Medication-Assisted Treatment (MAT) Centers in Hawaii
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 14 MAT programs across Hawaii, with the largest concentrations in Honolulu (4), Kaneohe (3) and Kailua Kona (2).
Medication-Assisted Treatment (MAT) combines FDA-approved medications — methadone, buprenorphine, and naltrexone — with counseling and behavioral therapies for comprehensive addiction care. MAT is the evidence-based gold standard for opioid and alcohol use disorders.
Treatment landscape in Hawaii:
- Unique tropical therapeutic environment
- Culturally-informed Native Hawaiian healing practices
- Med-QUEST coverage for qualifying residents
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Med-QUEST
Med-QUEST covers buprenorphine and naltrexone on all plans; methadone access is limited to a small number of OTPs on Oahu and Hawaii Island.
State regulations
Hawaii has among the fewest OTPs per capita; Med-QUEST expanded telehealth reimbursement for buprenorphine induction to improve neighbor-island access.
- Cash or self-payment13
- Medicaid11
- Private health insurance11
- State-financed health insurance plan other than Medicaid7
- Federal military insurance (e.g., TRICARE)7
- Federal, or any government funding for substance use treatment programs6
- Outpatient10
- Regular outpatient treatment10
- Intensive outpatient treatment9
- Outpatient methadone/buprenorphine or naltrexone treatment8
- Long-term residential7
MAT programs in Hawaii
Kaneohe, HI
Situated in Kaneohe, HI, Habilitat Inc delivers extensive long-term residential care for detoxification and substance use disorders. This center features distinct programs designed for adolescents, adult men, and adult women, addressing the needs of both young adults and older individuals. Emphasizing 12-step principles, anger management strategies, and cognitive behavioral therapy, Habilitat Inc customizes its treatment plans to meet the unique requirements of each client. The facility provides residential detox services and round-the-clock supervision, guaranteeing continual assistance. Catering to both genders, this center is committed to offering high-quality care and individualized treatment to promote sustainable recovery.
Kailua Kona, HI
Situated in Kailua Kona, HI, Hawaii Island Recovery delivers an extensive array of addiction treatment options for both adults and young adults. The center features services such as detoxification, intensive outpatient therapy, long-term residential care, and outpatient programs. Emphasizing approaches like 12-step facilitation, brief intervention, and cognitive behavioral therapy, the facility customizes its treatment plans to meet the unique needs of each individual. Specialized programs are available for active duty military personnel, as well as for adult men and women. Dedicated to offering exceptional, tailored rehabilitation services, Hawaii Island Recovery aims to assist clients of all genders on their journey to recovery.
View detailsHonokaa, HI
Situated in Honokaa, HI, Hamakua Kohala Health provides targeted addiction recovery services for adults. The facility offers intensive outpatient programs, standard outpatient services, and medication-assisted treatment options including methadone, buprenorphine, or naltrexone. Employing strategies such as 12-step facilitation, anger management, and brief intervention, Hamakua Kohala Health prioritizes a personalized approach to care. Their programs are designed to meet the needs of both male and female patients, creating a welcoming atmosphere. Hamakua Kohala Health is distinguished by its dedication to crafting unique treatment strategies, supporting individuals on their path to lasting sobriety.
View detailsHonolulu, HI
Situated in Honolulu, HI, Comprehensive Health and Attitude provides various evidence-supported treatment solutions for those aiming to recover from substance misuse. This center features intensive outpatient care, outpatient services, and detoxification programs. Concentrating on anger management, brief interventions, and cognitive behavioral therapy, the facility serves adult men and women, including those with simultaneous mental health and substance abuse issues. Customized programs are designed for both adults and younger clients of all genders. Comprehensive Health and Attitude merges professional knowledge with empathy to offer high-quality care that meets the distinct requirements of every individual.
View detailsHonolulu, HI
Situated in Honolulu, HI, Ku Aloha Ola Mau delivers a diverse array of services for addiction treatment. The center specializes in detoxification and various substance use treatment options, offering intensive outpatient, outpatient, and outpatient detox programs. By employing techniques such as 12-step facilitation, brief intervention, and cognitive behavioral therapy, the facility serves adult men and women, including pregnant and postpartum women, as well as seniors of all genders. Emphasizing customized care and evidence-based methodologies, Ku Aloha Ola Mau is committed to aiding individuals as they navigate their path to recovery.
View detailsKahului, HI
Malama Na Makua A Keiki, situated in Kahului, HI, delivers extensive treatment for substance use, emphasizing both intensive outpatient and long-term residential care alongside outpatient services. The center employs evidence-based methods, including cognitive behavioral therapy, the Matrix Model, and motivational interviewing, to create tailored programs for adult women, pregnant and postpartum women, as well as young adults. Focusing exclusively on female clients, it serves adults, seniors, and young adults alike. With a strong dedication to high-quality care and individualized treatment strategies, Malama Na Makua A Keiki fosters a nurturing atmosphere for those aiming to recover from substance use challenges.
View detailsWailuku, HI
Maui Champ Clinic Inc, located in Wailuku, HI, provides outpatient detoxification and substance use recovery services for both adult men and women. This center emphasizes cognitive behavioral therapy, anger management, and short-term intervention techniques, delivering specialized support for individuals facing both mental health and substance use issues. Customized programs designed for young adults and older individuals ensure thorough assistance for those on the path to recovery. The facility also offers outpatient treatments with methadone, buprenorphine, or naltrexone, addressing a variety of client needs and fostering a comprehensive approach to addiction rehabilitation. Patients can anticipate exceptional care in a nurturing atmosphere, making Maui Champ Clinic Inc a leading option for effective rehabilitation in Hawaii.
Honolulu, HI
Situated in Honolulu, HI, Queens Medical Center delivers an array of rehabilitation services. This facility offers intensive outpatient programs, as well as outpatient and partial hospitalization services for individuals facing substance use issues and concurrent mental health challenges, serving both adults and children/adolescents. Queens Medical Center utilizes a range of methods, including 12-step programs, anger management strategies, and brief interventions to meet the unique requirements of each patient. The center emphasizes care for adolescents, individuals with dual diagnoses, and those involved in the criminal justice system. Committed to providing high-quality care, Queens Medical Center serves male and female patients looking for tailored solutions to overcome addiction.
Hilo, HI
Ku Aloha Ola Mau in Hilo, HI, is dedicated to providing a full spectrum of addiction recovery solutions. Their expertise lies in aiding individuals through detoxification and substance abuse treatment. They offer structured intensive outpatient services, general outpatient care, and specialized outpatient detoxification. Employing proven methods like 12-step facilitation, brief intervention, and cognitive behavioral therapy, Ku Aloha Ola Mau serves a diverse clientele including adult men and women, expectant and new mothers, and older adults. Emphasizing personalized care plans, Ku Aloha Ola Mau is committed to delivering effective treatment for all individuals on their path to sobriety.
View detailsKailua Kona, HI
Situated in Kailua Kona, HI, the Ohana Addiction Treatment Center delivers extensive services for those aiming to overcome substance use disorders and related mental health challenges. The facility features long-term residential treatment, encompassing detox services and round-the-clock assistance. With specialized programs for men and women, alongside support for individuals who have faced domestic violence, the center addresses a wide range of needs. Employing techniques like 12-step facilitation and anger management, the programs are customized for both adults and young adults. The Ohana Addiction Treatment Center is committed to offering exceptional care and guidance for individuals seeking to achieve sobriety.
View detailsKailua, HI
Poailani Inc, situated in Kailua, HI, delivers extensive addiction recovery support for adults and young adults. This establishment features extended stay residential treatment, inpatient detoxification, and round-the-clock residential services. Emphasizing 12-step incorporation, emotional regulation techniques, and concise intervention strategies, Poailani Inc customizes care to suit each person's distinct requirements. Unique offerings are available for active military members, adult males, and adult females. Providing specialized assistance for those with dual diagnoses of substance abuse and severe mental health issues, this facility guarantees effective care for all individuals, regardless of gender, on their journey to sobriety.
View detailsKaneohe, HI
Poailani Inc in Kaneohe, HI, is dedicated to providing exceptional addiction recovery services for adult men facing substance abuse challenges and co-occurring mental health conditions. The center offers extended residential treatment, encompassing detox and continuous round-the-clock assistance. Employing scientifically validated methods like 12-step integration, emotional regulation techniques, and short-term counseling, Poailani Inc fosters enduring sobriety. A key differentiator is its tailored programs for active-duty service members, adult males, and survivors of domestic abuse. Emphasizing personalized support for its male clientele, this establishment cultivates a nurturing atmosphere for adults and older adults pursuing complete restorative care.
View detailsKaneohe, HI
Poailani Inc, located in Kaneohe, HI, provides a variety of specialized programs designed to address substance use disorders and co-occurring mental health conditions for both adults and children. The center features intensive outpatient, outpatient, and day treatment options, offering customized care that incorporates 12-step facilitation, anger management techniques, and brief intervention methods. Additionally, Poailani Inc has distinct programs specifically designed for active duty military members, as well as for adult men and women. Catering to young adults and individuals of all genders, this facility is dedicated to providing high-quality, tailored care that meets the unique needs of each person. Poailani Inc is recognized for its extensive services and dedication to delivering effective and individualized rehabilitation support.
Honolulu, HI
Salvation Army Fam Treatment Services, located in Honolulu, HI, provides an extensive array of substance abuse treatment and transitional housing specifically designed for adult women. The facility offers various treatment modalities such as intensive outpatient, long-term residential, and outpatient programs. It employs tailored approaches that include 12-step programs, anger management, and brief intervention strategies. Additionally, the center features unique services for women who have faced intimate partner violence, domestic abuse, and sexual trauma. Catering to adults, children, and seniors, this center focuses on meeting the unique needs of female clients, ensuring they receive compassionate and high-quality support on their path to recovery and healing.
View detailsFrequently Asked Questions About MAT in Hawaii
Can I still start mat if I have relapsed multiple times?
Yes — a history of relapse does not disqualify you from mat. In fact, repeated relapses are a strong clinical reason to start MAT, because continued use without medication carries a much higher overdose risk. Hawaii programs routinely admit patients with complex relapse histories.
Is the first visit to a mat provider free?
Some Hawaii programs offer a free screening or phone intake; others charge an initial assessment fee ($100–$300 self-pay). Federally qualified health centers often waive the first visit. Ask up front about assessment fees when you schedule your appointment.
Does Med-QUEST cover SAMHSA-required counseling along with mat?
Yes. Med-QUEST covers the mandated counseling component for MAT — individual therapy, group sessions, and care coordination — at participating Hawaii clinics. Reimbursement for peer-support specialists is also available under the state plan.
Does COBRA cover mat in Hawaii?
Yes. COBRA continues your former employer’s health plan unchanged for up to 18 months, including MAT benefits. The monthly COBRA premium is higher than a marketplace plan for most people; explore Marketplace options too before the 60-day COBRA deadline.
Does Hawaii allow emergency-department MAT induction?
Yes. Hawaii hospitals routinely start buprenorphine in the ED and bridge patients to outpatient MAT. The state’s opioid-response plan funds ED warm-handoff coordinators who connect patients to MAT programs in their home zip code before discharge.
What is the average length of stay at MAT programs in Hawaii?
Nationwide average MAT retention is about 6–18 months; the strongest outcomes occur in patients retained beyond 12 months. Hawaii State Opioid Response data reports rising average retention since 2021 as hub-and-spoke models mature.
How do I start mat treatment in Hawaii?
Call a mat clinic directly, SAMHSA’s national helpline (1-800-662-4357), or 988 for urgent help. Most Hawaii MAT programs offer same-day or next-business-day intake; the intake visit includes an assessment and your first dose or prescription.
Is the first mat 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.
What are the common side effects of mat?
Common side effects are usually mild and transient: nausea, constipation, headache, drowsiness, sweating, and insomnia. Most resolve within 1–2 weeks of dose stabilization. Persistent side effects are addressed by dose adjustment or switching medications at your Hawaii clinic.
Is mat safe during pregnancy in Hawaii?
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. Hawaii providers coordinate care with obstetrics.
Do I have to attend 12-step meetings along with mat?
No. Attending 12-step programs is optional; SMART Recovery, Women for Sobriety, Refuge Recovery, and secular support groups are all acceptable alternatives. Hawaii MAT clinicians can help you match with a peer group aligned to your values.
Will I show up on any public registry for taking mat?
No. There is no public registry of MAT patients. Hawaii’s prescription drug monitoring program (PDMP) tracks controlled-substance prescriptions but is accessible only to clinicians and law enforcement with a specific investigative basis.
Other Treatment Options in Hawaii
Medication-Assisted Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)