State rankings

Treatment facility rankings

Name: PlainRecovery State Treatment Facility Rankings Extract
Creator: PlainRecovery
License: https://creativecommons.org/publicdomain/zero/1.0/

Compare U.S. states and territories by treatment facility count, MAT availability, telehealth, Medicaid acceptance, and detox capacity, all from SAMHSA's N-SUMHSS record.

Compiled by PlainRecovery

17,974
Facilities ranked: 55
States & territories: 8,487
With MAT

Download the state-level summary (CSV), open extract wired into this page's Dataset JSON-LD.

What this ranking is (and isn't)

These lists rank states by raw facility count and the count of facilities reporting each service (MAT, telehealth, Medicaid, detox, sliding-fee or payment assistance) in the SAMHSA N-SUMHSS survey. "Payment assistance" means a sliding-fee scale or assistance program is offered, not that treatment is free of charge. They are not a quality, safety, or outcomes score, SAMHSA does not collect clinical-outcome or accreditation data, so no such score exists here. A state ranking high simply has more listed facilities or more facilities reporting a service, not necessarily better care. This is not a personalized treatment recommendation, talk to a doctor or licensed counselor about your specific situation, or call the SAMHSA National Helpline at 1-800-662-4357 (free, confidential, 24/7).

According to the Substance Abuse and Mental Health Services Administration's National Substance Use and Mental Health Services Survey, field-collected March through December 2024, 17,974 treatment facilities nationwide report the service, payment, and population data these rankings are built from. See our methodology for how each state total is derived.

The ranking in one line

California leads with 1,580 SAMHSA-listed facilities; the #12 cutoff to make this top-12 list is 508 facilities (78th percentile across 55 states and territories).

1,580
#1 - California: 508
#12, the cutoff to make this list: 78th
percentile of the full roster: 50.7%
of national facilities in the top 12

Facility counts are raw N-SUMHSS inventory totals, not quality, outcomes, or population-adjusted rates. Inventory vs MAT share is a separate map on the same record.

Medicaid inventory

How the 17,974 listings split on Medicaid

Exclusive yes/no on the SAMHSA Medicaid acceptance flag. Orthogonal to the inventory≠MAT dual above and to the state ranking tables below (state ranks are counts; these two buckets partition every listing once).

Medicaid flagged 15,045 listings (84%) No Medicaid flag 2,929 listings (16%)

Top 12 states by facility count

1 California 1,580

2 New York 1,126

3 Ohio 855

4 Pennsylvania 757

5 Florida 754

6 Illinois 745

7 Texas 649

8 Maryland 583

9 Michigan 524

10 North Carolina 521

11 Arizona 516

12 Minnesota 508

How concentrated is this list? These 12 states are just 21.8% of all 55 states and territories tracked, yet they hold 50.7% of every SAMHSA-listed treatment facility. The remaining 43 states and territories split the other 49.3%.

The bar to make the top 12

Where the #12 cutoff sits among all 55 states and territories

508 78th pctl. higher than 78% of 55 states

Each bar is a band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source SAMHSA N-SUMHSS · 2024

MAT coverage vs. detox coverage, by state

Two treatment-access rates for the 52 states and territories with at least 20 tracked facilities: the share of facilities offering medication-assisted treatment (MAT) and the share offering detox. The two rates move together only loosely (Pearson r = 0.44 across these 52 states): 12 of the 24 states above the 47.0% average MAT coverage are at or below the 12.0% average detox coverage. Detox is the scarcer service everywhere: it tops out at 24.5% of facilities (Louisiana), while MAT reaches 85.4% (Wyoming). Wyoming, the group's highest on MAT, is not a detox laggard: at 20.8% it ranks #6 of 52 on detox, in the "High on both" quadrant. The 12 states in the "High MAT / low detox" quadrant are the ones where broad MAT access does not come with detox.

How to read it: MAT and detox coverage move together only loosely, so a state can lead on one and trail on the other, and detox is the scarcer service in every plotted state. Source: SAMHSA N-SUMHSS 2024. States and territories with fewer than 20 tracked facilities are excluded to avoid small-sample rate noise.

Read the plotted state values

Wyoming (highest MAT coverage) 85.4% MAT · 20.8% detox
West Virginia 66.5% MAT · 21% detox
Arizona 64.3% MAT · 12.8% detox
Delaware 62% MAT · 10% detox
Massachusetts 61.9% MAT · 12.5% detox
Louisiana 61.8% MAT · 24.5% detox
New Hampshire 61.2% MAT · 11.7% detox
Connecticut 58.6% MAT · 9.7% detox
Kentucky 57.9% MAT · 10.5% detox
Missouri 57.3% MAT · 9.8% detox
Indiana 55.8% MAT · 13.6% detox
Maryland 55.7% MAT · 16.1% detox
New Mexico 55.6% MAT · 22.5% detox
Tennessee 55.1% MAT · 10.4% detox
North Carolina 54.9% MAT · 13.4% detox
Rhode Island 54.1% MAT · 18% detox
Virginia 54% MAT · 11.1% detox
Maine 53.1% MAT · 6.9% detox
Kansas 52.7% MAT · 9.1% detox
New Jersey 52.7% MAT · 9.8% detox
Georgia 51.1% MAT · 20.9% detox
Vermont 49.4% MAT · 11.1% detox
Pennsylvania 48.7% MAT · 11.9% detox
Florida 47.9% MAT · 18.8% detox
South Carolina 46.7% MAT · 10.2% detox
New York 46.4% MAT · 7.8% detox
Colorado 46.3% MAT · 10.3% detox
Ohio 46.3% MAT · 14.2% detox
Alaska 45.5% MAT · 7.1% detox
Iowa 45.5% MAT · 4.7% detox
Michigan 44.1% MAT · 13.2% detox
Oregon 43.8% MAT · 5.9% detox
Oklahoma 42.7% MAT · 7.8% detox
Arkansas 41.9% MAT · 6.2% detox
Utah 41.6% MAT · 13.8% detox
Illinois 40.9% MAT · 8.9% detox
California 40.8% MAT · 22.9% detox
Nebraska 39.2% MAT · 9.8% detox
Texas 39.1% MAT · 16.9% detox
Puerto Rico 39% MAT · 14.3% detox
Mississippi 37.9% MAT · 13.1% detox
District of Columbia 37.1% MAT · 14.3% detox
Minnesota 37% MAT · 6.1% detox
Wisconsin 36.4% MAT · 7.6% detox
Nevada 35.4% MAT · 13.9% detox
North Dakota 35.4% MAT · 11.4% detox
Washington 33.7% MAT · 6.6% detox
Alabama 32.8% MAT · 9.5% detox
South Dakota 27% MAT · 9.5% detox
Montana 25.7% MAT · 5.5% detox
Idaho 24.6% MAT · 5.1% detox
Hawaii 15.9% MAT · 9.1% detox

Most Facilities

1. California
1,580
2. New York
1,126
3. Ohio
855
4. Pennsylvania
757
5. Florida
754
6. Illinois
745
7. Texas
649
8. Maryland
583
9. Michigan
524
10. North Carolina
521
11. Arizona
516
12. Minnesota
508
13. Kentucky
506
14. New Jersey
490
15. Indiana
484

Most MAT Programs

1. California
644
2. New York
522
3. Ohio
396
4. Pennsylvania
369
5. Florida
361
6. Arizona
332
7. Maryland
325
8. Illinois
305
9. Kentucky
293
10. North Carolina
286
11. Indiana
270
12. New Jersey
258
13. Massachusetts
257
14. Texas
254
15. Michigan
231

Most Telehealth

1. California
1,180
2. New York
909
3. Ohio
778
4. Illinois
610
5. Pennsylvania
606
6. Florida
568
7. Maryland
489
8. Texas
487
9. Michigan
458
10. Kentucky
436
11. Arizona
430
12. Minnesota
417
13. New Jersey
393
14. Indiana
386
15. North Carolina
378

Most Accept Medicaid

1. New York
1,084
2. California
946
3. Ohio
817
4. Pennsylvania
660
5. Illinois
557
6. Maryland
545
7. Florida
495
8. Minnesota
483
9. Michigan
466
10. Kentucky
462
11. Texas
456
12. Arizona
447
13. Indiana
431
14. North Carolina
423
15. Massachusetts
380

Most Detox Services

1. California
362
2. Florida
142
3. Ohio
121
4. Texas
110
5. Maryland
94
6. Pennsylvania
90
7. New York
88
8. North Carolina
70
9. Michigan
69
10. Georgia
68
11. Arizona
66
12. Illinois
66
13. Indiana
66
14. Utah
56
15. Kentucky
53

Most Payment Assistance

1. New York
584
2. California
559
3. Ohio
427
4. Illinois
419
5. Texas
332
6. Florida
307
7. Michigan
255
8. Indiana
239
9. Missouri
232
10. Kentucky
226
11. Pennsylvania
216
12. Maryland
205
13. New Jersey
202
14. Colorado
185
15. Tennessee
178

Complete State Comparison

#	State	Total	MAT	Detox	Telehealth	Medicaid	Residential	Assistance
1	California	1,580	644	362	1,180	946	630	559
2	New York	1,126	522	88	909	1,084	301	584
3	Ohio	855	396	121	778	817	200	427
4	Pennsylvania	757	369	90	606	660	200	216
5	Florida	754	361	142	568	495	254	307
6	Illinois	745	305	66	610	557	134	419
7	Texas	649	254	110	487	456	141	332
8	Maryland	583	325	94	489	545	150	205
9	Michigan	524	231	69	458	466	92	255
10	North Carolina	521	286	70	378	423	140	149
11	Arizona	516	332	66	430	447	152	175
12	Minnesota	508	188	31	417	483	141	111
13	Kentucky	506	293	53	436	462	123	226
14	New Jersey	490	258	48	393	371	84	202
15	Indiana	484	270	66	386	431	121	239
16	Massachusetts	415	257	52	336	380	133	148
17	Tennessee	412	227	43	354	319	89	178
18	Washington	407	137	27	342	360	86	151
19	Utah	406	169	56	319	320	152	133
20	Virginia	396	214	44	324	346	92	154
21	Wisconsin	368	134	28	320	350	54	120
22	Missouri	356	204	35	304	294	94	232
23	Georgia	325	166	68	257	224	94	138
24	Colorado	300	139	31	273	245	56	185
25	Oregon	256	112	15	223	230	69	124
26	Iowa	255	116	12	207	246	60	159
27	Arkansas	241	101	15	222	228	70	111
28	Connecticut	237	139	23	187	216	55	148
29	Idaho	236	58	12	198	230	26	102
30	Louisiana	204	126	50	157	178	68	86
31	Oklahoma	192	82	15	161	174	41	112
32	Alabama	189	62	18	148	152	64	89
33	Kansas	186	98	17	146	161	43	111
34	Maine	175	93	12	145	167	32	62
35	South Carolina	167	78	17	130	153	29	47
36	West Virginia	167	111	35	150	158	44	78
37	Nevada	158	56	22	129	139	40	63
38	Mississippi	145	55	19	91	116	40	63
39	Nebraska	143	56	14	111	134	41	89
40	New Mexico	142	79	32	113	135	24	88
41	Montana	109	28	6	102	105	26	73
42	New Hampshire	103	63	12	89	90	19	36
43	Alaska	99	45	7	84	90	31	65
44	Hawaii	88	14	8	78	36	15	39
45	Vermont	81	40	9	66	74	21	56
46	North Dakota	79	28	9	63	68	28	20
47	Puerto Rico	77	30	11	34	45	36	35
48	South Dakota	63	17	6	44	57	31	27
49	Rhode Island	61	33	11	48	59	23	18
50	Delaware	50	31	5	41	43	16	26
51	Wyoming	48	41	10	47	46	13	20
52	District of Columbia	35	13	5	30	32	7	11
53	Guam	3	1	1	3	1	3	3
54	Northern Mariana Islands	1	0	0	1	0	0	1
55	U.S. Virgin Islands	1	0	0	1	1	1	1

Every figure on PlainRecovery is rendered directly from SAMHSA's published N-SUMHSS facility data, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these facility listings, or report a data error. Data current as of 2024 N-SUMHSS release.