New York State is making treatment more accessible to those in need. The state has a searchable listing of NYS OASAS-certified substance use disorder treatment facilities, including facility location and contact information. There is also a tool to search for treatment beds that are available now.
24/7 Open Access Centers
24/7 Open Access Centers help direct people to addiction treatment services by delivering immediate engagement, assessment, and referral services for people suffering from a substance use disorder. Open access centers are currently located in Syracuse, Rochester, Lyons, Long Island, and three of the five boroughs. View a list of Open Access Centers.
Centers of Treatment Innovation (COTIs)
COTIs are OASAS certified providers focused on engaging people in treatment through mobile clinic services — bring treatment staff into un/under-served areas; expanding tele-practice sites; and enhanced peer outreach and engagement within the community. View a list of COTIs.
Medicated Assisted Treatment
A Medication-Assisted Treatment plan utilizes addiction medications, like Methadone and Buprenorphine, to treatment opioid addiction. Addiction medicine in combination with counselling and therapy is the recommended treatment plan by NYS Office of Alcoholism and Substance Abuse Services (OASAS), the Substance Abuse and Mental Health Services Association (SAMHSA), and the World Health Organization (WHO). Medication-Assisted Treatment is now considered best practice in Opioid Treatment Programs across New York State. It is preferred over medically supervised withdrawal which has statistically higher rates of relapse and pose greater risks to mother and baby.
Addiction medicines, like all medicine, treat a disease. Addiction is a chronic disease that has long-lasting effects on the brain. Medication Assisted Treatment uses one of three types of addiction medications—Methadone, Buprenorphine or Naltrexone—to curb cravings and minimize withdrawal discomfort, paving the way to sustained recovery.
- Methadone: Methadone is a synthetic opioid that mitigates opioid withdrawal symptoms. At higher doses, it can block the effect of heroin and other drugs containing opiates. Methadone can only be dispensed at an outpatient opioid treatment program.
- Buprenorphine: Buprenorphine is a partial opioid agonist. When dosed appropriately, it suppresses withdrawal symptoms by creating similar side effects to heroin and methadone, such as euphoria and respiratory depression. These side effects are generally milder and less dangerous than heroin and methadone. Buprenorphine treatment can only be performed at intensive outpatient treatment programs.
- Naltrexone: Naltrexone, sold under the brand name Vivitrol, is a non-addictive antagonist used to treat opioid dependence by blocking the opioid receptors so they cannot be activated. Unlike the other medications, Naltrexone does not mimic the effects of opioids. Instead, it blocks receptor sites so that other substances present in the patient's system cannot bind to them.
All three are FDA-approved and safe for use in a clinical environment. MAT is safe for pregnant women and has been proven to produce better outcomes for both mother and baby than medically supervised withdrawal. Even after delivery, Medication-Assisted Treatment can be explored to support newborns who may have been exposed to opioids in the womb, or sustain recovery in new moms. In fact, you’ll sometimes hear Medication-Assisted Treatment referred to as Medication-Supported Recovery. For more on pregnancy and medication-assisted treatment or to find an Opioid Treatment Program visit the OASAS website.
Governor Andrew Cuomo’s Heroin Task Force travelled the state and heard from New Yorkers about the importance of locally-based services to support people affected by addiction. Based on those conversations, OASAS has begun establishing new, nontraditional services across New York State including:
Peer Engagement Specialist
People in recovery or who have a personal family experience with recovery and expertise in addiction services are available to provide support, encouragement and guidance in finding appropriate services.
Family Support Navigator
Family Support Navigators help people and their families better understand the progression of addiction, provide guidance on how to navigate insurance issues, and offer information on how to access treatment services.
Clubhouses offer services and supports to help young people progress in their recovery. Built on a core of peer-driven supports and services that encourage and promote a drug-free lifestyle, the clubhouse model provides a restorative environment for young people whose lives have been disrupted because of their addiction and who would like the support of others in recovery. Clubhouses for youth are for people ages 12 to 17. Clubhouses for young adults are for people ages 18 to 21.
The centers provide health, wellness and other supports to people who are recovering from a substance use disorder or seeking recovery services for a family member or friend. They provide a community-based, non-clinical setting that is safe, welcoming and alcohol/drug-free for any member of the community. The centers promote long-term recovery through skill-building, recreation, employment readiness and the opportunity to connect with peers who are going through similar challenges.
Regional Addiction Resource Center (Community Coalition)
The Regional Addiction Resource Centers (RARC) are available to assist people, families and communities in accessing local resources for those facing addiction problems. The RARC help identify local prevention resources, local treatment opportunities, recovery services and other supports such as Family Navigators, medication drop boxes, Peer Engagement, 12 step groups, narcan/naloxone trainings, Youth Clubhouses and local speaker’s bureaus. The RARC also organize events based on community requests.
Navigate the Substance Use Disorder System of Care
View the brief educational videos below that provide general information about navigating the substance use disorder system of care. This video series describes the types of substance use disorder treatment services available and answers common questions people and their families may have about treatment and recovery.
- Introduction to Treatment
- Making an Informed Decision for Substance Use Disorder Treatment
- Learn about the Treatment Availability Dashboard
- Understanding Your Health Insurance Benefits
- Inpatient Detoxification
- Inpatient Rehabilitation
- Outpatient Treatment
- Medication Assisted Treatment
- 14 Day Rule and Appeals Process
- Appeals Process
- Patient Safety
- Communicating with Your Healthcare Provider
- When Family and/or Loved One Wants to Help
- Relapse Prevention: What a Family Needs to Know
Pay For Treatment
New York State law requires OASAS funded treatment programs to provide treatment services for people who cannot pay for the services.
New York State of Health: New Yorkers can shop, compare and enroll in low cost, quality health plans, as well as receive financial assistance based on their income. This marketplace enables New Yorkers to check their eligibility and enroll in Medicaid, Child Health Plus and Qualified Health Plans. For more information call 855-955-5777 or visit the New York State of Health website.
Health Insurance Coverage: When seeking treatment, it is critical to understand the details of your health insurance plan, rights and co-pays. In order to learn more about your coverage, you should contact your health insurance provider or visit the New York State Office of Financial Services website.
Right to Coverage: Under New York and Federal Law, if you have insurance you have the right to receive the following addiction treatment services when medically necessary:
- Unlimited detoxification services in a hospital
- Unlimited inpatient care in a hospital, inpatient rehabilitation or residential treatment facility
- Unlimited outpatient care in both outpatient facilities or in your provider's office
- Outpatient methadone treatment including suboxone and subutex, if your health insurance includes a prescription drug benefit
- For more information, view the Understanding Your Rights for Substance Use Disorder Treatment and Insurance Coverage Brochure (Spanish Version).
Denial of Coverage: If your health insurer denies coverage for any addiction treatment services for the reason that it is not medically necessary, you have a right to appeal the decision with your health insurer. If your health insurer upholds the denial you have the right to an external appeal with an independent reviewer. Learn more about your rights as a health insurance consumer.
Insurance Law Updates: Visit the OASAS website to stay informed on coverage requirements, appeal rights and helpful contacts.