If this is an emergency, call 911. Suicide & Crisis Lifeline: 988

Medication-Assisted Treatment (MAT) in Virginia

978 facilities offering this level of care

What is Medication-Assisted Treatment (MAT)?

Medication-Assisted Treatment (MAT) combines FDA-approved medications with counseling and behavioral therapies to treat substance use disorders. This approach is considered evidence-based and is recommended by major medical organizations for treating opioid use disorder and alcohol use disorder.

Medications used in MAT may include buprenorphine (Suboxone), methadone, and naltrexone for opioid use disorder, and naltrexone, acamprosate, and disulfiram for alcohol use disorder. These medications work differently, but all aim to reduce cravings, prevent withdrawal symptoms, or block the effects of substances.

MAT is available in Virginia through various settings, including primary care offices, specialized addiction medicine clinics, opioid treatment programs (for methadone), and some behavioral health centers. Access to MAT has expanded significantly in recent years.

Who is Medication-Assisted Treatment (MAT) For?

MAT may be appropriate for individuals with opioid use disorder or alcohol use disorder who could benefit from medication to support their recovery. It can be used at any stage of recovery and may be continued long-term.

MAT is particularly helpful for those who have experienced relapse, have severe cravings, or haven't achieved success with non-medication approaches. The decision to use MAT should be made with a qualified healthcare provider who can assess individual needs and recommend appropriate medications.

Questions to Ask a Provider

  • What medications do you offer?
  • How often will I need to come in for visits?
  • What counseling or therapy is provided alongside medication?
  • How long will I need to be on medication?
  • What are the potential side effects of the medication?
  • How do you handle dose adjustments?
  • What happens if I miss a dose or appointment?
  • Do you coordinate with other healthcare providers?

How to Verify Quality

  • For buprenorphine: verify the prescriber has the required waiver (though this requirement has changed recently)
  • For methadone: verify the program is a licensed Opioid Treatment Program (OTP)
  • Check that counseling services are integrated with medication management
  • Inquire about the provider's experience treating substance use disorders
  • Verify insurance coverage for both medications and associated counseling

Frequently Asked Questions

Is MAT just substituting one drug for another?

No. MAT medications are FDA-approved treatments that reduce cravings and withdrawal symptoms, allowing people to focus on recovery. When taken as prescribed, these medications don't cause the impairment associated with misused substances.

How long do I need to stay on MAT?

Duration varies by individual. Some people benefit from short-term use, while others may benefit from long-term or indefinite medication. Decisions should be made with your treatment provider based on your individual needs and recovery goals.

Will I be able to function normally on MAT?

Yes. When properly dosed, MAT medications should not cause impairment that interferes with daily activities, work, or driving. Report any side effects to your provider so dosing can be adjusted if needed.

Can I get MAT from my regular doctor?

In many cases, yes. Primary care providers can prescribe buprenorphine and naltrexone. Methadone for opioid use disorder must be dispensed through a licensed Opioid Treatment Program.

Is MAT covered by insurance?

Most insurance plans, including Medicaid and Medicare, cover MAT medications and associated services. Coverage specifics vary, so verify with your insurance provider.

Does MAT work for everyone?

MAT is effective for many people, but treatment should be individualized. What works for one person may not work for another. Work with your provider to find the approach that works best for you.