montana DPHHS BHDD Treatment Provider Information
- Montana DPHHS BHDD agency information
- Montana DPHHS OENDP educational slides · July 2023
- Montana Good Samaritan law · MCA 50-32-609
- KFF Medicaid expansion status · accessed October 2026
- KFF opioid overdose death rates, CDC NCHS data through 2024
- Montana Medicaid healthcare programs
MATClinicGuide.com does not own or operate any listed clinic, does not diagnose or prescribe, and does not replace medical advice. Listings are educational navigation information, not endorsements, availability guarantees or individualized treatment recommendations. Always confirm care details with the treating provider.
Our helpline is MATClinicGuide’s treatment-navigation line, not a direct line to Community Medical Services or any other listed clinic. Calls may be answered by or routed to participating treatment providers or navigation partners. In an emergency call 911; for mental health crisis support call or text 988.
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MAT Clinics in Nearby States
Travelers and Montana residents near a state line can also explore neighboring state treatment guides. Compare medication availability, clinic rules and coverage before making a plan.