Medication-Assisted Treatment (MAT) Centers in Vermont
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 35 MAT programs across Vermont, with the largest concentrations in Saint Johnsbury (3), Newport (3) and Burlington (3).
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 Vermont:
- Vermont Medicaid covers comprehensive addiction services
- Hub and spoke treatment model
- Strong community recovery support
- Rural therapeutic settings
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MAT programs in Vermont
Burlington · 3 centers
Burlington Lakeside CBOC
Burlington, VT
Services:
University of Vermont Medical Center
Burlington, VT
Services:
Howard Center
Burlington, VT
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Newport · 3 centers
SaVida Health
Newport, VT
Services:
Northeast Kingdom Human Services Inc
Newport, VT
Services:
Rutland · 3 centers
Saint Johnsbury · 3 centers
SaVida Health
Saint Johnsbury, VT
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Northeast Kingdom Human Services Inc
Saint Johnsbury, VT
Services:
BAART Behavioral Health Services
Saint Johnsbury, VT
Services:
Bennington · 2 centers
United Counseling Service of
Bennington, VT
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Brattleboro · 2 centers
Brattleboro Comprehensive Trt Center
Brattleboro, VT
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Montpelier · 2 centers
Saint Albans · 2 centers
Savida Health
Saint Albans, VT
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BAART Behavioral Health Services
Saint Albans, VT
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White River Junction · 2 centers
White River Junction VA Medical Center
White River Junction, VT
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CT Valley Addiction Recovery Inc
White River Junction, VT
Services:
Bellows Falls · 1 center
Windham Center
Bellows Falls, VT
Services:
Bradford · 1 center
Clara Martin Center
Bradford, VT
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Colchester · 1 center
SaVida Health
Colchester, VT
Services:
Manchester Center · 1 center
Northshire UCS
Manchester Center, VT
Services:
Middlebury · 1 center
Counseling Service of Addison County
Middlebury, VT
Services:
Morrisville · 1 center
SaVida Health
Morrisville, VT
Services:
Randolph · 1 center
Clara Martin Center
Randolph, VT
Services:
South Burlington · 1 center
Springfield · 1 center
Vergennes · 1 center
SaVida Health
Vergennes, VT
Services:
Wallingford · 1 center
Wilder · 1 center
Clara Martin Center
Wilder, VT
Services:
Windsor · 1 center
CT Valley Addiction Recovery Inc
Windsor, VT
Services:
Green Mountain Care
Green Mountain Care covers MAT and funds Vermont’s Hub-and-Spoke model, which pairs regional OTP hubs with office-based spokes.
State regulations
Vermont Department of Health Division of Alcohol and Drug Abuse Programs licenses OTPs; the Hub-and-Spoke model is a national best practice.
- Private health insurance35
- Cash or self-payment34
- Medicaid34
- Medicare32
- Federal military insurance (e.g., TRICARE)30
- State-financed health insurance plan other than Medicaid28
- Outpatient32
- Regular outpatient treatment29
- Outpatient methadone/buprenorphine or naltrexone treatment28
- Intensive outpatient treatment7
- Outpatient detoxification4
Frequently Asked Questions About MAT in Vermont
Do I need to provide a criminal-history check to enroll in MAT programs in Vermont?
No. Vermont MAT providers do not require criminal-history disclosure to enroll. Federal law (42 CFR Part 2) protects substance-use treatment records; a criminal record will not block admission to a mat program.
What is the cheapest way to get mat in Vermont?
For most Vermont residents, Green Mountain Care is the lowest-cost option — co-pays are usually $0–$3. Without Medicaid, federally qualified health centers with sliding-scale fees are next cheapest, followed by State Opioid Response–funded clinics.
Can Green Mountain Care pay retroactively for MAT I started before enrollment?
Yes — Green Mountain Care can pay retroactively for up to 3 months of prior treatment in most cases, provided you were eligible during that period. Save all receipts and itemized statements from MAT programs and submit them to the Medicaid enrollment caseworker.
Does Medicare cover mat in Vermont?
Yes. Medicare Part B covers methadone through enrolled Opioid Treatment Programs and Part D covers buprenorphine and naltrexone prescriptions. Medicare Advantage plans in Vermont include the same MAT benefits under the integrated plan structure.
Are there advocacy organizations for mat patients in Vermont?
Yes. Faces & Voices of Recovery chapters, the American Society of Addiction Medicine (ASAM) regional sections, and Vermont-based recovery community organizations advocate for patient rights. SAMHSA’s Recovery Community Services Program funds peer-led groups in most Vermont counties.
Can I take mat while travelling outside Vermont?
Yes. Buprenorphine and naltrexone prescriptions travel with you. For methadone, your clinic coordinates with an out-of-state guest-dosing OTP; plan at least 2 weeks ahead for domestic travel, longer for international. Ask the clinic about guest-dosing letters.
How long does the first mat appointment take?
The first appointment typically runs 90–180 minutes: medical history, physical exam, intake paperwork, counseling assessment, lab tests, and the first dose or prescription. Plan for 2–3 hours and arrange transportation in case of post-dose drowsiness.
Is the first mat dose stronger or weaker than later doses?
First doses are intentionally cautious — 5–10 mg of buprenorphine or 20–30 mg of methadone — to assess tolerance and avoid over-sedation. Your dose is titrated up over the first 1–2 weeks until cravings and withdrawal are controlled.
Can mat cause an overdose?
Methadone carries overdose risk during induction when the dose is being titrated, particularly in combination with benzodiazepines, alcohol, or other sedatives. Buprenorphine has a ceiling effect that lowers overdose risk. Naltrexone does not cause opioid overdose. Your Vermont clinic monitors risk closely.
Is mat safe during pregnancy in Vermont?
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. Vermont providers coordinate care with obstetrics.
Can I skip counseling and just take mat?
Patients prescribed buprenorphine or naltrexone in Vermont can technically receive medication without counseling, but outcomes are significantly better with integrated counseling. Methadone patients at OTPs have counseling requirements per federal rule 42 CFR Part 8.
Do my pharmacy records show that I’m on mat in Vermont?
Buprenorphine and naltrexone prescriptions appear on pharmacy records like other prescriptions and are visible to dispensing pharmacies and authorized users of the PDMP. Methadone dispensed at an OTP is not reported to retail pharmacy systems.
Other Treatment Options in Vermont
Medication-Assisted Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)