Medication-Assisted Treatment for Opioid Addiction State Profiles

Transcription

1 Medication-Assisted Treatment for Opioid Addiction 200 State Profiles

2 Medication-Assisted Treatment for Opioid Addiction 200 State Profiles U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment Medication-Assisted Treatment for Opioid Addiction: 200 State Profiles

3 Acknowledgements This report was prepared by Leslie Ann Ba and Willie Tompkins, Jr., Ph.D., for the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). Contact Information For further information contact the Center for Substance Abuse Treatment, Division of Pharmacologic Therapies at (240) or Division of State and Community Assistance/ Performance Measurement Branch at (240) Disclaimer The views, opinions, and content of this publication are those of the author and do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS. Public Domain Notice All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, HHS. Electronic Access and Copies of Publication This publication may be downloaded or ordered at store.samhsa.gov. Or call -877-SAMHSA-7 ( ) (English and Español). Recommended Citation Substance Abuse and Mental Health Services Administration, Medication-Assisted Treatment for Opioid Addiction: 200 State Profiles, Substance Abuse and Mental Health Services Administration, 20. Originating Office Division of Pharmacologic Therapies and Division of State and Community Assistance, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Choke Cherry Road, Rockville, MD HHS Publication No. (SMA) Printed 20

4 Table of Contents Acknowledgements... 3 Table of Contents... 4 About Medication-Assisted Treatment (MAT)... 5 United States... 7 Highlights... 0 Alabama... Alaska... 4 Arizona... 7 Arkansas California Colorado Connecticut Delaware District of Columbia Georgia... 4 Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky... 6 Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota... Ohio...2 Oklahoma...5 Oregon...8 Pennsylvania... 2 Rhode Island South Carolina South Dakota Tennessee... 3 Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Guam Puerto Rico U.S. Virgin Islands Appendix A... 62

5 About Medication-Assisted Treatment (MAT) Medication-assisted treatment involves the use of medications, in combination with counseling and behavioral therapies, for the treatment of substance use disorders. Research shows that when treating certain substance use disorders, a combination of medication and behavioral therapies is regarded as most successful when treating the disorders. Medication-assisted treatment is clinically driven with a focus on individualized patient care. The Substance Abuse and Mental Health Services Administration (SAMHSA) of the U.S. Department of Health and Human Services certifies Opioid Treatment Programs (OTPs) that provide methadone and buprenorphine to treat individuals addicted to opioids such as heroin, oxycodone, or hydrocodone. Currently, methadone and buprenorphine are the only scheduled opioid medications approved for the treatment of opioid addiction. SAMHSA s Center for Substance Abuse Treatment (CSAT) manages the day-to-day regulatory oversight activities necessary to implement SAMHSA regulations, 42 CFR Part 8, on the use of opioid agonist medications (methadone and buprenorphine) approved by the Food and Drug Administration (FDA) for addiction treatment. These activities include supporting the certification of over,200 OTPs that collectively treat over 270,000 patients daily. CSAT manages the operational requirements of the Drug Addiction Treatment Act of 2000 (DATA 2000), which expands the clinical context of medication-assisted opioid addiction treatment by allowing qualified physicians to dispense or prescribe specifically approved Schedule III, IV, and V narcotic medications for the treatment of opioid addiction in treatment settings other than the traditional opioid treatment program. Currently, the only medications that meet the statutory provisions of DATA 2000 are buprenorphine and buprenorphine in combination with naloxone. Additionally, CSAT supports the training of medical and substance abuse professionals on a variety of treatment issues including the use of methadone and buprenorphine. For additional information visit Methadone Methadone is a synthetic opioid that blocks the effects of heroin and other prescription drugs containing opioids. Used successfully for more than 40 years in treating opioid addiction, methadone has been shown to eliminate withdrawal symptoms and relieve drug cravings from heroin and prescription opioid medications. Methadone is a medication that prevents opioid withdrawal symptoms for up to 36 hours and must be taken daily. Taken as directed, methadone: blocks the euphoric and sedating effects of opioids; relieves the craving for opioids that is a major factor in relapse; relieves symptoms associated with withdrawal from opioids; does not cause euphoria or intoxication itself (with stable dosing), thus allowing a person to work and participate normally in society; and is excreted slowly so it can be taken only once a day. The use of methadone for medication-assisted treatment was developed in the 960s, and is a form of pharmacotherapy for the treatment of addiction or dependence to opioids, which includes a pharmacologic intervention as part of a comprehensive substance abuse treatment plan, with an ultimate goal of patient recovery with full social function.

6 Methadone has been demonstrated to reduce mortality, decrease transmission of HIV and other blood-borne illnesses, and improve maternal and fetal outcomes during pregnancy. In light of these well-established benefits, it is important to recognize that there may be side effects of methadone, some of which may be severe and in some cases fatal, including cardiac arrhythmia and the risk of respiratory depression and overdose. Buprenorphine Buprenorphine is a medication used for detoxification and maintenance therapy in the treatment of opioid addiction. It works by blocking withdrawal and craving without producing euphoric effects. It is the only opioid addiction treatment medication that can be prescribed by a physician in an office setting. The brand names Subutex and Suboxone are prescription medicines that both contain buprenorphine and treat opioid addiction by preventing symptoms of withdrawal from heroin and other opioids. Subutex contains only buprenorphine hydrochloride, while Suboxone contains the additional ingredient naloxone to guard against misuse. While the safety profile of buprenorphine--a partial opioid agonist--is generally better than full opioid agonists, the risk of central nervous system (CNS) depression still exists and caution must be used, particularly in cases where other CNS depressants are present. The Drug Addiction Treatment Act of 2000 (DATA 2000) This act enables qualifying physicians to receive a waiver from the special registration requirements in the Controlled Substances Act for the provision of medication-assisted opioid therapy. This waiver allows qualifying physicians to practice medication-assisted opioid addiction therapy with Schedule III, IV, or V narcotic medications specifically approved by the FDA. On October 8, 2002, Subutex (buprenorphine hydrochloride) and Suboxone tablets (buprenorphine hydrochloride and naloxone hydrochloride) received FDA approval for the treatment of opioid addiction. Subsequently in 2009 and 200, the FDA approved two generic versions of Subutex. To receive a waiver, a physician must notify SAMHSA of his or her intent to begin dispensing or prescribing this treatment. The Notification of Intent must contain information on the physician s qualifying credentials and additional certifications including that the physician has the capacity to refer such addiction therapy patients for appropriate counseling and other non-pharmacologic therapies, and that the physician will not have more than 00 patients on such addiction therapy at any one time. When the waiver is received, the physician may then begin using buprenorphine for the treatment of opioid addiction. For additional information visit State Opioid Addiction Treatment System Maps Within this report, two maps are presented for each state: Certified OTPs and DATA Certified Physicians. The maps are intended to provide an overview of locations and were produced using street addresses. Location points on both types of individual state maps may overlap due to multiple sites in close proximity to one another. A searchable directory of more than,000 drug and alcohol treatment programs that shows the location of facilities around the country that treat alcoholism and alcohol and drug abuse problems is available at A physician locator that similarly identifies physicians who are authorized to prescribe buprenorphine is available at bwns_locator.

7 United States These two maps present an overview of medication-assisted therapy in the States and territories of the United States. They focus particular attention on SAMHSA certified OTPs that provide medicationassisted therapy to treat individuals addicted to opioids such as heroin, oxycodone, or hydrocodone. The first map shows the States with OTPs, and the second shows the number of patients. New York, California, and Texas have the largest number of OTPs at 52, 46 and 78 respectively. Number of Opioid Treatment Programs (March 200) Total Number of OTPs:,26 *No data were reported by Idaho and Montana for March 3, 2008.

8 Number of Patients (March 3, 2008) in the U.S. Total Number of Patients in OTPs: 272,35 Source: SAMHSA, CBHSQ. National Survey of Substance Abuse Treatment Services (N-SSATS). March 3, 2008.

9 The map below presents the number of physicians who have a waiver to prescribe or dispense buprenorphine and the number of patients in OTPs by State. New York, California, and Pennsylvania have the largest number of physicians who dispense buprenorphine at approximately 2,096, 2,087, and,65 respectively. However, New York, California, and Minnesota have the three largest numbers of patients receiving buprenorphine via OTPs. Number of DATA Waived Physicians by State (March 200) Total Number of Physicians: 8,842 Total Number of Patients Receiving Buprenorphine via OTPs: 4,280 Source: SAMHSA, CBHSQ. National Survey of Substance Abuse Treatment Services (N-SSATS). March 3, 2008.

10 Highlights SAMHSA s Center for Behavioral Health Statistics and Quality (CBHSQ) conducts the National Survey of Substance Abuse Treatment Services (N-SSATS), an annual census survey of all known facilities in the United States, both public and private, that provide substance abuse treatment. The overall response rate for the 2008 survey was 94. percent, and N-SSATS provides point prevalence data. Major highlights from the 2008 N-SSATS, conducted on March 3, 2008, are listed below. Of the 3,688 facilities responding to N-SSATS, OTPs certified by SAMHSA were available at,32 facilities or 8 percent of all substance abuse treatment facilities and patients receiving methadone or buprenorphine accounted for 24 percent of all patients in treatment. Of the 272,35 clients receiving one of the two medications approved for the treatment of opioid addiction, 98 percent received methadone. Of the 5,732 clients receiving buprenorphine, the majority (73 percent) did not receive it from OTPs. Between 2004 and 2008, the proportion of clients in all facilities receiving methadone or buprenorphine ranged from 22 percent to 24 percent. Most facilities with OTPs offered outpatient treatment (92.2 percent). Outpatient methadone/ buprenorphine maintenance was offered in 88.7 percent, regular outpatient treatment in 62 percent, detoxification in 47.4 percent, intensive outpatient treatment in 25.7 percent, and day treatment/ partial hospitalization in 8. percent of facilities with OTPs. Federal government-operated facilities (i.e., Veterans Administration, Tribal government) with OTPs were more likely than facilities of other operational structures to offer more than one type of care. One-hundred percent of the Federal government-operated facilities with OTPs offered outpatient treatment, 50 percent offered hospital inpatient treatment, and 36. percent offered residential (nonhospital) treatment. Ninety-four percent offered outpatient methadone/buprenorphine maintenance. Private for-profit facilities with OTPs had the lowest proportions of facilities offering residential (non-hospital) and hospital inpatient treatment at 3.8 percent and 3.2 percent respectively. The requirement for SAMHSA s approval of OTPs is that they be accredited by an approved accreditation organization. Of the OTPs, 27 percent were accredited by The Joint Commission (formerly known as Joint Commission on Accreditation of Health Care Organization-JCAHO), 66.4 percent by the Commission on Accreditation of Rehabilitation Facilities (CARF), 4.3 percent by the Council on Accreditation (COA),.9 percent by the National Commission on Correctional Health Care (NCCHC), and.4 percent by the State Accreditation Authority.

11 Alabama The July, 2009 U.S. Census Bureau population estimate for Alabama was 4,708,708 (.5 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 3,939 patients receiving any type of substance abuse treatment in 36 facilities. State Opioid Treatment Authority Robert Wynn State Methadone Authority Department of Mental Health, Mental Retardation & Substance Abuse Services Div. P.O. Box North Union Street Montgomery, AL Phone: (334) Fax: (334) Profile of Opioid Treatment Programs (OTPs) Total Alabama Certified Opioid Treatment Programs as of March 200: 20

12 Type of Treatment in OTPs State Percent National Percent Treatment: Maintenance only Treatment: Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total Number of Patients 6,67 272,35 Patients receiving methadone 6, ,07 Patients receiving buprenorphine 36 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

13 Buprenorphine Alabama DATA Certified Physicians as of March 200: 235 The following map shows the location of the physicians that have waivers in Alabama. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 4 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

14 Alaska The July, 2009 U.S. Census Bureau population estimate for Alaska was 698,473 (0.2 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 3,026 patients receiving any type of substance abuse treatment in 7 facilities. State Opioid Treatment Authority Viki Wells, Behavioral Health Specialist Behavioral Health/Treatment and Recovery Section Dept. of Health & Social Services 360 C. St., Suite 878 Anchorage, AK Phone: (907) (in-state) Fax: (907) viki.wells@alaska.gov Profile of Opioid Treatment Programs (OTPs) Total Alaska Certified Opioid Treatment Programs as of March 200: 2

15 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 272,35 Patients receiving methadone 268,07 Patients receiving buprenorphine -- 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

16 Buprenorphine Alaska DATA Certified Physicians as of March 200: 6 The following map shows the location of the physicians that have waivers in Alaska. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 26 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

17 Arizona The July, 2009 U.S. Census Bureau population estimate for Arizona was 6,595,778 (2. percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 3,538 patients receiving any type of substance abuse treatment in 22 facilities. State Opioid Treatment Authority Jay McGahee Acting Program Manager Arizona Department of Health Services Office of Behavioral Health Licensing 50 North 8th Avenue, Suite 40 Phoenix, Arizona Phone: (602) Fax: (602) Profile of Opioid Treatment Programs (OTPs) Total Arizona Certified Opioid Treatment Programs as of March 200: 30

18 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State Percent National Percent Total 4,09 272,35 Patients receiving methadone 4, ,07 Patients receiving buprenorphine 83 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs Percent (State) Percent (National) Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs Percent (State) Percent (National) The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

19 Buprenorphine Arizona DATA Certified Physicians as of March 200: 370 The following map shows the location of the physicians that have waivers in Arizona. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 30 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

20 Arkansas The July, 2009 U.S. Census Bureau population estimate for Arkansas was 2,889,450 (0.9 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 4,062 patients receiving any type of substance abuse treatment in 59 facilities. State Opioid Treatment Authority Phillip D. Hall, Director State Methadone Authority Program Compliance and Outcomes Monitoring Arkansas Department of Human Services Division of Behavioral Health Services Office of Alcohol and Drug Abuse Prevention 433 West Markham, 3rd Floor Administration Little Rock, AR Phone: (50) Fax: (50) Profile of Opioid Treatment Programs (OTPs) Total Arkansas Certified Opioid Treatment Programs as of March 200: 3

21 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total ,35 Patients receiving methadone ,07 Patients receiving buprenorphine 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

22 Buprenorphine Arkansas DATA Certified Physicians as of March 200: 50 The following map shows the location of the physicians that have waivers in Arkansas. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 46 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

23 California The July, 2009 U.S. Census Bureau population estimate for California was 36,96,664 (2.0 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 39,339 patients receiving any type of substance abuse treatment in,725 facilities. State Opioid Treatment Authority Gladys M. Mitchell, Manager Policy and Program Support Branch Licensing and Certification Division Phone: (96) Fax: (96) Profile of Opioid Treatment Programs (OTPs) Total STATE Certified Opioid Treatment Programs as of March 200: 46

24 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 28, ,35 Patients receiving methadone 27, ,07 Patients receiving buprenorphine 328 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

25 Buprenorphine California DATA Certified Physicians as of March 200: 2,087 The following map shows the location of the physicians that have waivers in California. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 39 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

26 Colorado The July, 2009 U.S. Census Bureau population estimate for Colorado was 5,024,748 (.6 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 36,059 patients receiving any type of substance abuse treatment in 436 facilities. State Opioid Treatment Authority Daria Leslea, Controlled Substance Administrator Colorado Department of Human Services Division of Behavioral Health 3824 W. Princeton Circle Denver, CO Phone: (303) Fax: (303) Profile of Opioid Treatment Programs (OTPs) Total Colorado Certified Opioid Treatment Programs as of March 200:

27 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total, ,35 Patients receiving methadone, ,07 Patients receiving buprenorphine 7 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

28 Buprenorphine Colorado DATA Certified Physicians as of March 200: 228 The following map shows the location of the physicians that have waivers in Colorado. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 4 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

29 Connecticut The July, 2009 U.S. Census Bureau population estimate for Connecticut was 3,58,288 (. percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 25,902 patients receiving any type of substance abuse treatment in 203 facilities. State Opioid Treatment Authority Lauren Siembab Department of Mental Health and Addiction Services 40 Capitol Avenue, MS#4HCS, 4th Floor Hartford, Connecticut 0634 Phone: (860) Fax: (860) Profile of Opioid Treatment Programs (OTPs) Total Connecticut Certified Opioid Treatment Programs as of March 200: 35

30 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total,02 272,35 Patients receiving methadone 0,8 268,07 Patients receiving buprenorphine 20 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

31 Buprenorphine Connecticut DATA Certified Physicians as of March 200: 358 The following map shows the location of the physicians that have waivers in Connecticut. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 5 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

32 Delaware The July, 2009 U.S. Census Bureau population estimate for Delaware was 885,22 (0.3 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 4,06 patients receiving any type of substance abuse treatment in 39 facilities. State Opioid Treatment Authority Steven Dettwyler, Ph.D. Director Division of Substance Abuse and Mental Health 90 N. DuPont Highway New Castle DE 9720 Tel: Fax: Profile of Opioid Treatment Programs (OTPs) Total Delaware Certified Opioid Treatment Programs as of March 200: 6

33 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total,97 272,35 Patients receiving methadone,07 268,07 Patients receiving buprenorphine 90 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

34 Buprenorphine Delaware DATA Certified Physicians as of March 200: 48 The following map shows the location of the physicians that have waivers in Delaware. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 7 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

35 District of Columbia The July, 2009 U.S. Census Bureau population estimate for the District of Columbia was 599,657 (0.2 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 4,498 patients receiving any type of substance abuse treatment in 44 facilities. State Opioid Treatment Authority Roula K. Sweis, M.A., Psy.D. Addiction Prevention & Recovery Administration 300 st., N.E. Washington, DC Office: (202) Cell: (202) Fax: (202) Profile of Opioid Treatment Programs (OTPs) Total District of Columbia Certified Opioid Treatment Programs as of March 200: 7

36 Type of Treatment in OTPs State Percent National Percent Maintenance only. 3.3 Detoxification only. 6.6 Both maintenance and detoxification Number of Patients in OTPs State National Total 2, ,35 Patients receiving methadone 2, ,07 Patients receiving buprenorphine 27 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government. 3.8 Federal government. 3.2 Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

37 Buprenorphine District of Columbia DATA Certified Physicians as of March 200: 80 The following map shows the location of the physicians that have waivers in the District of Columbia. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 28 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

38 Florida The July, 2009 U.S. Census Bureau population estimate for Florida was 8,537,969 (6.0 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 53,65 patients receiving any type of substance abuse treatment in 644 facilities. State Opioid Treatment Authority Darran Duchene State Methadone Authority Director, Treatment Services Substance Abuse Program Office 37 Winewood Boulevard Building 6, Room 334 Tallahassee, FL Phone: (850) Fax: (850) Profile of Opioid Treatment Programs (OTPs) Total Florida Certified Opioid Treatment Programs as of March 200: 4

39 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total, ,35 Patients receiving methadone, ,07 Patients receiving buprenorphine 6 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

40 Buprenorphine Florida DATA Certified Physicians as of March 200:,48 The following map shows the location of the physicians that have waivers in Florida. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 23 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

41 Georgia The July, 2009 U.S. Census Bureau population estimate for Georgia was 9,829,2 (3.2 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 9,206 patients receiving any type of substance abuse treatment in 265 facilities. State Opioid Treatment Authority Vonshurii S. Wrighten, M.Div., MAC, CCS, SAP Adult Program Specialist Division of Addictive Diseases Georgia Department of Behavioral Health & Developmental Disabilities 2 Peachtree Street, NW, Ste Atlanta, GA Phone: (404) Fax: (404) vswrighten@dhr.state.ga.us Profile of Opioid Treatment Programs (OTPs) Total Georgia Certified Opioid Treatment Programs as of March 200: 45

42 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 5,76 272,35 Patients receiving methadone 5,79 268,07 Patients receiving buprenorphine 42 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

43 Buprenorphine Georgia DATA Certified Physicians as of March 200: 465 The following map shows the location of the physicians that have waivers in Georgia. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 35 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

44 Hawaii The July, 2009 U.S. Census Bureau population estimate for Hawaii was,295,78 (0.4 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 4,275 patients receiving any type of substance abuse treatment in 23 facilities. State Opioid Treatment Authority Jared Yurow, Psy.D. Hawaii Licensed Psychologist Clinical Psychologist VII (Administrative) Community & Consultative Services Branch Alcohol & Drug Abuse Division Hawaii State Dept. Health Kakuhihewa Bldg. 60 Kamokila Blvd. Room 360 Kapolei, HI Phone: (808) Fax: (808) Profile of Opioid Treatment Programs (OTPs) Total Hawaii Certified Opioid Treatment Programs as of March 200: 4

45 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total ,35 Patients receiving methadone ,07 Patients receiving buprenorphine 2 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

46 Buprenorphine Hawaii DATA Certified Physicians as of March 200: 82 The following map shows the location of the physicians that have waivers in Hawaii. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine 3.76 grams grams 42 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

47 Idaho The July, 2009 U.S. Census Bureau population estimate for Idaho was,545,80 (0.5 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 3,772 patients receiving any type of substance abuse treatment in 77 facilities. State Opioid Treatment Authority Ryan Phillips, Program Specialist Division of Behavioral Health Idaho Dept. of Health and Welfare Tel: Fax: Profile of Opioid Treatment Programs (OTPs) Total Idaho Certified Opioid Treatment Programs as of March 200: 2

48 Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4 Buprenorphine Idaho DATA Certified Physicians as of March 200: 33 The following map shows the location of the physicians that have waivers in Idaho. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine 92.2 grams grams 36 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

49 Illinois The July, 2009 U.S. Census Bureau population estimate for Illinois was 2,90,409 (4.2 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 43,889 patients receiving any type of substance abuse treatment in 608 facilities State Opioid Treatment Authority Richard Weisskopf State Methadone Authority Department of Human Services Division of Alcoholism and Substance Abuse 00 W. Randolph Street, Suite Chicago, IL Phone: (32) Fax: (32) richard.weisskopf@illinois.gov Profile of Opioid Treatment Programs (OTPs) Total Illinois Certified Opioid Treatment Programs as of March 200: 64

50 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total, ,35 Patients receiving methadone, ,07 Patients receiving buprenorphine 32 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

51 Buprenorphine Illinois DATA Certified Physicians as of March 200: 455 The following map shows the location of the physicians that have waivers in Illinois. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine 2.75 grams grams 45 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

52 Indiana The July, 2009 U.S. Census Bureau population estimate for Indiana was 6,423,3 (2. percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 30,265 patients receiving any type of substance abuse treatment in 33 facilities. State Opioid Treatment Authority Gina Eckart, Director Office of Addiction and Emergency Services Division of Mental Health and Addiction IN Family & Social Services Administration 402 W. Washington St., Room W353 Indianapolis, IN Tel: (37) (direct line) (37) Fax: (37) Profile of Opioid Treatment Programs (OTPs) Total Indiana Certified Opioid Treatment Programs as of March 200: 5

53 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 6, ,35 Patients receiving methadone 6, ,07 Patients receiving buprenorphine 9 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

54 Buprenorphine Indiana DATA Certified Physicians as of March 200: 245 The following map shows the location of the physicians that have waivers in Indiana. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 22 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

55 Iowa The July, 2009 U.S. Census Bureau population estimate for Iowa was 3,007,856 (.0 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 7,07 patients receiving any type of substance abuse treatment in 3 facilities. State Opioid Treatment Authority DeAnn Decker, Bureau Chief Iowa Department of Public Health Bureau of Substance Abuse 32 E. 2th Street Des Moines, IA 5039 Phone: Fax: ddecker@idph.state.ia.us Profile of Opioid Treatment Programs (OTPs) Total Iowa Certified Opioid Treatment Programs as of March 200: 4

56 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total ,35 Patients receiving methadone ,07 Patients receiving buprenorphine 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

57 Buprenorphine Iowa DATA Certified Physicians as of March 200: 40 The following map shows the location of the physicians that have waivers in Iowa. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 5 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

58 Kansas The July, 2009 U.S. Census Bureau population estimate for Kansas was 2,88,747 (0.9 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 0,855 patients receiving any type of substance abuse treatment in 22 facilities. State Opioid Treatment Authority Stacy R. Chamberlain, M.A. Clinical Services Coordinator State of Kansas Department of SRS Disability and Behavioral Health Services Addiction and Prevention Services 95 SW Harrison, 9th Floor South Topeka, KS 6662 Phone: (785) Fax: (785) Profile of Opioid Treatment Programs (OTPs) Total Kansas Certified Opioid Treatment Programs as of March 200: 6

59 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total ,35 Patients receiving methadone ,07 Patients receiving buprenorphine 2 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

60 Buprenorphine Kansas DATA Certified Physicians as of March 200: 70 The following map shows the location of the physicians that have waivers in Kansas. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 48 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

61 Kentucky The July, 2009 U.S. Census Bureau population estimate for Kentucky was 4,34,3 (.4 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 9,465 patients receiving any type of substance abuse treatment in 30 facilities. State Opioid Treatment Authority Anita Jennings, Acting Director Developmental and Intellectual Disabilities 00 Fair Oaks Lane 4E-D Frankfort, Kentucky 4062 Tel: (502) ext Fax: (502) Profile of Opioid Treatment Programs (OTPs) Total Kentucky Certified Opioid Treatment Programs as of March 200:

62 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total,93 272,35 Patients receiving methadone, ,07 Patients receiving buprenorphine 0 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

63 Buprenorphine Kentucky DATA Certified Physicians as of March 200: 226 The following map shows the location of the physicians that have waivers in Kentucky. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 7 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

64 Louisiana The July, 2009 U.S. Census Bureau population estimate for Louisiana was 4,492,076 (.5 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 2,39 patients receiving any type of substance abuse treatment in 66 facilities. State Opioid Treatment Authority Brenda Lands Department of Health and Hospitals Office for Addictive Disorders 628 North 4th Street Baton Rouge, LA Phone: (225) Fax: (225) Profile of Opioid Treatment Programs (OTPs) Total Louisiana Certified Opioid Treatment Programs as of March 200: 8

65 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 2, ,35 Patients receiving methadone 2, ,07 Patients receiving buprenorphine 6 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

66 Buprenorphine Louisiana DATA Certified Physicians as of March 200: 286 The following map shows the location of the physicians that have waivers in Louisiana. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 6 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

67 Maine The July, 2009 U.S. Census Bureau population estimate for Maine was,38,30 (0.4 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 0,465 patients receiving any type of substance abuse treatment in 88 facilities. State Opioid Treatment Authority Kristen Jiorle Acting OSA Treatment Manager Maine Office of Substance Abuse State House Station Augusta, ME Tel: Fax: Profile of Opioid Treatment Programs (OTPs) Total Maine Certified Opioid Treatment Programs as of March 200: 0

68 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 3,39 272,35 Patients receiving methadone 3, ,07 Patients receiving buprenorphine 263 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors). 5. No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

69 Buprenorphine Maine DATA Certified Physicians as of March 200: 238 The following map shows the location of the physicians that have waivers in Maine. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine,93.23 grams grams 2 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

70 Maryland The July, 2009 U.S. Census Bureau population estimate for Maryland was 5,699,478 (.9 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 35,658 patients receiving any type of substance abuse treatment in 37 facilities. State Opioid Treatment Authority Peter R. Cohen, MD Medical Director Maryland Alcohol & Drug Abuse Administration 55 Wade Avenue Catonsville, MD 2228 Tel: (40) Fax: (40) Profile of Opioid Treatment Programs (OTPs) Total Maryland Certified Opioid Treatment Programs as of March 200: 59

71 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 4, ,35 Patients receiving methadone 3, ,07 Patients receiving buprenorphine 99 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

72 Buprenorphine Maryland DATA Certified Physicians as of March 200: 79 The following map shows the location of the physicians that have waivers in Maryland. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 9 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

73 Massachusetts The July, 2009 U.S. Census Bureau population estimate for Massachusetts was 6,593,587 (2. percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 40,604 patients receiving any type of substance abuse treatment in 36 facilities. State Opioid Treatment Authority Hilary Jacobs, LICSW, LADC I State Methadone Authority Acting Deputy Director Bureau of Substance Abuse Services Massachusetts Department of Public Health 250 Washington Street, Third Floor Boston, MA Telephone: Fax: Hilary.Jacobs@state.ma.us Profile of Opioid Treatment Programs (OTPs) Total Massachusetts Certified Opioid Treatment Programs as of March 200: 5

74 Type of Treatment in OTPs State Percent National Percent Maintenance only. 3.3 Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 9,83 272,35 Patients receiving methadone 9, ,07 Patients receiving buprenorphine 225 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

75 Buprenorphine Massachusetts DATA Certified Physicians as of March 200: 850 The following map shows the location of the physicians that have waivers in Massachusetts. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 3 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

76 Michigan The July, 2009 U.S. Census Bureau population estimate for Michigan was 9,969,727 (3.2 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 47,00 patients receiving any type of substance abuse treatment in 52 facilities. State Opioid Treatment Authority Jeffery Wieferich, Acting SOTA Treatment Services Manager Office of Drug Control Policy Michigan Department of Community Health 320 South Walnut Street Lansing, MI 4893 Tel: (57) Fax: (57) Profile of Opioid Treatment Programs (OTPs) Total Michigan Certified Opioid Treatment Programs as of March 200: 33

77 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 7, ,35 Patients receiving methadone 7, ,07 Patients receiving buprenorphine 226 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

78 Buprenorphine Michigan DATA Certified Physicians as of March 200: 825 The following map shows the location of the physicians that have waivers in Michigan. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 20 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

79 Minnesota The July, 2009 U.S. Census Bureau population estimate for Minnesota was 5,266,24 (.7 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 6,39 patients receiving any type of substance abuse treatment in 286 facilities. State Opioid Treatment Authority Richard A. Moldenhauer, MS, LADC State Methadone Authority Chemical Health Division PO Box St. Paul, MN Phone: (65) Fax: (65) Profile of Opioid Treatment Programs (OTPs) Total Minnesota Certified Opioid Treatment Programs as of March 200: 4

80 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 3,04 272,35 Patients receiving methadone 2,8 268,07 Patients receiving buprenorphine 293 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

81 Buprenorphine Minnesota DATA Certified Physicians as of March 200: 59 The following map shows the location of the physicians that have waivers in Minnesota. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 43 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

82 Mississippi The July, 2009 U.S. Census Bureau population estimate for Mississippi was 2,95,996 (.0 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 5,00 patients receiving any type of substance abuse treatment in 02 facilities. State Opioid Treatment Authority Herbert L. Loving, Director Bureau of Alcohol & Drug Abuse Department of Mental Health Robert E. Lee State Office Bldg., th Floor 239 N. Lamar Street Jackson, MS 3920 Phone: (60) Fax: (60) cc: Profile of Opioid Treatment Programs (OTPs) Total Mississippi Certified Opioid Treatment Programs as of March 200:

83 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total ,35 Patients receiving methadone ,07 Patients receiving buprenorphine -- 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

84 Buprenorphine Mississippi DATA Certified Physicians as of March 200: 46 The following map shows the location of the physicians that have waivers in Mississippi. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 5 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

85 Missouri The July, 2009 U.S. Census Bureau population estimate for Missouri was 5,987,580 (2.0 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 9,60 patients receiving any type of substance abuse treatment in 257 facilities. State Opioid Treatment Authority Cheryl Marcum Program Specialist II Missouri Department of Mental Health/Division of Alcohol and Drug Abuse 706 E. Elm PO Box 687 Jefferson City, MO 650 Phone: Fax: Profile of Opioid Treatment Programs (OTPs) Total Missouri Certified Opioid Treatment Programs as of March 200:

86 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 2, ,35 Patients receiving methadone 2, ,07 Patients receiving buprenorphine 9 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority

87 Buprenorphine Missouri DATA Certified Physicians as of March 200: 84 The following map shows the location of the physicians that have waivers in Missouri. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine 5.27 grams grams 44 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

88 Montana The July, 2009 U.S. Census Bureau population estimate for Montana was 974,989 (0.3 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 2,996 patients receiving any type of substance abuse treatment in 63 facilities. State Opioid Treatment Authority Jackie Jandt Planning & Outcome Officer Addictive & Mental Disorders Division 555 Fuller Ave/PO Box Helena MT Phone: Cell: Fax: Profile of Opioid Treatment Programs (OTPs) Total Montana Certified Opioid Treatment Programs as of March 200:

89 Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4 Buprenorphine Montana DATA Certified Physicians as of March 200: 34 The following map shows the location of the physicians that have waivers in Montana. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 8 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

90 Nebraska The July, 2009 U.S. Census Bureau population estimate for Nebraska was,796,69 (0.6 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 4,943 patients receiving any type of substance abuse treatment in 4 facilities. State Opioid Treatment Authority Blaine Shaffer, MD Chief Clinical Officer Department of Health and Human Services, Division of Behavioral Health 30 Centennial Mall South Lincoln, NE Phone: (402) , Fax: (402) blaine.shaffer@nebraska.gov Profile of Opioid Treatment Programs (OTPs) Total Nebraska Certified Opioid Treatment Programs as of March 200: 3

91 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total ,35 Patients receiving methadone ,07 Patients receiving buprenorphine -- 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) 00.0% 66.4 COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

92 Buprenorphine Nebraska DATA Certified Physicians as of March 200: 42 The following map shows the location of the physicians that have waivers in Nebraska. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine 5.56 grams grams 50 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

93 Nevada The July, 2009 U.S. Census Bureau population estimate for Nevada was 2,643,085 (0.9 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 3,327 patients receiving any type of substance abuse treatment in 77 facilities. State Opioid Treatment Authority Patricia Chambers, RN, BSN, HFS III Nevada State Health Division Bureau of Licensure and Certification 550 College Parkway, Suite 58 Carson City, NV Phone: ext 234 Fax: Profile of Opioid Treatment Programs (OTPs) Total Nevada Certified Opioid Treatment Programs as of March 200: 2

94 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only. 6.6 Both maintenance and detoxification Number of Patients in OTPs State National Total, ,35 Patients receiving methadone, ,07 Patients receiving buprenorphine 30 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

95 Buprenorphine Nevada DATA Certified Physicians as of March 200: 60 The following map shows the location of the physicians that have waivers in Nevada. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 34 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

96 New Hampshire The July, 2009 U.S. Census Bureau population estimate for New Hampshire was,324,575 (0.4 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 4,950 patients receiving any type of substance abuse treatment in 6 facilities. State Opioid Treatment Authority Joe Harding, AOD Policy Office State Methadone Authority 05 Pleasant Street Concord, NH 0330 Phone: (603) Fax: (603) jharding@dhhs.state.nh.us Profile of Opioid Treatment Programs (OTPs) Total New Hampshire Certified Opioid Treatment Programs as of March 200: 8

97 Type of Treatment in OTPs State Percent National Percent Maintenance only. 3.3 Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total, ,35 Patients receiving methadone, ,07 Patients receiving buprenorphine -- 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE). 7.8 Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

98 Buprenorphine New Hampshire DATA Certified Physicians as of March 200: 72 The following map shows the location of the physicians that have waivers in New Hampshire. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 3 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

99 New Jersey The July, 2009 U.S. Census Bureau population estimate for New Jersey was 8,707,739 (2.8 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 30,46 patients receiving any type of substance abuse treatment in 33 facilities. State Opioid Treatment Authority Raquel Mazon Jeffers, Director NJ Department of Human Services Division of Addiction Services PO Box South Stockton Street Trenton, NJ Phone: (609) Fax: (609) Cc: Profile of Opioid Treatment Programs (OTPs) Total New Jersey Certified Opioid Treatment Programs as of March 200: 35

100 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total, ,35 Patients receiving methadone, ,07 Patients receiving buprenorphine 64 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

101 Buprenorphine New Jersey DATA Certified Physicians as of March 200: 783 The following map shows the location of the physicians that have waivers in New Jersey. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 2 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

102 New Mexico The July, 2009 U.S. Census Bureau population estimate for New Mexico was 2,009,67 (0.7 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 3,79 patients receiving any type of substance abuse treatment in 45 facilities. State Opioid Treatment Authority Jay Crowe Social and Community Services Coordinator Behavioral health Services Division Mailing Address: P.O. Box 2348 Santa Fe NM Street Address: 37 Plaza la Prensa Santa Fe, NM Phone: (505) Fax: (505) Profile of Opioid Treatment Programs (OTPs) Total New Mexico Certified Opioid Treatment Programs as of March 200: 8

103 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 3,98 272,35 Patients receiving methadone 3,28 268,07 Patients receiving buprenorphine 70 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

104 Buprenorphine New Mexico DATA Certified Physicians as of March 200: 254 The following map shows the location of the physicians that have waivers in New Mexico. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 3 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

105 New York The July, 2009 U.S. Census Bureau population estimate for New York was 9,54,453 (6.4 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 5,662 patients receiving any type of substance abuse treatment in 964 facilities. State Opioid Treatment Authority Belinda Greenfield State Opioid Treatment Authority New York State Office of Alcoholism and Substance Abuse Services 50 7th Avenue New York, New York Phone: (646) Fax: (646) Profile of Opioid Treatment Programs (OTPs) Total New York Certified Opioid Treatment Programs as of March 200: 52

106 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 37, ,35 Patients receiving methadone 37,5 268,07 Patients receiving buprenorphine 335 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

107 Buprenorphine New York DATA Certified Physicians as of March 200: 2,096 The following map shows the location of the physicians that have waivers in New York. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 2 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

108 North Carolina The July, 2009 U.S. Census Bureau population estimate for North Carolina was 9,380,884 (3. percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 30,333 patients receiving any type of substance abuse treatment in 40 facilities. State Opioid Treatment Authority Marie Britt, RN, BSN, BC, MS Division of MH/DD/SAS Best Practices Team 3005 Mail Service Center Raleigh, NC Phone: Profile of Opioid Treatment Programs (OTPs) Total North Carolina Certified Opioid Treatment Programs as of March 200: 42

109 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 8, ,35 Patients receiving methadone 7, ,07 Patients receiving buprenorphine 06 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

110 Buprenorphine North Carolina DATA Certified Physicians as of March 200: 320 The following map shows the location of the physicians that have waivers in North Carolina. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine 44.9 grams grams 40 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

111 North Dakota The July, 2009 U.S. Census Bureau population estimate for North Dakota was 646,844 (0.2 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 2,23 patients receiving any type of substance abuse treatment in 64 facilities. There currently are no certified facilities that offer OTPs in North Dakota. Buprenorphine North Dakota DATA Certified Physicians as of March 200: 6 The following map shows the location of the physicians that have waivers in North Dakota. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 47 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

112 Ohio The July, 2009 U.S. Census Bureau population estimate for Ohio was,542,645 (3.8 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 36,743 patients receiving any type of substance abuse treatment in 402 facilities. State Opioid Treatment Authority Bradley M. DeCamp, MPA Assistant Chief Division of Treatment and Recovery Services Ohio Dept of Alcohol and Drug Addiction Services 280 N. High St., 5th Floor Columbus, OH 4325 Tel: Fax: Profile of Opioid Treatment Programs (OTPs) Total Ohio Certified Opioid Treatment Programs as of March 200: 6

113 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 3,23 272,35 Patients receiving methadone 3,67 268,07 Patients receiving buprenorphine 64 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

114 Buprenorphine Ohio DATA Certified Physicians as of March 200: 50 The following map shows the location of the physicians that have waivers in Ohio. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 24 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

115 Oklahoma The July, 2009 U.S. Census Bureau population estimate for Oklahoma was 3,687,050 (.2 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were,099 patients receiving any type of substance abuse treatment in 86 facilities. State Opioid Treatment Authority Ray Caesar Dept. of Mental Health and Substance Abuse Services Shepherd Mall 240 N.W. 23rd Street, Suite 82 Oklahoma City, Oklahoma Phone: (405) Fax: (405) Profile of Opioid Treatment Programs (OTPs) Total Oklahoma Certified Opioid Treatment Programs as of March 200: 5

116 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total, ,35 Patients receiving methadone, ,07 Patients receiving buprenorphine 8 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

117 Buprenorphine Oklahoma DATA Certified Physicians as of March 200: 4 The following map shows the location of the physicians that have waivers in Oklahoma. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine 2.8 grams grams 33 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

118 Oregon The July, 2009 U.S. Census Bureau population estimate for Oregon was 3,825,657 (.2 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 23,558 patients receiving any type of substance abuse treatment in 237 facilities. State Opioid Treatment Authority Therese Hutchinson Policy and Program Development Specialist Intensive Treatment and Recovery Services Coordinator State Methadone Authority Addictions and Mental Health Division (AMH) Phone: (503) Fax: (503) Profile of Opioid Treatment Programs (OTPs) Total Oregon Certified Opioid Treatment Programs as of March 200: 4

119 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 3, ,35 Patients receiving methadone 3, ,07 Patients receiving buprenorphine 42 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

120 Buprenorphine Oregon DATA Certified Physicians as of March 200: 222 The following map shows the location of the physicians that have waivers in Oregon. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 29 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

121 Pennsylvania The July, 2009 U.S. Census Bureau population estimate for Pennsylvania was 2,604,767 (4. percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 50,579 patients receiving any type of substance abuse treatment in 55 facilities. State Opioid Treatment Authority Cheryl Williams Pennsylvania Department of Health Division of Drug and Alcohol Program Licensure 32 Kline Plaza, Suite A Harrisburg, PA 704 Phone: (77) Fax: (77) chwilliams@state.pa.us Profile of Opioid Treatment Programs (OTPs) Total Pennsylvania Certified Opioid Treatment Programs as of March 200: 65

122 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 5, ,35 Patients receiving methadone 5, ,07 Patients receiving buprenorphine 43 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

123 Buprenorphine Pennsylvania DATA Certified Physicians as of March 200:,65 The following map shows the location of the physicians that have waivers in Pennsylvania. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

124 Rhode Island The July, 2009 U.S. Census Bureau population estimate for Rhode Island was,053,209 (0.3 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 7,83 patients receiving any type of substance abuse treatment in 53 facilities. State Opioid Treatment Authority Rebecca Boss Department of Mental Health, Retardation & Hospitals Division of Behavioral Healthcare 4 Harrington Rd., Barry Hall Bldg. #52 Cranston, RI Phone: (40) Fax: (40) rboss@mhrh.ri.gov Profile of Opioid Treatment Programs (OTPs) Total Rhode Island Certified Opioid Treatment Programs as of March 200: 8

125 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 2, ,35 Patients receiving methadone 2, ,07 Patients receiving buprenorphine 5 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

126 Buprenorphine Rhode Island DATA Certified Physicians as of March 200: 26 The following map shows the location of the physicians that have waivers in Rhode Island. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 4 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

127 South Carolina The July, 2009 U.S. Census Bureau population estimate for South Carolina was 4,56,242 (.5 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 4,986 patients receiving any type of substance abuse treatment in facilities. State Opioid Treatment Authority Virginia Ervin, B.S.N., CARN, COHN State Methadone Authority South Carolina Department of Alcohol and Other Drugs 0 Executive Center Drive, Suite 25 Columbia, SC 2920 Phone: (803) Fax: (803) vervin@daodas.state.sc.us Profile of Opioid Treatment Programs (OTPs) Total South Carolina Certified Opioid Treatment Programs as of March 200: 2

128 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 3, ,35 Patients receiving methadone 3, ,07 Patients receiving buprenorphine 35 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

129 Buprenorphine South Carolina DATA Certified Physicians as of March 200: 77 The following map shows the location of the physicians that have waivers in South Carolina. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 27 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

130 South Dakota The July, 2009 U.S. Census Bureau population estimate for South Dakota was 82,383 (0.3 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 2,886 patients receiving any type of substance abuse treatment in 64 facilities. There currently are no certified facilities that offer OTPs in South Dakota. Buprenorphine South Dakota DATA Certified Physicians as of March 200: 3 The following map shows the location of the physicians that have waivers in South Dakota. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 52 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

131 Tennessee The July, 2009 U.S. Census Bureau population estimate for Tennessee was 6,296,254 (2. percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 2,989 patients receiving any type of substance abuse treatment in 97 facilities. State Opioid Treatment Authority Jason Carter, PharmD Chief of Pharmacy State Methadone Authority Cordell Hull Bldg. 5th Floor 425 Fifth Avenue North Nashville, TN Phone: Fax: or Profile of Opioid Treatment Programs (OTPs) Total Tennessee Certified Opioid Treatment Programs as of March 200: 0

132 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 5,72 272,35 Patients receiving methadone 5,5 268,07 Patients receiving buprenorphine 57 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

133 Buprenorphine Tennessee DATA Certified Physicians as of March 200: 36 The following map shows the location of the physicians that have waivers in Tennessee. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 0 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

134 Texas The July, 2009 U.S. Census Bureau population estimate for Texas was 24,782,302 (8. percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 49,24 patients receiving any type of substance abuse treatment in 480 facilities. State Opioid Treatment Authority Christine Ramirez State Methadone Authority Texas Department of State Health Services Substance Abuse Compliance Group Mail Code 979, P.O. Box Austin, Texas Phone: x-246 Fax: Profile of Opioid Treatment Programs (OTPs) Total Texas Certified Opioid Treatment Programs as of March 200: 78

135 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 9, ,35 Patients receiving methadone 9, ,07 Patients receiving buprenorphine 64 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

136 Buprenorphine Texas DATA Certified Physicians as of March 200: 945 The following map shows the location of the physicians that have waivers in Texas. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 38 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

137 Utah The July, 2009 U.S. Census Bureau population estimate for Utah was 2,784,572 (0.9 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 2,792 patients receiving any type of substance abuse treatment in 46 facilities. State Opioid Treatment Authority Dave Felt, LCSW Treatment Program Administrator State Division of Substance Abuse & Mental Health 20 N. 200 W., Suite 209 Salt Lake City, UT 8403 Office: (80) Fax: (80) Profile of Opioid Treatment Programs (OTPs) Total Utah Certified Opioid Treatment Programs as of March 200: 0

138 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 2, 272,35 Patients receiving methadone, ,07 Patients receiving buprenorphine 48 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

139 Buprenorphine Utah DATA Certified Physicians as of March 200: 229 The following map shows the location of the physicians that have waivers in Utah. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 6 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

140 Vermont The July, 2009 U.S. Census Bureau population estimate for Vermont was 62,760 (0.2 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 4,648 patients receiving any type of substance abuse treatment in 45 facilities. State Opioid Treatment Authority Richard Keane Substance Abuse Program Coordinator Vermont Department of Health, Division of Alcohol and Drug Abuse Programs 08 Cherry Street, Burlington, VT Phone: Fax: Profile of Opioid Treatment Programs (OTPs) Total Vermont Certified Opioid Treatment Programs as of March 200: 7

141 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total ,35 Patients receiving methadone ,07 Patients receiving buprenorphine 3 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

142 Buprenorphine Vermont DATA Certified Physicians as of March 200: 60 The following map shows the location of the physicians that have waivers in Vermont. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine, grams grams Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

143 Virginia The July, 2009 U.S. Census Bureau population estimate for Virginia was 7,882,590 (2.6 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 20,683 patients receiving any type of substance abuse treatment in 99 facilities. State Opioid Treatment Authority Wayde Glover Department of Behavioral Health and Developmental Services 220 Bank Street P.O. Box 797 Richmond, Virginia 2328 Phone: (804) Fax: (804) Profile of Opioid Treatment Programs (OTPs) Total Virginia Certified Opioid Treatment Programs as of March 200: 20

144 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 3, ,35 Patients receiving methadone 3, ,07 Patients receiving buprenorphine 79 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

145 Buprenorphine Virginia DATA Certified Physicians as of March 200: 299 The following map shows the location of the physicians that have waivers in Virginia. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 32 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

146 Washington The July, 2009 U.S. Census Bureau population estimate for Washington was 6,664,95 (2.2 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 43,438 patients receiving any type of substance abuse treatment in 435 facilities. State Opioid Treatment Authority Dennis Malmer Division of Alcohol and Substance Abuse P.O. Box Olympia, Washington Phone: (360) Fax: (360) Profile of Opioid Treatment Programs (OTPs) Total Washington Certified Opioid Treatment Programs as of March 200: 20

147 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 5, ,35 Patients receiving methadone 5, ,07 Patients receiving buprenorphine 52 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority

148 Buprenorphine Washington DATA Certified Physicians as of March 200: 399 The following map shows the location of the physicians that have waivers in Washington. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 9 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

149 West Virginia The July, 2009 U.S. Census Bureau population estimate for West Virginia was,89,777 (0.6 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 8,597 patients receiving any type of substance abuse treatment in 79 facilities. State Opioid Treatment Authority Merritt Moore Adult Treatment Services Coordinator Bureau for Behavioral Health and Health Facilities Division on Alcoholism and Drug Abuse 350 Capitol Street, Room 350 Charleston, WV Phone: (304) Fax: (304) or Profile of Opioid Treatment Programs (OTPs) Total West Virginia Certified Opioid Treatment Programs as of March 200: 9

150 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State Percent Total 4,25 272,35 Patients receiving methadone 4,03 268,07 Patients receiving buprenorphine 94 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

151 Buprenorphine West Virginia DATA Certified Physicians as of March 200: 54 The following map shows the location of the physicians that have waivers in West Virginia. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 8 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

152 Wisconsin The July, 2009 U.S. Census Bureau population estimate for Wisconsin was 5,654,774 (.8 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 6,427 patients receiving any type of substance abuse treatment in 27 facilities. State Opioid Treatment Authority Tanya Bakker, MS State Opioid Treatment Authority Bureau of Prevention Treatment and Recovery Division of Mental Health and Substance Abuse Services Department of Health Services W. Wilson Street, Room 850 Madison, WI Tel: (608) Profile of Opioid Treatment Programs (OTPs) Total Wisconsin Certified Opioid Treatment Programs as of March 200: 5

153 Type of Treatment in OTPs State Percent National Percent Maintenance only Detoxification only Both maintenance and detoxification Number of Patients in OTPs State National Total 2,42 272,35 Patients receiving methadone 2,68 268,07 Patients receiving buprenorphine 244 4,280 Type of Payment Accepted for All Services by OTPs State Percent National Percent Cash or self-payment Private health insurance Medicare Medicaid State financed insurance (other than Medicaid) Federal military insurance (e.g., VA, TRICARE) Sliding fee scale (based on income and other factors) No charge for patients who cannot pay Facilities may accept more than one type of payment. Type of Operation of OTPs State Percent National Percent Private non-profit Private for-profit Local, county, or community government State government Federal government Tribal government Accreditation of OTPs State Percent National Percent The Joint Commission CARF (Commission on Accreditation of Rehabilitation Facilities) COA (Council on Accreditation) NCCHC (National Commission on Correctional Health Care) State Accreditation Authority --.4

154 Buprenorphine Wisconsin DATA Certified Physicians as of March 200: 262 The following map shows the location of the physicians that have waivers in Wisconsin. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 25 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

155 Wyoming The July, 2009 U.S. Census Bureau population estimate for Wyoming was 544,270 (0.2 percent of the total U.S. population). On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 2,678 patients receiving any type of substance abuse treatment in 56 facilities. There currently are no certified facilities that offer OTPs in Wyoming. Buprenorphine Wyoming DATA Certified Physicians as of March 200: 23 The following map shows the location of the physicians that have waivers in Wyoming. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine grams grams 37 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

156 Guam The 2009 midyear U.S. Census Bureau population estimate for Guam was 78,000. On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 26 patients receiving any type of substance abuse treatment in 4 facilities. There currently are no certified facilities that offer OTPs in Guam. Buprenorphine Guam DATA Certified Physicians as of March 200: The following map shows the location of the physicians that have waivers in Guam. Cumulative Distribution of Buprenorphine Per 00,000 Population by Grams Weight: January through December 3, 2008 State National Rank Buprenorphine 5.40 grams grams 54 Source: U.S. Department of Justice, Drug Enforcement Administration. Automation of Reports and Consolidated Orders System (ARCOS). May, Population based on 2000 Census.

157 Puerto Rico The July, 2009 U.S. Census Bureau population estimate for Puerto Rico was 3,967,288. On March 3, 2008, according to the SAMHSA, CBHSQ, National Survey of Substance Abuse Treatment Services (N-SSATS), there were 3,203 patients receiving any type of substance abuse treatment in 5 facilities. State Opioid Treatment Authority Victor A. Toraño, MD P.R. Mental Health and Anti-Addiction Services Administration P. O. Box 244, Rio Piedras Station San Juan, PR Tel: (787) ext Fax: (787) drvictort@hotmail.com Profile of Opioid Treatment Programs (OTPs) Total Puerto Rico Certified Opioid Treatment Programs as of March 200: 6