MAT Clinics in New York: Methadone, Suboxone & Vivitrol Treatment

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Find My Treatment Options

For an overdose or medical emergency, call 911. For crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.

MATClinicGuide is a treatment-navigation resource, not a clinic. This line reaches our navigation service and may connect you with participating providers or partners; confirm services directly with the clinic.

Medication assisted treatment New York: Options by Medication

Methadone clinics in New York

New York has 92 Medicare-enrolled methadone OTP locations, including 50 across Manhattan, the Bronx, Brooklyn, Queens and Staten Island. Methadone for opioid use disorder is dispensed through certified OTPs, with visits often frequent when treatment begins. New York OTPs are overseen by OASAS and federal authorities. Ask about assessments, dosing schedules and whether take-home medication is appropriate. Learn more in our methadone treatment guide and OTP explainer.

Suboxone doctors in New York and buprenorphine providers

Many people can explore buprenorphine care in an office-based medical setting rather than making daily OTP visits. A New York primary-care clinician or addiction specialist may offer buprenorphine, and some assessments may be possible by telehealth under applicable rules. New York HOPEline can help people locate options across the state, including outside the 29 counties with CMS-listed OTPs. For an overview of medication types, read our buprenorphine and Suboxone guide and OUD medication overview.

Long-acting injectable buprenorphine: Sublocade and Brixadi

New Yorkers interested in a longer-acting buprenorphine option can ask a qualified medical provider about Sublocade or Brixadi. These injections are administered by health professionals according to each product’s prescribing requirements, and suitability depends on clinical assessment. Availability can vary among providers in NYC, Long Island, and upstate communities. The NYS HOPEline may help with treatment referrals. Read about Sublocade and discuss medication choices with your treating clinician.

Vivitrol in New York: extended-release naltrexone

Extended-release naltrexone (Vivitrol) is another medication option for opioid use disorder in New York. Unlike methadone and buprenorphine, it blocks opioid receptors and requires an appropriate opioid-free period before starting, under medical supervision, to avoid precipitated withdrawal. New York Medicaid includes naltrexone in its OUD medication coverage requirement, though individual benefits and administration details should be checked. Learn more in our naltrexone/Vivitrol treatment guide.

Paying for MAT in New York

MAT clinics that accept Medicaid in New York

New York Medicaid, administered by the NYS Department of Health, covers methadone, buprenorphine and naltrexone for opioid use disorder under the federal Medicaid MAT coverage requirement. New York expanded Medicaid effective January 1, 2014, according to KFF. Specific pharmacy, authorization and provider-network processes can vary. Start with the New York Medicaid website and ask a participating clinic to check your benefits.

Medicare and OTP services

Medicare Part B includes an OTP benefit for eligible services from enrolled programs, including qualifying methadone treatment. Prescription benefits for certain take-home medications can involve Medicare Part D or another applicable benefit. Check your plan and the program’s enrollment before scheduling an appointment at one of New York’s 92 CMS-listed OTP locations.

Private insurance and network questions

If you have employer or other private insurance in New York, ask for both addiction-treatment and pharmacy benefits. Mental-health parity protections do not mean every clinician or medication formulation is covered in every circumstance. Request an explanation of copays, deductibles, prior authorization, and any out-of-network costs before starting care.

No insurance or concerns about cost

New York HOPEline, 1-877-846-7369, can help direct you toward treatment and recovery support. Ask programs about eligibility screening, financial assistance and options near your home. For a clearer picture of cost, see insurance coverage, MAT cost guidance, or verify insurance.

Opioid Overdose in New York: Why Access Matters

New York recorded 4,449 drug overdose deaths in 2024, according to CDC NCHS data reported by KFF, down from a peak of 6,358 in 2022. The age-adjusted all-drug overdose death rate declined from 31.4 per 100,000 in 2022 to 21.3 in 2024. New York’s 2024 rate was lower than the national 23.1, but the number of lives lost remained substantial.

New York’s 2024 opioid-involved death rate was 16.5 per 100,000 (CDC NCHS via KFF). This makes continued access to medications for OUD and naloxone important in both urban and rural communities. Learn how naloxone can reverse an opioid overdose.

New York Resources and Helplines

New York’s Office of Addiction Services and Supports (OASAS) is the state agency overseeing addiction services and certifying OTPs. The NYS HOPEline offers confidential, 24/7 assistance in English and Spanish, with interpreter services for more than 170 languages.

Overdose prevention and the Good Samaritan law

New York’s Opioid Overdose Prevention initiative has more than 900 registered programs that train people and distribute naloxone, according to NYS DOH. Its 2011 Good Samaritan law provides specified protections for people seeking medical help during an overdose, including some substance-possession situations. It has important exceptions involving serious offenses, sale or intent to sell, warrants, and supervision violations; it is not blanket immunity. Call 911 during a suspected overdose. Read ways to support someone with OUD.

How to Choose a MAT Clinic in New York

Start by matching the treatment setting to your needs: a certified New York OTP for methadone or an appropriate medical practice for office-based buprenorphine. Ask about medication availability, appointment timing, insurance, and support for long-term care.

Questions to ask before you call

1. Does this New York OTP currently enroll new patients for methadone?
2. What medical assessment and intake documents are needed?
3. What are initial dosing hours and weekend arrangements?
4. How does your program evaluate take-home doses?
5. Can you coordinate a transfer or temporary guest dosing?
6. Does your practice offer buprenorphine or Suboxone for OUD?
7. Is telehealth available for assessment and follow-up?
8. Do you offer Sublocade, Brixadi or Vivitrol, if appropriate?
9. Are you in my New York Medicaid or private-insurance network?
10. What will I owe, and how are medication refills handled?

What happens at the first visit?

1. Share your medical history, current medications and treatment goals.
2. Discuss OUD symptoms and available evidence-based medications.
3. Review potential benefits, risks, insurance and practical scheduling.
4. Agree on a clinical plan and next appointment or referral.

For an explanation of terminology, compare MAT and MOUD before calling.

Sources, Methodology and Editorial Standards

1. CMS Medicare Opioid Treatment Program Providers, Sep 8, 2026
2. NYS OASAS HOPEline, accessed Oct 2026
3. NYS DOH naloxone standing order and N-CAP, Aug 2022
4. NYS DOH Good Samaritan Law guidance
5. KFF Medicaid expansion status, Oct 2026
6. KFF overdose rates / CDC NCHS, 2019–2024
7. NYS OASAS official website
8. New York Medicaid official website

Clinic information was organized from the CMS Medicare OTP provider file dated September 8, 2026. Three duplicate-address records were consolidated, resulting in 92 New York locations. CMS Medicare enrollment does not establish a complete list of all licensed programs, real-time availability, acceptance of new patients, or every service a clinic offers. MATClinicGuide does not own or operate these clinics.

Medical disclaimer: This page is for education and navigation, not diagnosis, individualized medical advice, prescribing or treatment. Medication decisions should be made with a licensed clinician.

Referral disclosure: MATClinicGuide.com is an educational treatment-navigation resource, not a healthcare provider. Calling our number connects you to MATClinicGuide’s navigation line, not directly to any listed clinic. Calls may be answered by or routed to participating treatment providers or navigation partners. Confirm all services with the clinic. In an emergency, call 911 or call/text 988. Read our editorial policy, medical disclaimer and advertising and referral disclosure.