Buprenorphine Treatment Centers in Nebraska
Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026
Our directory lists 58 buprenorphine providers across Nebraska, with the largest concentrations in Lincoln (13), Omaha (8) and Lexington (1).
Nebraska reported 172 drug overdose deaths in 2023 — a 9.0-per-100,000 age-adjusted rate, the lowest in the entire United States. But low overall mortality does not mean access is universal: Nebraska has only 3 SAMHSA-certified Opioid Treatment Programs statewide, concentrated in Omaha and Lincoln, so for residents of the Sandhills, the Panhandle, and the Republican River valley, buprenorphine prescribed in primary care is essentially the only MAT option. NWVCIL's directory tracks 26 buprenorphine providers in Nebraska, with 13 in Lincoln, 8 in Omaha, and 1 in Falls City. Heritage Health, Nebraska's Medicaid managed-care program, covers buprenorphine and naltrexone through its MCOs; methadone for OUD is covered at licensed OTPs. 92 of the 99 verified facilities in our directory accept Medicaid (93%), and 83 offer telehealth — both unusually high ratios, reflecting the state's coverage policy and rural geography. The Nebraska Division of Behavioral Health licenses OTPs and funds regional behavioral-health authorities. For Nebraskans starting buprenorphine, common pathways include: an intake at the closest community-based behavioral-health center, a Federally Qualified Health Center for Medicaid or sliding-fee patients, a private MAT clinic in Lincoln or Omaha, or a telehealth visit with a Nebraska-licensed prescriber for rural residents. Most providers can prescribe Suboxone, Subutex, Zubsolv, or the monthly Sublocade injection. The Nebraska Family Helpline (1-888-866-8660), SAMHSA's national helpline (1-800-662-4357), and the 988 Suicide and Crisis Lifeline are available 24/7.
Treatment landscape in Nebraska:
- Nebraska recorded 172 drug overdose deaths in 2023 at 9.0 per 100,000 (CDC NCHS) — the lowest age-adjusted rate among U.S. states.
- 26 buprenorphine providers and 3 methadone Opioid Treatment Programs serve the state; Lincoln and Omaha anchor access.
- Heritage Health (Nebraska Medicaid) MCOs cover buprenorphine and naltrexone; methadone is covered at licensed OTPs concentrated in Omaha and Lincoln.
- Outside the urban Lincoln-Omaha corridor, MAT access depends mainly on OBOT prescribing in primary care.
Buprenorphine in Nebraska — By the Numbers
9.0
per 100,000 drug overdose mortality (CDC 2023)
172
total overdose deaths in Nebraska (2023)
26
buprenorphine providers in our directory
83 / 99
facilities offering telehealth
92
accept Medicaid for treatment
3
SAMHSA-certified Opioid Treatment Programs
Top cities by buprenorphine provider density
Lincoln (13) · Omaha (8) · Falls City (1)
Sources: CDC NCHS Drug Overdose Mortality (2023) · SAMHSA Treatment Locator · NWVCIL directory snapshot, May 2026
Nebraska Medicaid (Heritage Health)
Heritage Health MCOs cover buprenorphine and naltrexone; methadone for OUD is covered at licensed OTPs, which are concentrated in Omaha and Lincoln.
State regulations
Nebraska Division of Behavioral Health licenses OTPs; outside of urban areas access is delivered mainly through OBOT prescribing in primary care.
- Private health insurance26
- Cash or self-payment24
- Medicaid24
- Federal, or any government funding for substance use treatment programs21
- Federal military insurance (e.g., TRICARE)19
- State-financed health insurance plan other than Medicaid18
- Outpatient18
- Regular outpatient treatment17
- Outpatient methadone/buprenorphine or naltrexone treatment16
- Residential/24-hour residential14
- Long-term residential12
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Buprenorphine Treatment Providers in Nebraska
Buprenorphine providers in Nebraska
Lincoln · 13 centers
Pine Lake Behavioral Health/Medical
Lincoln, NE
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Ponca Tribe of Nebraska
Lincoln, NE
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Bridge Behavioral Health
Lincoln, NE
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Lutheran Family Services of Nebraska
Lincoln, NE
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CenterPointe
Lincoln, NE
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CenterPointe
Lincoln, NE
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NWIHCS/Lincoln VA
Lincoln, NE
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Saint Monicas
Lincoln, NE
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Saint Monicas Behavioral Health Servs
Lincoln, NE
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Saint Monicas Behavioral Health Servs
Lincoln, NE
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Saint Monicas Behavioral Health Servs
Lincoln, NE
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Saint Monicas Behavioral Health Servs
Lincoln, NE
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Omaha · 8 centers
Veterans Affairs Medical Center
Omaha, NE
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CenterPointe
Omaha, NE
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Heartland Family Service
Omaha, NE
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BAART Community Healthcare Inc
Omaha, NE
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Heartland Family Service
Omaha, NE
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Ponca Health and Wellness Center
Omaha, NE
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Falls City · 1 center
Community Medical Center
Falls City, NE
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Fremont · 1 center
Lutheran Family Services of Nebraska
Fremont, NE
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Lexington · 1 center
Lexington Regional Health Center
Lexington, NE
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North Platte · 1 center
Psychiatric Hope
North Platte, NE
Services:
O'Neill · 1 center
Showing 26 of 58 buprenorphine providers in Nebraska. Browse all centers in Nebraska
Frequently Asked Questions About Buprenorphine in Nebraska
Do I need a formal OUD diagnosis before starting buprenorphine?
Yes. Providers in Nebraska must document a current OUD diagnosis to prescribe buprenorphine as part of medication-assisted treatment. The intake assessment typically takes 60–90 minutes and includes a physical exam, drug screen, and psychiatric history — results are used to confirm eligibility.
Can I get free buprenorphine treatment in Nebraska?
Free buprenorphine treatment is possible in Nebraska for patients who qualify for Nebraska Medicaid (Heritage Health), are enrolled in State Opioid Response–funded clinics, or use charity-care programs at community behavioral-health centers. Call 988 or 1-800-662-4357 for live referrals.
Does Nebraska Medicaid (Heritage Health) cover long-acting buprenorphine (Sublocade) or naltrexone (Vivitrol)?
Yes. Nebraska Medicaid (Heritage Health) covers Sublocade and Vivitrol as part of the MAT benefit; most plans require prior authorization documenting prior MAT adherence. Billing is handled by the Nebraska provider as a medical (not pharmacy) benefit.
Does Medicare cover buprenorphine in Nebraska?
Yes. Medicare Part B covers methadone through enrolled Opioid Treatment Programs and Part D covers buprenorphine and naltrexone prescriptions. Medicare Advantage plans in Nebraska include the same MAT benefits under the integrated plan structure.
What documentation does a Nebraska buprenorphine clinic keep about me?
Clinics maintain a confidential medical record covering diagnosis, treatment plan, drug screens, counseling notes, and dose history. Records are protected by 42 CFR Part 2 — stricter than HIPAA — and cannot be released without your written consent or a specific court order.
Is there a maximum length of time I can stay on buprenorphine in Nebraska?
No. There is no legal or clinical cap on how long you can remain on buprenorphine in Nebraska. Insurance must continue to cover MAT as long as the prescribing clinician documents medical necessity.
Can I start buprenorphine while I’m still using opioids?
For methadone and buprenorphine, continued opioid use at entry is expected — the medication is designed to stop use safely. For naltrexone, 7–14 opioid-free days are required first. Your Nebraska clinician will confirm the correct induction strategy at intake.
Is the first buprenorphine visit confidential?
Yes. Records are protected by 42 CFR Part 2, which is stricter than HIPAA. Your employer, family, or law enforcement cannot access your records without your specific written consent or a narrowly tailored court order. Confidentiality applies from the first visit onward.
Will buprenorphine show on a standard drug test?
Buprenorphine and methadone do not test positive on standard 5-panel drug tests — specialty panels are needed. Naltrexone and its metabolites are not screened on standard panels. Share an MAT provider letter with any employer or court drug-testing program to avoid confusion.
Is buprenorphine safe during pregnancy in Nebraska?
Yes. Methadone and buprenorphine are the evidence-based standard of care in pregnancy, endorsed by ACOG and SAMHSA. Staying on MAT protects both mother and fetus; unmedicated withdrawal is riskier than continued MAT. Nebraska providers coordinate care with obstetrics.
Do I have to attend 12-step meetings along with buprenorphine?
No. Attending 12-step programs is optional; SMART Recovery, Women for Sobriety, Refuge Recovery, and secular support groups are all acceptable alternatives. Nebraska MAT clinicians can help you match with a peer group aligned to your values.
Can I travel internationally with buprenorphine from Nebraska?
Yes, with proper documentation. Bring a letter from your Nebraska MAT prescriber, medication in its original pharmacy container, and check destination-country rules — some countries restrict methadone and buprenorphine. The International Narcotics Control Board maintains destination-country guidance.
Other Treatment Options in Nebraska
Buprenorphine Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)