MAT Clinics in Arkansas: Methadone, Suboxone & Vivitrol Treatment
Arkansas has four Medicare-enrolled methadone opioid treatment program (OTP) locations in the September 2026 federal file, spread across just three counties. This guide helps you compare Arkansas methadone, buprenorphine and Vivitrol options, understand Medicaid coverage, and find a realistic next step if you live far from a clinic.
On this page — jump to a section
- Arkansas MAT at a Glance
- Get Help Finding a Clinic in Arkansas
- Find MAT Clinics by City in Arkansas
- MAT Treatment Options in Arkansas by Medication
- Methadone (OTP) Rules in Arkansas
- Paying for MAT in Arkansas
- Telehealth MAT in Arkansas
- Opioid Overdose in Arkansas: Why Access Matters
- Areas of Arkansas with Limited MAT Access
- Arkansas Resources and Helplines
- MAT for Special Populations in Arkansas
- How to Choose a MAT Clinic in Arkansas
- FAQs About MAT Clinics in Arkansas
- Sources, Methodology and Editorial Standards
- MAT Clinics in Nearby States
Arkansas MAT at a Glance
What this means for you: Many Arkansans may need to compare clinic travel with office-based buprenorphine and available telehealth options; a Medicare-enrolled OTP directory is not a complete list of every certified program.
Get Help Finding a Clinic in Arkansas
Need help exploring Arkansas treatment options?
Explore Arkansas medication options, clinic participation and next steps with a treatment-navigation call.
Call (347) 591-7540For a suspected overdose, call 911. For a mental health crisis, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide is an educational and treatment-navigation service, not a clinic. This number reaches our navigation line; calls may be answered by or routed to participating providers or navigation partners. Confirm services directly with the clinic.
Find MAT Clinics by City in Arkansas
The September 8, 2026 CMS directory includes one Medicare-enrolled OTP in each of four Arkansas cities. These are useful first calls for methadone treatment; a broader certified-program search may identify additional locations.
Top cities for methadone clinics in Arkansas
Arkansas methadone OTP directory: 4 cities
Little Rock — 1 OTP
UAMS Opioid Treatment Program SAMHSA-certified OTP
4224 Shuffield Dr, Little Rock, AR 72205-7211
North Little Rock — 1 OTP
BHG North Little Rock Treatment Center SAMHSA-certified OTP
4260 Stockton Dr, Ste B, North Little Rock, AR 72117-2915
Springdale — 1 OTP
Springdale Treatment Center LLC SAMHSA-certified OTP
1607 S Old Missouri Rd, Springdale, AR 72764-5723
Texarkana — 1 OTP
Arkansas Treatment Services LLC SAMHSA-certified OTP
408 Hazel St, Texarkana, AR 71854-5215
Suboxone, buprenorphine and Vivitrol providers in Arkansas
Arkansas residents can also ask primary-care, addiction-medicine and psychiatry practices about office-based buprenorphine or injectable naltrexone. A 2022 federal analysis found that 14 counties had no office-based buprenorphine provider, so availability varies substantially across the state.
Search FindTreatment.gov by Arkansas ZIP code, ask whether the office offers Suboxone or Vivitrol care, and confirm current Arkansas Medicaid acceptance. See buprenorphine treatment basics before making a choice.
Directory locations are drawn from the CMS Medicare-enrolled OTP file dated September 8, 2026; this is not a complete certification directory. Contact each program to confirm intake, hours and insurance.
MAT Treatment Options in Arkansas by Medication
Methadone clinics in Arkansas
Arkansas has four Medicare-enrolled methadone OTP locations in Little Rock, North Little Rock, Springdale and Texarkana. The CMS file places these in three counties, leaving substantial travel burdens for people living in other parts of Arkansas.
Methadone for opioid use disorder is provided through federally certified OTPs, which often involve frequent visits when treatment starts. Ask a program in your region about the first-week schedule, medication management, take-home eligibility and guest dosing. Learn more about methadone treatment and what an opioid treatment program does.
Buprenorphine and Suboxone doctors in Arkansas
Office-based buprenorphine can offer an alternative to repeated long trips to an Arkansas methadone OTP. The federal 2022 access analysis reported 14 Arkansas counties with no office-based buprenorphine provider, so patients may need to expand their search.
Buprenorphine can be prescribed in eligible medical practices, and some assessments or follow-ups may be possible by telehealth under applicable rules. Arkansas Medicaid covers buprenorphine for OUD; availability still depends on the prescriber and pharmacy. Compare Suboxone and buprenorphine options and MAT versus MOUD terminology.
Long-acting buprenorphine: Sublocade and Brixadi
Arkansas patients may ask their prescriber whether extended-release buprenorphine injections fit their care plan. Sublocade and Brixadi are long-acting options, but individual practices differ in what they stock or administer.
The Arkansas CMS OTP listing does not identify injectable buprenorphine services at these four locations. Ask an Arkansas addiction-medicine practice about eligibility, required stabilization, injection appointments, and plan-specific pharmacy or medical coverage. Read the Sublocade guide for more background.
Naltrexone and Vivitrol treatment in Arkansas
Arkansas Medicaid covers naltrexone for opioid use disorder, including clinically appropriate formulations. Extended-release naltrexone is an injection given by a healthcare professional rather than an opioid agonist medication.
Starting naltrexone generally requires an opioid-free period to avoid precipitated withdrawal; a clinician should assess timing and suitability. Ask local Arkansas providers whether they offer Vivitrol, whether your insurance is accepted, and how follow-up works. See naltrexone and Vivitrol treatment.
| Medication | Where in Arkansas | Visits at start | Arkansas Medicaid |
|---|---|---|---|
| Methadone | Federally certified OTP | Often frequent clinic visits | Covered; confirm OTP participation |
| Buprenorphine/Suboxone | Qualified office-based prescriber or OTP | Depends on clinical plan | Covered |
| Sublocade/Brixadi | Authorized injection provider | Provider-set injection schedule | Verify formulation and benefit |
| Naltrexone/Vivitrol | Qualified prescribing/injection practice | Assessment and injection follow-up | Naltrexone covered; confirm product |
Methadone (OTP) Rules in Arkansas
Arkansas methadone OTPs operate under state behavioral health oversight and federal SAMHSA and DEA requirements, including 42 CFR Part 8. The state oversight agency is the Arkansas Department of Human Services Division of Aging, Adult and Behavioral Health Services (DAABHS).
An Arkansas OTP normally starts with an intake and a clinical assessment before developing a medication plan. The exact appointment timeline, lab work and check-in schedule depend on the clinic; ask what the first week will involve before traveling from outside Pulaski, Washington or Miller County.
Take-home doses, transfers and guest dosing
Federal OTP rules updated in 2024 provide greater clinical flexibility for some methadone take-home doses. Arkansas programs still apply individualized clinical decisions and any relevant state requirements; a new patient should not assume take-homes will be immediately available.
If you need to travel between Arkansas cities or transfer from another OTP, ask both programs about coordination, guest dosing, records and medication continuity. A clinic may ask you for identification, insurance information, medical history and a current medication list.
Paying for MAT in Arkansas
Arkansas Medicaid and ARHOME
Arkansas expanded Medicaid on January 1, 2014; eligible expansion adults receive coverage through ARHOME (Arkansas Health and Opportunity for Me). Arkansas Medicaid covers methadone, buprenorphine and naltrexone medications used to treat opioid use disorder.
Arkansas Act 964 (2019) requires health insurers and Arkansas Medicaid to remove prior authorization for FDA-approved OUD medications and place them on the lowest cost-sharing tier. That statewide protection does not establish that every clinic accepts Medicaid: in a federal 2022 analysis, only 20% of Arkansas OTPs served at least one Medicaid enrollee with methadone or buprenorphine, compared with 77% nationally. Review Arkansas DHS for current enrollment information.
| Service | Arkansas Medicaid | Notes |
|---|---|---|
| Methadone for OUD | Covered | Confirm that the specific OTP accepts Medicaid. |
| Buprenorphine for OUD | Covered | Act 964 removes prior authorization for FDA-approved OUD medications. |
| Naltrexone for OUD | Covered | Check formulation and clinic participation. |
Medicare
Medicare Part B has an opioid treatment program benefit, and other prescribed medication coverage can depend on Part D and the service involved. The federal 2022 analysis found only 40% of Arkansas OTPs had served at least one Medicare enrollee with MOUD, compared with 77% nationally.
If you have Medicare and live outside one of the four CMS-listed Arkansas cities, ask the OTP directly about Medicare billing and transfer options before arranging transportation.
Private insurance
Arkansas Act 964 also applies to health insurers for FDA-approved OUD medication prior authorization and cost-sharing placement. Actual in-network provider options, pharmacy benefits and appointment charges depend on the plan.
Ask both the Arkansas clinic and insurer to explain professional services, medication charges and any out-of-network costs before enrollment.
No insurance or limited funds
People without insurance in Arkansas can ask programs whether they offer financial screening, reduced fees or referrals to other assistance. A clinic can explain its own policies; statewide Medicaid eligibility is another important option to explore.
For further information, see insurance coverage for MAT, insurance verification and MAT cost and insurance.
Questions about Arkansas Medicaid and MAT?
Explore Arkansas medication options, clinic participation and next steps with a treatment-navigation call.
Call (347) 591-7540For a suspected overdose, call 911. For a mental health crisis, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide is an educational and treatment-navigation service, not a clinic. This number reaches our navigation line; calls may be answered by or routed to participating providers or navigation partners. Confirm services directly with the clinic.
Telehealth MAT in Arkansas
Telehealth can make buprenorphine care more practical for Arkansas residents who live outside the four Medicare-enrolled methadone OTP cities. Providers may use remote visits when clinical judgment, prescribing law and the practice’s own procedures allow.
Federal DEA/HHS controlled-medication telemedicine flexibilities currently extend through December 31, 2026. Arkansas practice rules and clinician requirements can add conditions, and the policy can change. Methadone for OUD still requires an OTP; telehealth does not turn it into an ordinary retail-pharmacy prescription. See telehealth MAT guidance.
Opioid Overdose in Arkansas: Why Access Matters
Arkansas recorded an age-adjusted all-drug overdose death rate of 13.9 per 100,000 in 2024, below the U.S. rate of 23.1 (CDC NCHS via KFF). Arkansas’s rate fell from 22.3 in 2021; the opioid-specific rate also fell from 13.7 in 2021 to 6.2 in 2024.
According to the Arkansas Center for Health Improvement, the state recorded 591 drug overdose deaths in 2022 and 517 in 2023; CDC NCHS figures cited by USAFacts count 416 in 2024. Despite declining rates, the limited spread of Medicare-enrolled OTP sites makes the location of treatment a separate access concern.
| Year | Arkansas: all drugs | Arkansas: opioids |
|---|---|---|
| 2019 | 13.5 | 7.0 |
| 2020 | 19.1 | 9.9 |
| 2021 | 22.3 | 13.7 |
| 2022 | 21.7 | 13.8 |
| 2023 | 17.7 | 10.9 |
| 2024 | 13.9 | 6.2 |
Learn about overdose response and naloxone. Overdose rates describe the whole Arkansas population; they do not indicate whether treatment will be available in a person’s own county.
Areas of Arkansas with Limited MAT Access
The September 2026 Medicare enrollment file lists OTPs in only three Arkansas counties: Pulaski, Washington and Miller. The nearby cities below are starting points based on the listed locations, not measured nearest-drive routes; confirm actual travel and search broader certification listings because Saline and Crawford counties also had OTPs in the older 2022 federal analysis.
Northwest Arkansas
Counties without a CMS-listed OTP: Benton, Carroll, Boone, Madison, Crawford, Franklin, Johnson, Newton, Sebastian, Logan, Scott, Polk, Pope, Searcy, Marion, Baxter and Yell.
Nearest listed OTP cities to check: Springdale.
North Central Ozarks
Counties without a CMS-listed OTP: Fulton, Izard, Stone, Sharp, Van Buren, Cleburne, Independence and Randolph.
Nearest listed OTP cities to check: Springdale, Little Rock or North Little Rock.
Northeast Arkansas and the Delta
Counties without a CMS-listed OTP: Clay, Greene, Lawrence, Craighead, Mississippi, Poinsett, Jackson, Cross, Crittenden, St. Francis, Woodruff, White, Lee, Monroe, Phillips and Prairie.
Nearest listed OTP cities to check: North Little Rock or Little Rock.
Central Arkansas
Counties without a CMS-listed OTP: Saline, Faulkner, Lonoke, Perry, Conway, Garland, Hot Spring, Grant, Jefferson and Arkansas.
Nearest listed OTP cities to check: Little Rock or North Little Rock.
Southwest Arkansas
Counties without a CMS-listed OTP: Little River, Sevier, Howard, Hempstead, Nevada, Pike, Montgomery, Clark, Lafayette, Columbia, Ouachita, Dallas, Union and Calhoun.
Nearest listed OTP cities to check: Texarkana.
Southeast Arkansas
Counties without a CMS-listed OTP: Cleveland, Lincoln, Desha, Drew, Bradley, Ashley and Chicot.
Nearest listed OTP cities to check: Little Rock.
For residents of Arkansas’s Delta and southeast counties, repeated travel can be a barrier to daily dosing. Office-based buprenorphine and eligible telehealth treatment may be particularly useful starting points, along with a search for other certified providers.
In the 2022 federal analysis, 27 Arkansas counties had high need and few or no MOUD providers, while 11 combined high need with high social vulnerability: Fulton, Mississippi, Poinsett, Cross, Monroe, Pulaski, Garland, Scott, Miller, Union and Bradley. Use FindTreatment.gov to expand beyond the Medicare-enrolled OTP file.
Arkansas Resources and Helplines
Arkansas DHS / DAABHS
Division of Aging, Adult and Behavioral Health Services
Mailing address: P.O. Box 1437, Slot W241, Little Rock, AR 72203-1437
(501) 686-9164
Arkansas DAABHS website
Naloxone in Arkansas
Arkansas DHS Prevention AR operates a Narcan request program. Read the DHS request instructions.
Crisis and treatment support
For mental health crisis support, call/text 988. SAMHSA National Helpline: 1-800-662-4357. For an overdose call 911.
Arkansas school overdose kits
Arkansas Act 811 requires public high schools and state-supported universities to keep overdose reversal kits. Arkansas DHS Act 811 guidance.
Arkansas Good Samaritan overdose protections
The Joshua Ashley-Pauley Act (2015) offers specified protection from arrest, charge and prosecution for simple possession to a person who seeks medical care for someone overdosing. It does not cover unrelated crimes or everyone at the scene. Arkansas DHS advises calling 911, giving the location and staying to help.
Use the state’s Don’t Run, Call 911 information for guidance.
MAT for Special Populations in Arkansas
Pregnant and postpartum people
Pregnant and postpartum Arkansans with OUD should receive individualized care from qualified maternal-health and addiction clinicians. The four CMS-listed Arkansas OTP locations can be starting points for questions about methadone care and referrals, but no one should stop or change medication without medical guidance.
Ask about coordination with prenatal care, insurance acceptance, postpartum follow-up and travel requirements. Arkansas Medicaid eligibility may be an important part of care planning.
Veterans and Medicare beneficiaries
Veterans in Arkansas can ask their VA care team about assessment and referral to medication treatment for OUD. If an OTP is recommended, confirm whether treatment will occur at a VA-connected service or an outside Arkansas program.
Older adults should ask early about Medicare participation: the federal 2022 analysis reported that only 40% of Arkansas OTPs served at least one Medicare enrollee receiving MOUD. A Medicare-enrolled location does not guarantee an immediate appointment.
Adolescents and young adults
Young people in Arkansas need assessment by clinicians experienced in adolescent or young-adult substance use treatment. Medication eligibility, consent and support arrangements depend on age and clinical context; it is important not to assume every adult-focused OTP can accept minors.
Parents or other trusted adults can begin with helping a loved one with opioid use and ask providers about age-specific services.
People leaving jail or prison
Returning to an Arkansas community without an easily reachable OTP can complicate continuity of OUD medication. Planning should begin before release when possible, including a clinic appointment, transport, prescription or dosing coordination and insurance information.
Arkansas correctional or reentry teams can help locate providers; ask whether a release plan includes an established contact at a community addiction-medicine clinic.
Rural residents
Rural Arkansas residents face a distinct travel challenge: 72 of 75 counties have no Medicare-enrolled OTP in the September 2026 list. In some regions, an office-based buprenorphine provider or permitted telehealth care may reduce repeated trips.
Compare actual visit frequency, pharmacy availability and local coverage before committing to a distant clinic; check FindTreatment.gov for certified OTPs that are outside the Medicare-enrolled file.
How to Choose a MAT Clinic in Arkansas
Choosing an Arkansas MAT provider begins with the medication you want to discuss, the distance you can travel and whether the provider accepts your coverage. With CMS-listed OTPs in Little Rock, North Little Rock, Springdale and Texarkana, scheduling and transport questions can be especially important.
Questions to ask before you call
- For methadone: Are you a certified OTP and currently accepting new patients?
- For methadone: What days and times is dosing available?
- For methadone: What happens at the first Arkansas intake visit?
- For methadone: What are your policies on take-home doses, transfers and guest dosing?
- For methadone: Do you accept Arkansas Medicaid or Medicare for the full program?
- For buprenorphine: Do you offer Suboxone or other appropriate formulations?
- For buprenorphine: Can Arkansas patients use telehealth for any required visits?
- For buprenorphine: Which pharmacies can fill the prescription, and is it covered?
- For any medication: Are Vivitrol or injectable buprenorphine services available here?
- For any provider: What are the out-of-pocket costs and available follow-up support?
What happens at the first visit
- Discuss symptoms, medication history and treatment goals with the clinical team.
- Review medical risks, medication choices and any tests that are clinically needed.
- Confirm Arkansas insurance or payment arrangements, appointments and pharmacy/dosing logistics.
- Make a follow-up plan that fits your location, transportation needs and preferences.
For planning questions, see how long MAT lasts and whether MAT requires counseling.
Need help choosing an Arkansas clinic?
Explore Arkansas medication options, clinic participation and next steps with a treatment-navigation call.
Call (347) 591-7540For a suspected overdose, call 911. For a mental health crisis, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide is an educational and treatment-navigation service, not a clinic. This number reaches our navigation line; calls may be answered by or routed to participating providers or navigation partners. Confirm services directly with the clinic.
FAQs About MAT Clinics in Arkansas
How many methadone clinics are in Arkansas?
The September 8, 2026 CMS file lists four Medicare-enrolled opioid treatment program locations in Arkansas: one each in Little Rock, North Little Rock, Springdale and Texarkana. These are in Pulaski, Washington and Miller counties. Other certified programs may exist outside the Medicare enrollment file; search FindTreatment.gov for a broader directory.
Does Arkansas Medicaid cover Suboxone?
Yes. Arkansas Medicaid covers buprenorphine medication used for opioid use disorder, including Suboxone treatment when clinically appropriate. Arkansas Act 964 (2019) removed prior authorization requirements for FDA-approved opioid use disorder medications and addressed cost-sharing tiers. Ask the prescriber and pharmacy about enrollment, formulation and your specific costs.
Are there free methadone clinics in Arkansas?
Some people may qualify for low-cost treatment through Arkansas Medicaid or other available assistance, but the CMS list does not identify specific free methadone clinics in Arkansas. Ask a listed opioid treatment program about accepted payment and any financial assistance, or call SAMHSA at 1-800-662-4357 for treatment navigation.
Where can I find Suboxone doctors in Arkansas?
Office-based buprenorphine may be available through primary care, addiction medicine and behavioral health practices in Arkansas. The 2022 federal analysis reported that 14 Arkansas counties lacked an office-based buprenorphine provider. Search FindTreatment.gov by your ZIP code and ask whether a provider accepts Arkansas Medicaid or offers an appropriate telehealth visit.
Can I start telehealth Suboxone treatment in Arkansas?
Some Arkansas patients may be able to start or continue buprenorphine treatment through telehealth when a licensed clinician determines it is appropriate. Federal DEA/HHS controlled-medication telemedicine flexibilities extend through December 31, 2026; Arkansas-specific and provider requirements may also apply. Confirm the current visit and prescribing requirements with the practice.
Does Arkansas Medicaid pay for methadone treatment?
Arkansas Medicaid covers methadone treatment for opioid use disorder, but clinic participation matters. In the 2022 federal analysis cited by the Arkansas Center for Health Improvement, only 20% of Arkansas OTPs served at least one Medicaid enrollee with methadone or buprenorphine. Check participation with each clinic before arranging your first visit.
Where is Vivitrol treatment offered in Arkansas?
Naltrexone, including extended-release injectable Vivitrol, is one of the opioid use disorder medications covered by Arkansas Medicaid. Specific Arkansas Vivitrol locations are not identified in the CMS methadone OTP file. Search for addiction-medicine services through FindTreatment.gov and ask whether the practice offers the injection and can assess opioid-free eligibility.
What if my Arkansas county has no methadone clinic?
The September 2026 CMS Medicare-enrolled OTP file places locations in only three of Arkansas’s 75 counties. Residents elsewhere can check the nearest listed city, search FindTreatment.gov for other certified OTPs, and consider office-based buprenorphine or eligible telehealth care. Travel distance, daily dosing and insurance acceptance should guide the choice.
Can I get naloxone in Arkansas?
Yes. Arkansas DHS operates a Narcan request program, and naloxone is also available over the counter nationally. Arkansas Act 811 requires public high schools and state-supported universities to maintain opioid overdose reversal kits. Follow the DHS request page for program details; if someone may be overdosing, call 911 immediately.
What should I bring to an Arkansas methadone intake appointment?
Ask the Arkansas OTP what it needs before your visit. Common items include photo identification, insurance information, a medication list and relevant health history, although each clinic sets its own intake procedures within state and federal rules. If you have Arkansas Medicaid or Medicare, confirm the program accepts your coverage and ask about its first-visit schedule.
Sources, Methodology and Editorial Standards
- CMS Medicare Opioid Treatment Program Providers, September 8, 2026
- Arkansas Center for Health Improvement summary of HHS-OIG access analysis, October 2024 (2022 data)
- American Medical Association, Arkansas Act 964, 2019
- KFF Medicaid expansion status, accessed October 2026
- Arkansas DHS DAABHS contact information, accessed October 2026
- Arkansas DHS naloxone request page, accessed October 2026
- Arkansas DHS Act 811 program, accessed October 2026
- Arkansas DHS Good Samaritan overdose flyer (2021)
- KFF / CDC NCHS overdose rates through 2024
- USAFacts / CDC NCHS Arkansas overdose deaths, 2024
The clinic directory was compiled from CMS’s September 8, 2026 Medicare-enrolled opioid treatment program file and organized by Arkansas city. Counts refer to enrolled locations, not every certified OTP. State program, insurance and overdose information draws on the dated public sources above. MATClinicGuide.com does not own or operate any listed treatment clinic.
This page offers general educational and navigation information, not diagnosis, prescribing or individualized medical advice. A qualified clinician should help you decide whether methadone, buprenorphine or naltrexone is appropriate. MATClinicGuide.com’s phone line is a treatment-navigation service, not a direct line to any listed clinic; calls may be answered by or routed to participating providers or navigation partners. Verify arrangements with any clinic directly. For an emergency call 911; for mental health crisis support call or text 988.
Read our editorial policy, medical disclaimer and advertising and referral disclosure.
MAT Clinics in Nearby States
People near Arkansas’s borders may also explore opioid use disorder medication services across state lines, while checking eligibility, payment and cross-state care requirements.