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Methadone Clinics, ND

Methadone Clinics in North Dakota

Methadone for opioid use disorder in North Dakota comes from licensed opioid treatment programs. Listings for those programs appear in Fargo, Bismarck, Grand Forks and Minot. Each listing shows what the program reports about itself: medications offered, payment types, dosing hours, languages and the groups it serves.

Listing details come from government treatment registers, state licensing records, accreditor listings and information the providers supply themselves. The questions below explain how the system works in North Dakota and what to ask a program before a first visit.

Rehab Centers Near You

Methadone Clinics in North Dakota

Community Medical Services – Grand Forks

2424 32nd Avenue South, Grand Forks, ND 58201

4.3★★★★☆10

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATMethadoneTrauma-informed+6

Deaf and HoH

Community Medical Services operates from 2424 32nd Avenue South in Grand Forks. The site sits in Grand Forks County, which shapes which public funding routes apply. The practical catchment runs wider than the city limits, taking in people who travel in rather than finding care on their doorstep. Outpatient care is delivered here, alongside medication-assisted treatment, an opioid treatment program and telehealth appointments. Which level fits depends on the assessment rather than on what is…

2.2 miCamp Depression Sculpture6.7 miGrand Forks International AirportServes3 towns

Substances treated

Adderall Rehab · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · Fentanyl Patch (Duragesic) Rehab · Fentanyl Rehab · Heroin Rehab · Hydrocodone Rehab · Hydromorphone (Dilaudid) Rehab · +25 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Online Rehab and Telehealth · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · Post-Treatment Follow-Up · Recurrence Prevention · +1 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Motivational Interviewing · +1 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Trauma · Mental Health Conditions · Psychosocial Rehabilitation · Social Skills Training · Trauma Treatment

Groups served

Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Men's Trauma Rehab · Men's TRICARE Rehab · +25 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Hepatitis C Treatment · Housing and Employment Support · Housing Assistance · Practical Support · Recovery Support Services · Self Help Groups · Transportation to Rehab

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Cigna Healthcare · Evernorth Health Services · Medicaid · Medicare · TRICARE

Community Medical Services – Minot

300 30th Avenue NW, Minot, ND 58703

4.6★★★★★77

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATMethadoneTrauma-informed+6

Deaf and HoH

Community Medical Services operates from 300 30th Avenue NW in Minot. The site sits in Ward County, which shapes which public funding routes apply. Nearby communities include Burlington. The practical catchment runs wider than the city limits, taking in people who travel in rather than finding care on their doorstep. Outpatient care is delivered here, alongside medication-assisted treatment, an opioid treatment program and telehealth appointments. Which level fits depends on the assessment rather than on…

5.6 miDes Lacs River1.2 miMinot International AirportServes2 towns

Substances treated

Levels of care

Therapies

Mental health

Co-Occurring Mental Health Conditions · Depression and Trauma · Mental Health Conditions · Psychosocial Rehabilitation · Social Skills Training · Trauma Treatment

Groups served

Support services

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Cigna Healthcare · Evernorth Health Services · Medicaid · Medicare · TRICARE

Community Medical Services – Fargo

901 28th Street South, Fargo, ND 58103

4.5★★★★★44

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATMethadoneSeniors+5

Deaf and HoH

Community Medical Services operates from 901 28th Street South in Fargo. The site sits in Cass County, which shapes which public funding routes apply. Nearby communities include Briarwood, Frontier and North River. North Dakota draws people across long distances for treatment, so travel time is worth weighing against waiting time. Outpatient care is delivered here, alongside medication-assisted treatment, an opioid treatment program and telehealth appointments. Which level fits depends on the assessment rather than on…

6.5 miMaple River3.8 miHector International AirportServes9 towns

Substances treated

Levels of care

Therapies

Mental health

Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Men's TRICARE Rehab · Pregnant Women MAT · +19 more

Support services

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Cigna Healthcare · Evernorth Health Services · Medicaid · Medicare · TRICARE

Heartview Foundation – Bismarck (101 East Broadway Avenue)

101 East Broadway Avenue, Bismarck, ND 58501

2.9★★★☆☆21

Joint Commission

DetoxResidentialPHP+4

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATMethadone+7

Heartview Foundation operates from 101 East Broadway Avenue in Bismarck. The site sits in Burleigh County, which shapes which public funding routes apply. Nearby communities include Lincoln and Mandan. North Dakota draws people across long distances for treatment, so travel time is worth weighing against waiting time. Detox, residential treatment, intensive outpatient and outpatient care are delivered here, alongside medication-assisted treatment, telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on…

3.6 miHeart River3.1 miBismarck Municipal AirportServes3 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · +52 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · +59 more

Therapies

12 Step Rehab · Acupuncture · Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Court Ordered Rehab · DUI and DWI Programs · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · +39 more

Support services

Case Management · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · Self Help Groups · +3 more

Insurance accepted

Medicaid · Medicare · TRICARE · VA Community Care

Rehabs by setting in North Dakota

Other parts of North Dakota, and what each is near.

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Common questions about Methadone Clinics

Answered from what is listed here.

Which North Dakota cities have methadone clinics?

Grand Forks comes first for methadone clinic listings in North Dakota, followed by Minot, Fargo and Bismarck. Opioid treatment programs in the state cluster in and around those cities.

Rural residents often travel to one of these larger cities for care, since Grand Forks, Minot and Fargo are among the biggest population centers. Daily dosing in the early weeks of treatment makes the drive from home a practical factor when choosing a program.

Rehab Centers in Grand Forkshttps://rehabseekers.com/locations/us/north-dakota/grand-forks/

Is methadone treatment covered by North Dakota Medicaid?

Nearly all of the methadone clinics in North Dakota record accepting North Dakota Medicaid. Coverage details can depend on how a person is enrolled, so checking with a program's admissions team before the first visit is sensible.

For Medicaid Expansion members, benefits run through a managed care organization operated by Blue Cross Blue Shield of North Dakota. Expansion members can confirm their enrollment and behavioral health coverage with that plan before dosing begins.

Rehab Centers in North Dakota That Accept North Dakota Medicaidhttps://rehabseekers.com/locations/us/north-dakota/north-dakota-medicaid/

Which methadone clinics in North Dakota are close to a river?

Nearly all of the methadone clinics in North Dakota lie within 25 miles of a river, with a median of about 4.6 miles from listed facilities to the nearest river. The most-named rivers nearby, in order, are the Red Lake River, Des Lacs River and Maple River.

Rehab Centers Near Rivershttps://rehabseekers.com/attractions/rivers/

Is there low-cost methadone treatment in North Dakota?

Nearly all of the methadone clinics in North Dakota record state funding as a payment route, while none of the methadone clinics in North Dakota record low-cost, free or sliding scale options. Asking intake staff about state-funded eligibility is a practical first step.

Recovery Talk, a free 24/7 peer support line for people in addiction recovery, answers at (701) 291-7901 and can be a calm place to talk through options.

State Funded Rehab Centers in North Dakotahttps://rehabseekers.com/locations/us/north-dakota/state-funded-rehab-nd/

How do I start methadone in North Dakota?

The State Opioid Treatment Authority, part of the Behavioral Health Division of North Dakota Health and Human Services, oversees methadone programs in the state, and a program's licensing begins with a certificate of need from that authority. Starting treatment usually means contacting a licensed program for an intake assessment and medical evaluation before dosing.

Methadone Clinics and Opioid Treatment Programshttps://rehabseekers.com/addictions/opioid/methadone/

What comes after methadone treatment in North Dakota?

Suboxone treatment and outpatient rehab are the two next steps recorded by nearly all of the methadone clinics in North Dakota. A person may ask a prescriber about moving to buprenorphine, while another continues counseling in outpatient care after reducing or ending methadone under medical guidance.

Suboxone Clinics in North Dakotahttps://rehabseekers.com/locations/us/north-dakota/suboxone-clinics-nd/

What care do methadone clinics in North Dakota offer?

Nearly all of the methadone clinics in North Dakota offer outpatient rehab, about as often as other rehabs in North Dakota do. Some of the methadone clinics in North Dakota also offer partial hospitalization or detox, each about as often as other rehabs.

Some of the methadone clinics in North Dakota offer intensive outpatient treatment, less often than other rehabs in North Dakota. Outpatient visits are the usual arrangement for people starting methadone care in the state.

Outpatient Rehab Centers in North Dakotahttps://rehabseekers.com/locations/us/north-dakota/outpatient-rehab-nd/

Can pregnant women get methadone treatment in North Dakota?

Nearly all of the methadone clinics in North Dakota record serving pregnant women, much more often than other rehabs in North Dakota. A federal block grant rule requires priority admission for pregnant women in funded programs, so mentioning a pregnancy to intake staff at first contact can affect how quickly admission is arranged.

Rehab Centers for Pregnant Women in North Dakotahttps://rehabseekers.com/locations/us/north-dakota/rehab-for-pregnant-women-nd/

Do methadone clinics in North Dakota treat mental health?

Most of the methadone clinics in North Dakota address co-occurring anxiety, depression and other mental health conditions, so counseling and dosing may happen under one roof.

About half of the methadone clinics in North Dakota list depression and trauma care, and none record services for serious mental illness. Someone with complex psychiatric needs can ask whether a separate dual diagnosis provider could work alongside the dosing clinic.

Dual Diagnosis Rehab Centers in North Dakotahttps://rehabseekers.com/locations/us/north-dakota/dual-diagnosis-rehab-nd/

Which states near North Dakota have methadone clinics?

Minnesota is a neighboring state with methadone clinics of its own. For people living nearer the state line, a clinic across the border may be closer than a program elsewhere in North Dakota.

Montana is also a neighboring state with methadone clinics. Because early treatment usually involves daily dosing, asking a cross-border program about travel time and whether it accepts North Dakota insurance is sensible before a first visit.

Methadone Clinics in Montanahttps://rehabseekers.com/locations/us/montana/methadone-clinics-mt/

How do methadone clinics work in North Dakota?

A methadone clinic in North Dakota is an opioid treatment program (OTP) that dispenses methadone on site, usually alongside counseling. To do that it needs federal certification, a DEA registration and a state Opioid Treatment Program License. Methadone for opioid use disorder can’t be filled at a regular pharmacy, so doses come from the program’s own dispensing window. In North Dakota, programs are listed in Fargo, Bismarck, Grand Forks and Minot, and much of the rural west is a long drive from any of them.

Every listed North Dakota methadone program sits within 25 miles of a river, a median of 4.6 miles away. The Red Lake, Des Lacs and Maple rivers are among the nearest (see our rivers guide). The closest airports are Grand Forks International, Minot International and Hector International in Fargo, a median of 3.5 miles from the programs (see the airports page).

Programs can arrange guest dosing with another clinic while a patient travels, or a full transfer after a move, but both need advance notice and records sent between programs. Buprenorphine is another medication option. Office-based prescribers can provide it, and some offer it by video, so it doesn’t require daily clinic visits. See Suboxone clinics in North Dakota and telehealth options.

How do you start methadone treatment, and can you begin the same day?

Starting methadone involves three steps:

an intake assessment
a medical exam
a first dose, once the program’s medical staff approve it

Some North Dakota clinics can give the first dose the same day or the next day, but none can promise that before intake. Bring:

photo ID
insurance or Medicaid card
a list of current medications
contact details for any prescribers

Dosing windows usually open early in the morning so patients can dose before work. Under the federal rules revised in 2024, admission is based on a diagnosis of opioid use disorder rather than a set length of opioid use.

Pregnant people have priority under federal block grant rules (45 CFR 96.131), and programs receiving that funding admit them ahead of others. North Dakota has no separate state priority rule on record. See rehab for pregnant women in North Dakota.

When can you get take-home doses of methadone in North Dakota?

Take-home doses in North Dakota follow the federal schedule in 42 CFR Part 8, as revised in 2024. Program medical staff decide based on stability and the patient’s ability to store doses safely. Any added conditions under the state’s opioid treatment rules at NDAC 75-09.1-10 also apply.

Time in treatment	Federal maximum for take-home doses
Days 1 to 14	Up to 7 days of take-home doses
Days 15 to 30	Up to 14 days at a time
Day 31 onward	Up to 28 days at a time

The federal limits are maximums, not automatic steps.

Safety with methadone

Dose changes with methadone are made gradually and supervised by the program’s medical staff. Higher doses can slow breathing, and the risk rises when methadone is combined with alcohol, benzodiazepines or other sedatives. Take-home doses belong in a locked box, out of reach of children and visitors.

Naloxone options in North Dakota:

Pharmacists can prescribe it.
North Dakota Medicaid members can get it at no cost from enrolled pharmacies under a state standing order.
The Behavioral Health Division mails free two-dose kits through hhs.nd.gov/opioids or (701) 328-8920.

Does North Dakota Medicaid, Medicare or private insurance pay for methadone?

North Dakota Medicaid, Medicare Part B and many private plans can pay for methadone treatment, but only if the specific program is enrolled with that plan.

Medicaid. North Dakota expanded Medicaid on January 1, 2014. Blue Cross Blue Shield of North Dakota manages benefits for Medicaid Expansion members. Our Medicaid page has more.

Medicare. Since 2020, Medicare Part B has covered opioid treatment program services, including methadone, counseling and testing (see Medicare rehab in North Dakota).

Private insurance. Private plans may require prior authorization, so call the number on your card first.

Self-pay. Many programs charge self-pay patients a weekly fee. Ask what the fee includes.

Public funding. The Behavioral Health Division uses federal block grant funds for treatment, and the State Opioid Settlement Fund supports treatment awards; see state-funded rehab in North Dakota.

Who licenses and oversees methadone clinics in North Dakota?

The State Opioid Treatment Authority, within the Behavioral Health Division of the North Dakota Department of Health and Human Services, oversees methadone clinics in the state. The same division issues the separate Opioid Treatment Program License under NDAC 75-09.1-10. Licensing a new program starts with a certificate of need approved by that authority.

Federal requirements apply on top of state rules. Each program needs federal certification, which depends on accreditation from an approved body such as CARF or the Joint Commission, plus a DEA registration.

Using these listings

Methadone listings on RehabSeekers.com show the information each program reports:

OTP status
medications offered (methadone, buprenorphine, naltrexone)
insurers and payment types accepted
dosing hours
languages
populations served

Browse opioid rehab in North Dakota, outpatient programs or all North Dakota treatment listings. Recovery Talk, a free 24/7 peer support line at (701) 291-7901, is available while you plan.