MAT Clinics in Hawaii: Methadone, Suboxone & Vivitrol Treatment
Looking for MAT clinics in Hawaii? This guide helps you compare methadone, Suboxone, and Vivitrol, understand Med-QUEST coverage, and find support across the islands. Four Medicare-enrolled opioid treatment program locations operate in Honolulu, Hilo, and Wailuku, according to the CMS September 8, 2026 provider file.
On this page — jump to a section
- Hawaii MAT at a Glance
- Get Help Finding a Clinic
- Find MAT Clinics by City
- Treatment Options by Medication
- Methadone Rules
- Paying for Treatment
- Telehealth MAT
- Opioid Overdose in Hawaii
- Areas with Limited Access
- Hawaii Resources & Helplines
- Special Populations
- How to Choose a Clinic
- FAQs
- Sources & Editorial Standards
- Nearby State Guides
Hawaii MAT at a Glance
What this means for you: Medicare-enrolled methadone OTP sites are concentrated in three island cities, so travel and office-based treatment choices can be especially important.
Get Help Finding a Clinic in Hawaii
Need help exploring Hawaii treatment options?
Speak with a treatment navigator or submit the form to ask about available options, insurance, and next steps.
Call 1-(347) 591-7540For an overdose or immediate danger, call 911. For crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MAT Clinic Guide offers information and treatment navigation, not clinical care. Calls reach our navigation line and may be handled by or routed to participating treatment providers or navigation partners.
Find MAT Clinics by City in Hawaii
The September 8, 2026 CMS Medicare OTP provider list identifies four locations in three cities. These public listings can help you begin contacting methadone clinics in Hawaii; intake, schedules, and accepted insurance should be confirmed directly.
Top cities for methadone clinics
Hawaii methadone OTP directory: 3 cities
Hilo — 1 OTP
Honolulu — 2 OTPs
Comprehensive Health and Attitude SAMHSA-certified OTP
173 S Kukui St, Honolulu, HI 96813-2320
Ku Aloha Ola Mau SAMHSA-certified OTP
1130 N Nimitz Hwy, Rm C302, Honolulu, HI 96817-6501
Wailuku — 1 OTP
Comprehensive Health and Attitude SAMHSA-certified OTP
270 Waiehu Beach Rd, Ste 115, Wailuku, HI 96793-1472
Suboxone, buprenorphine and Vivitrol providers in Hawaii
Office-based buprenorphine may be available from primary-care, psychiatry, and addiction-medicine clinicians. Search FindTreatment.gov by ZIP code for buprenorphine providers in Hawaii, or contact Hawaii CARES at 1-800-753-6879 for statewide screening and referrals. Ask a clinic whether it offers Vivitrol in Hawaii and accepts your coverage.
OTP listings are based on the CMS Medicare provider file dated September 8, 2026. Call to confirm hours, intake, medication availability, and insurance.
MAT Treatment Options in Hawaii by Medication
Methadone clinics in Hawaii
Methadone for opioid use disorder is dispensed through certified opioid treatment programs (OTPs). Hawaii has four Medicare-enrolled OTP locations: two in Honolulu, one in Hilo, and one in Wailuku. At the beginning of care, clinic visits may be frequent, which makes island travel an important planning issue. Ask about assessment appointments, available take-home doses, and whether guest dosing is possible if you must travel. Learn about methadone treatment and how OTPs work.
Suboxone doctors and buprenorphine providers in Hawaii
Buprenorphine and Suboxone may be prescribed by qualified clinicians outside OTPs, including office-based practices. For residents outside Honolulu, Hilo, and Wailuku, this can reduce the need for travel to a methadone program. Hawaii CARES offers statewide referral and placement support. Ask a prospective provider whether it accepts Med-QUEST, handles new patients, and offers telehealth when permitted. Learn more about buprenorphine and Suboxone treatment.
Long-acting injectable buprenorphine: Sublocade and Brixadi
Injectable buprenorphine may be an option for some people who want medication delivered at longer intervals rather than taking a daily dose. Eligibility, initial stabilization requirements, injection schedules, and coverage vary by product and clinical situation. In Hawaii, ask a local prescriber whether Sublocade or Brixadi is offered, who provides injections, and how travel between islands affects follow-up. See our Sublocade medication guide.
Naltrexone and Vivitrol in Hawaii
Extended-release naltrexone (Vivitrol) is a monthly injection that blocks opioid effects. It differs from methadone and buprenorphine, and a person generally needs an opioid-free period before starting it to avoid precipitated withdrawal. Hawaii Med-QUEST coverage of OUD medications is grounded in federal Medicaid requirements, but individual authorization and access should be checked. Ask Hawaii CARES about treatment referrals and read our naltrexone and Vivitrol guide.
| Medication | Where you get it in Hawaii | Visits at start | Med-QUEST |
|---|---|---|---|
| Methadone | Certified OTP in Honolulu, Hilo, or Wailuku | Often frequent; clinical take-home decisions vary | Covered under federal OUD medication requirement |
| Buprenorphine / Suboxone | Qualified outpatient prescriber or OTP | Based on treatment plan; telehealth may be an option | Covered; ask about plan rules |
| Sublocade / Brixadi | Participating clinical setting | Assessment and follow-up, then product-specific injections | Ask plan about product and authorization |
| Naltrexone / Vivitrol | Participating clinic or prescriber | Assessment and opioid-free preparation before injection | Covered OUD medication category; confirm product details |
For context, see MAT versus MOUD and how long treatment may last.
Methadone (OTP) Rules in Hawaii
Hawaii opioid treatment programs operate under federal SAMHSA and DEA requirements, including 42 CFR Part 8, alongside state oversight by the Hawaii Department of Health Alcohol and Drug Abuse Division (ADAD). A clinic assesses medical needs and determines the treatment plan before dispensing methadone for opioid use disorder.
Intake and what to bring
Ask the Honolulu, Hilo, or Wailuku OTP how to schedule an intake, whether appointments are available, and what identification, medication list, insurance card, and medical records are useful. The clinic can explain when dosing can begin after assessment; timelines are not the same everywhere.
Take-home doses, guest dosing, and transfers
Federal OTP regulations updated in 2024 give clinicians greater flexibility with methadone take-home decisions; eligibility and state requirements still apply. For travel between islands, ask whether a guest-dosing arrangement or transfer can be coordinated, and what notice is needed. Learn more about OTPs.
Paying for MAT in Hawaii
Hawaii Medicaid: Med-QUEST
Hawaii expanded Medicaid on January 1, 2014, according to KFF. Its Medicaid program is Med-QUEST / QUEST Integration. Federal Medicaid law requires coverage of medication treatment for opioid use disorder, including methadone, buprenorphine, and naltrexone. Ask your Med-QUEST plan or treating clinic about prior authorization, network participation, and any required referral. Visit Med-QUEST.
| Service | Covered | Notes |
|---|---|---|
| Methadone for OUD | Yes | Through eligible OTP services; verify network and benefit details |
| Buprenorphine for OUD | Yes | Medication and prescribing arrangements vary |
| Naltrexone for OUD | Yes | Ask about the prescribed formulation and authorization |
Medicare
Medicare Part B includes an OTP benefit for eligible beneficiaries. Other OUD medications may be covered under applicable Medicare medical or prescription-drug benefits depending on how they are furnished and the plan. Hawaii has four Medicare-enrolled OTP locations in the September 2026 CMS file.
Private insurance
Coverage for methadone, Suboxone, injectables, and Vivitrol differs by benefit and provider network. Mental health and substance-use coverage parity rules do not mean every medicine or facility is covered without limitations. Request a written benefit check before arranging island travel.
No insurance or limited ability to pay
Hawaii ADAD funds substance-use treatment services. Hawaii CARES can help with screening, referrals, and placement, including questions about funding and eligibility. Federally qualified health centers may also be worth contacting for an assessment. See insurance coverage, MAT costs, and insurance verification.
Questions about treatment costs in Hawaii?
Talk with a navigator about questions to ask clinics and health plans before you choose a program.
Call 1-(347) 591-7540For an overdose or immediate danger, call 911. For crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MAT Clinic Guide offers information and treatment navigation, not clinical care. Calls reach our navigation line and may be handled by or routed to participating treatment providers or navigation partners.
Telehealth MAT in Hawaii
Telehealth Suboxone in Hawaii may be possible for patients whose prescribers meet applicable federal and state requirements. Federal DEA/HHS controlled-medication telemedicine flexibilities are in effect through December 31, 2026; prescribing rules can change, and Hawaii may impose additional requirements.
An eligible buprenorphine prescriber may use telehealth for some assessments or follow-ups. Methadone for OUD must still be provided through certified OTP arrangements, so video care does not automatically remove in-person dosing or service requirements. Residents of Kauaʻi, Molokaʻi, and Lānaʻi can ask Hawaii CARES for local and remote-care options.
See the telehealth MAT guide.
Opioid Overdose in Hawaii: Why Access Matters
Hawaii recorded 333 drug overdose deaths in 2024, with an age-adjusted all-drug death rate of 21.0 per 100,000 people (CDC NCHS via USAFacts and KFF). Its 2024 rate was close to, though below, the national rate of 23.1; Hawaii’s rate changed little from 21.4 in 2023 while the national rate declined.
| Year | Hawaii: all drugs | Hawaii: opioids | U.S.: all drugs |
|---|---|---|---|
| 2019 | 15.9 | 3.5 | — |
| 2020 | 18.3 | 5.3 | — |
| 2021 | 17.3 | 6.1 | — |
| 2022 | 18.6 | 7.1 | 32.6 |
| 2023 | 21.4 | 9.4 | 31.3 |
| 2024 | 21.0 | 8.2 | 23.1 |
Hawaii’s opioid overdose death rate increased from 3.5 per 100,000 in 2019 to 8.2 in 2024. Most overdose deaths in Hawaii involved drugs other than opioids, but opioid-related mortality remains a serious concern. Learn about overdose response and naloxone.
Areas of Hawaii with Limited MAT Access
Hawaii’s Medicare-enrolled methadone OTPs are located in Honolulu, Hilo, and Wailuku. The locations below are starting points for planning; inter-island travel can be required, so check actual travel arrangements and speak with Hawaii CARES about alternatives before making a journey.
Kauaʻi
Kauaʻi County has no listed OTP; treatment navigation and office-based medications may reduce the need to fly for care.
Nearest OTP cities: Honolulu (Oʻahu; requires air travel).
Molokaʻi and Lānaʻi
Neither island has a CMS-listed OTP. Ask about island-based assessments, telehealth when permitted, and longer-term medication planning.
Nearest OTP cities: Wailuku (Maui) or Honolulu (Oʻahu).
West Hawaiʻi Island
Kona, Kohala, and Kaʻū have no listed OTP. Residents may need to plan a long cross-island trip for methadone services.
Nearest OTP cities: Hilo (Hawaiʻi Island).
Rural Oʻahu and Maui
Oʻahu clinics are in Honolulu, and the Maui clinic is in Wailuku; people in the North Shore, Waiʻanae Coast, Windward Oʻahu, Hāna, and Upcountry Maui may face long travel.
Nearest OTP cities: Honolulu (Oʻahu) or Wailuku (Maui).
Across all islands, Hawaii CARES can discuss buprenorphine, naltrexone, and referrals. Free naloxone by mail is available through HHHRC for Kauaʻi, Lānaʻi, and Molokaʻi residents.
Hawaii Resources & Helplines
Hawaii DOH ADAD
601 Kamokila Blvd., Room 360, Kapolei, HI 96707
Phone: (808) 692-7506
Info: (808) 586-4400
Agency website
Hawaii CARES
Statewide screening, assessment, care coordination and treatment placement.
(808) 832-3100 · 1-800-753-6879
Hawaii CARES
Med-QUEST Medicaid
Hawaii Medicaid / QUEST Integration. Ask about covered medications, network clinics, and benefits.
Med-QUEST website
Free naloxone resources
HHHRC and partners support free naloxone access on multiple islands and mail distribution to Kauaʻi, Lānaʻi, and Molokaʻi.
Naloxone access details
Where to get free naloxone in Hawaii
HHHRC lists in-person naloxone distribution at 677 Ala Moana Blvd., Suite 226, Honolulu (808-521-2437, Monday–Friday, 9:00 a.m.–4:30 p.m.); Maui AIDS Foundation, 1935 Main Street, Suite 10, Wailuku (808-242-4900); and Kumukahi Health + Wellness locations in Hilo (101 Aupuni St, Penthouse 1014C, 808-982-8800) and Kailua-Kona (74-5620 Palani Rd., Suite 101, 808-331-8177). Hawaii DOH also supports naloxone vending and distribution programs, and naloxone is available over the counter.
Hawaii Good Samaritan overdose law
Hawaii Act 217 (2015), effective July 7, 2015, provides specified protections when someone seeks emergency assistance in good faith for an overdose. These protections have defined conditions and do not eliminate every possible legal consequence. Seek emergency help by calling 911 if an overdose is suspected.
Special Populations in Hawaii
Pregnant and postpartum people
Hawaii ADAD-funded substance use services prioritize pregnant women for admission. Contact Hawaii CARES to ask about treatment access and coordinated medical care during pregnancy and after delivery. Medication treatment is often an important component of care; treatment decisions should be made with an experienced clinician.
Veterans
Veterans in Hawaii can ask their VA care team about evaluation for opioid use disorder and available medication-treatment referrals. Hawaii CARES can also help navigate community treatment; confirm program eligibility and coordination with your VA benefits.
Adolescents and young adults
Young people and their families in Hawaii can contact Hawaii CARES for assessment and referrals that fit their age and needs. Medication choices and consent rules may differ for minors. For family support, visit helping a loved one with opioid use.
People leaving jail or prison
Continuity of medication and a plan for the first days after release can be especially important. In Hawaii, ask a discharge planner to contact Hawaii CARES and identify a receiving clinic, medication plan, and transportation or telehealth arrangements.
Rural and neighbor-island residents
Residents of Kauaʻi, Molokaʻi, Lānaʻi, Hāna, and west Hawaiʻi Island may have difficulty making repeated trips to an OTP. Hawaii CARES can help explore office-based buprenorphine, permitted telehealth, and local recovery support. Ask about take-home policies if already enrolled in an OTP.
How to Choose a MAT Clinic in Hawaii
A good Hawaii clinic should explain the medication it offers, how treatment begins, your payment options, and the visits you will need. For island residents, add travel and medication continuity to the questions you ask.
Questions to ask a methadone OTP
- Are you accepting new patients in Honolulu, Hilo, or Wailuku?
- How soon can I have an intake assessment?
- What will my dosing schedule look like at the beginning?
- How do you handle take-home decisions or guest dosing for travel?
- Do you accept my Med-QUEST, Medicare, or private insurance plan?
Questions to ask a buprenorphine provider
- Do you prescribe Suboxone or another form of buprenorphine?
- Can visits be conducted by telehealth under current rules?
- Do you offer injectable medications or refer for Vivitrol?
- Are medication costs and clinic visit charges explained upfront?
- How do you coordinate care if I live on another island?
What happens at the first visit
- Discuss substance use, medical history, and your goals.
- Review medication choices and immediate safety needs.
- Confirm insurance, payment arrangements, and a follow-up plan.
- Agree on how to reach the care team between visits.
Need help choosing a Hawaii clinic?
Ask about locations, medications, and the practical steps to start care.
Call 1-(347) 591-7540For an overdose or immediate danger, call 911. For crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MAT Clinic Guide offers information and treatment navigation, not clinical care. Calls reach our navigation line and may be handled by or routed to participating treatment providers or navigation partners.
FAQs About MAT Clinics in Hawaii
How many methadone clinics are in Hawaii?
The CMS Medicare OTP provider file dated September 8, 2026 lists four enrolled locations: two in Honolulu, one in Hilo, and one in Wailuku. This is a count of Medicare-enrolled OTP sites, not every possible addiction-treatment facility. Call a listed clinic for intake and medication details.
Where can I find methadone treatment on Oʻahu?
The CMS list includes two Honolulu methadone OTP locations: Comprehensive Health and Attitude at 173 S Kukui St and Ku Aloha Ola Mau at 1130 N Nimitz Hwy, Room C302. Residents from other parts of Oʻahu can ask about travel and dosing schedules before enrolling.
Does Hawaii Medicaid cover Suboxone and methadone?
Yes. Hawaii’s Med-QUEST Medicaid program operates under federal OUD medication coverage requirements that include methadone, buprenorphine, and naltrexone. A provider or health plan can explain network participation, prior authorization, and which formulation is covered in your case.
Can I get telehealth Suboxone in Hawaii?
Telehealth buprenorphine appointments may be possible when clinicians follow federal and Hawaii prescribing requirements. Federal DEA/HHS flexibilities extend through December 31, 2026, but individual clinics and plans set practical requirements. Ask whether a provider serves your island and what visits are needed.
Are there free methadone clinics in Hawaii?
Hawaii ADAD funds substance-use treatment services, but whether a particular methadone OTP is free depends on eligibility, funding, and the clinic. Hawaii CARES can discuss screening, placement, and possible funded options at (808) 832-3100 or 1-800-753-6879. Confirm charges before enrolling.
Are there methadone clinics on Kauaʻi, Molokaʻi, or Lānaʻi?
There are no OTP locations on Kauaʻi, Molokaʻi, or Lānaʻi in the September 8, 2026 CMS Medicare provider list. The listed OTPs are in Honolulu, Hilo, and Wailuku. Hawaii CARES can help explore local buprenorphine treatment, permitted telehealth, and other options.
Where can I find Vivitrol treatment in Hawaii?
A clinician offering OUD treatment can assess whether naltrexone or Vivitrol fits your needs. The medication normally requires an opioid-free period before initiation. Contact Hawaii CARES for placement help, or search FindTreatment.gov by ZIP code and ask practices about injectable medication availability.
How do I get free naloxone in Hawaii?
HHHRC and partner organizations offer free naloxone at listed locations on Oʻahu, Maui, and Hawaiʻi Island. Kauaʻi, Lānaʻi, and Molokaʻi residents can request a mailed kit through HHHRC. In a suspected overdose, give naloxone if available and call 911 immediately.
Can I change methadone clinics between islands?
An OTP may be able to help coordinate a transfer or guest dosing arrangement, subject to clinic approval and applicable rules. Since Hawaii’s listed OTPs are in Honolulu, Hilo, and Wailuku, plan travel early and speak with both programs before leaving your current dosing location.
Who can help me find MAT clinics that accept Medicaid in Hawaii?
Hawaii CARES provides statewide screening, care coordination, and treatment referrals and can help you identify a starting point. You can also ask Med-QUEST about participating treatment providers. Confirm that a clinic accepts your specific health plan and offers the medication you need.
Sources, Methodology & Editorial Standards
- CMS Medicare OTP Providers — September 8, 2026
- Hawaii Department of Health ADAD — consulted October 2026
- Hawaii CARES — consulted October 2026
- HHHRC Naloxone — consulted October 2026
- Hawaii Opioid Settlement Program — consulted October 2026
- Hawaii Act 217 (2015), Good Samaritan law
- KFF Medicaid expansion status — October 2026
- KFF overdose death rates / CDC NCHS — 2019–2024
- USAFacts / CDC NCHS Hawaii overdose deaths — 2024
Clinic listings were assembled from the CMS Medicare Opioid Treatment Program Providers file dated September 8, 2026, grouped by city and checked for exact-address duplicates. State service and resource details draw on public agency information; overdose figures are from CDC-derived datasets. Public listings can change after publication.
Medical disclaimer: This page is educational and is not individualized medical advice. A qualified clinician should evaluate the safety, timing, and suitability of medication treatment. MATClinicGuide.com does not own or operate the listed clinics and does not diagnose, prescribe, or treat.
Referral disclosure: MATClinicGuide.com provides educational information and treatment-navigation services, not direct treatment. Calling our number connects you with our treatment-navigation line—not the individual clinic listed above. Calls may be answered by or routed to participating providers or navigation partners. Confirm services and costs with each clinic. For emergencies, call 911; for crisis support, call or text 988.
Read our editorial policy, medical disclaimer, and advertising and referral disclosure.
MAT Clinics in Nearby States
Hawaii has no bordering states, but these Pacific and West Coast guides may help if you are traveling or moving.