State rankings

Treatment facility rankings

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 Editorial, Substance Use Treatment Editorial Team

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

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, more than 17,000 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 treatment facilities; nationwide, 47% of all 17,974 facilities report offering medication-assisted treatment.

California
most facilities (1,580): 47%
offer MAT nationwide: 55
states & territories ranked: 17,974
facilities in the directory

Counts are facility-level reports from the SAMHSA N-SUMHSS survey, not population-adjusted rates or a quality measure.

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

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