State resources for opiate addiction treatment

Every state has an agency that funds treatment. Here is how to find yours, and who else to ask.

Updated October 2026. Sources are linked on this page.

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The short answer

Who runs it: Each state has one agency, often called the single state agency, that receives federal treatment funds and directs them to local programs.
How to find yours: SAMHSA publishes a directory of these agencies, and its helpline can connect you to your state’s office.
Other doors: Your state Medicaid office, 211 and your local health department can all point you to care.

How your state funds and oversees treatment

A lot of addiction treatment in the United States is paid for with public money that passes through the states. The main federal source is a SAMHSA block grant for substance use prevention, treatment and recovery services. It goes to all 50 states and Washington, DC.

To receive it, each state must name one unit of its government to manage the funds. That unit is the single state agency. It may sit inside a health department or a behavioral health division, and the name differs from state to state.

The agency applies for the grant each year and passes money on to counties, cities and community organizations that deliver treatment and recovery support. This is the money behind many free and state-funded programs.

Each state also has a State Opioid Treatment Authority. It is the state contact for opioid treatment programs, the clinics that provide methadone.

How to find your state agency

SAMHSA publishes a directory of single state agencies. Pick your state from the list to see the agency’s name and contact details.

If you would rather talk to someone, call SAMHSA’s National Helpline at 1-800-662-4357. It is free, confidential and open 24 hours a day. SAMHSA says that if you have no insurance or too little, the helpline will refer you to the state office responsible for state-funded treatment.

When you reach your state agency, useful things to ask are which programs near you take people without insurance, whether there is a waiting list, and what you need to bring.

Other places to ask in your state

Your state Medicaid office

Medicaid follows federal guidelines, but each state runs its own program, so income limits and covered services differ. You can apply at any time of year, through HealthCare.gov or your state agency. The Medicaid guide explains how it works for addiction treatment.

211

Dialing 211 connects you to a local referral center in most of the country. The FCC describes it as a shortcut to health and human service agencies. Its specialists can refer callers to drug and alcohol treatment, support groups, housing help and food assistance.

Your local health department

County and city health departments often know which clinics have openings. SAMHSA notes that many local health departments and community programs give out naloxone free of charge. See the naloxone guide for how to use it.

Where to look next on this site

This page does not list phone numbers for each state, because they change. The official directories above stay current.

For named programs, go to the state directory pages. Each one lists real facilities in that state’s largest cities that offer medication treatment and accept Medicaid. If you have no coverage at all, read treatment with no insurance.

In an emergency, skip the directories. Call 911 if someone is not breathing or cannot be woken, and call or text 988 for a crisis or thoughts of suicide.

Find treatment in your state

Choose your state

Real, licensed facilities from public records. No paid placements.

Questions people ask us

What is a single state agency?

It is the part of state government named to manage the federal block grant for substance use prevention, treatment and recovery services. It applies for the funds each year and passes them to local governments and community organizations. SAMHSA publishes a directory with the agency for every state.

Can my state agency help if I have no insurance?

Often, yes. SAMHSA says its helpline refers people with no insurance, or too little, to the state office responsible for state-funded treatment programs. That office can tell you which programs near you take people who cannot pay. It is also worth checking whether you qualify for Medicaid.

What happens when I dial 211?

Your call is routed to a local or regional referral center. A specialist asks what you need, looks up health and human service agencies in your area and refers you to one that can help. The FCC lists drug and alcohol treatment, support groups and counseling among the services 211 covers.

How do I apply for Medicaid in my state?

You can apply at any time of year, either through HealthCare.gov or directly with your state Medicaid agency. HealthCare.gov says to apply even if you are not sure you qualify, because each state has options that take income, household size and other factors into account.

Sources

This page is general information, not medical advice. Talk with a clinician about your own situation.

Need help right now?

Someone is not breathing: call 911 Crisis or thoughts of suicide: call or text 988 Free treatment referral, 24/7: 1-800-662-4357 (SAMHSA National Helpline)