About CCIWA
CCIWA stands for Coordinated Care & Intake for Withdrawal Access. The name is the operating manual. Every page on this site coordinates federal certification data with local context, every intake call routes through a single verified line, and every withdrawal pathway we cover, methadone, buprenorphine, extended-release naltrexone, has its own silo so you can compare what the medication actually does against what the clinic actually offers.
What the acronym means in practice
- Coordinated Care. Treatment for opioid and alcohol use disorder is rarely a single decision. A clinic that offers Vivitrol may also run buprenorphine, methadone OTP, IOP, or detox. We surface the full capability set so the page tells you whether the same office can carry the whole episode or whether you will need a referral chain.
- Intake. The hardest part of getting into treatment is the first call. We publish each clinic's own intake line and a verified CCIWA line that does not run a sales script. Pick whichever you want.
- Withdrawal Access. The bottleneck for most patients is access, not science. We publish state regulatory blocks, Medicaid coverage tables, county overdose context, and uninsured rates because those are the things that actually decide whether someone gets to the chair.
Why the rebuild exists
CCIWA started as a marketing site for a single Florida treatment center. That site is gone. What you are reading is the rebuild from scratch, on the opposite premise: if a fact is not in a federal data source we can cite, it does not appear on the page.
The treatment search market is full of pages that exist only to capture a phone call. Many list clinics that closed years ago. Some publish phone numbers that route to paid call centers with no clinical relationship to the address shown. Others scrape SAMHSA and republish the data without verifying it. We built CCIWA because none of that helps the person on the other end of the page.
Where the data comes from
Every published claim cites the federal source it came from. Source vintages are listed on the methodology page with the exact refresh date for each table.
| Source | What we use it for | Refresh |
|---|---|---|
| CMS Medicare Provider OTP file | Federal certification list for opioid treatment programs (methadone clinics) | Quarterly |
| NPPES | National Plan and Provider Enumeration System: NPI, clinician identity, primary address, primary phone | Daily |
| SAMHSA FindTreatment Locator | Service code matrix, supplemental hours, secondary contact lines | Continuous |
| SAMHSA N-SUMHSS National Directory | Vivitrol availability (VTRL service code), accreditation status, populations served | Annual |
| KFF Medicaid Behavioral Health Survey | State-by-state Medicaid coverage of methadone, buprenorphine, and Vivitrol | Annual |
| CDC WONDER + NCHS | County-level drug poisoning mortality, opioid prescribing rates | Annual |
| HRSA HPSA | Mental health professional shortage area designation, workforce density context | Quarterly |
| PDAPS | State law tracking: naloxone access, Good Samaritan, syringe services, telehealth MAT rules | Continuous |
| U.S. Census ACS | City and county population, uninsured rate, household income, demographic breakdown | Annual |
What our verification gate looks like
Showing up in SAMHSA's directory is a starting point, not a guarantee. Federal data lags reality. Phone numbers go stale. Clinics rebrand, move, close, or stop offering a medication without updating their listing. Our four-step hard gate is the answer.
- SAMHSA cert ID match. The listing must reference a current cert ID we can pull from the federal record. Listings without an ID get held back.
- Geocoded address confirmation. The street address resolves to a real building inside the listed city. We flag PO boxes, suite numbers that do not exist, and addresses that geocode to a different city.
- Live phone verification. The number on the listing is dialed. A human at the clinic answers and confirms identity. Numbers that route to a generic IVR, a paid call center, or a disconnected line do not pass.
- Direct medication-administration confirmation. For Vivitrol pages, the call confirms the clinic actually administers the IM injection in office, not just prescribes it. For methadone pages, the call confirms the clinic dispenses on-site under SAMHSA OTP rules. For buprenorphine pages, the call confirms the prescriber is currently accepting new MOUD patients.
A clinic that fails any single step does not get a profile page. It still appears in our state-level reference count because the federal listing exists, but we do not generate a dedicated URL for a clinic we cannot verify end to end.
What we publish, by silo
- Methadone clinics. State hubs, city pages, individual clinic pages, regulator blocks, Medicaid coverage tables, and a State Access Score that is a transparent composite of treatment supply and overdose burden.
- Suboxone (buprenorphine) providers. State hubs and city pages, prescriber listings drawn from NPPES with active enumerations, and provider-specific notes about CAA 2023 (the Consolidated Appropriations Act removed the X-waiver requirement in January 2023).
- Vivitrol providers. State hubs covering all 51 jurisdictions, city pages where SAMHSA lists three or more facilities, individual clinic profile pages for every provider that clears the hard gate, plus comparison and access guides.
- Treatment comparison guides. Suboxone vs Vivitrol, Methadone vs Vivitrol, Sublocade vs Vivitrol, MAT options for OUD, long-acting injectable MAT, and others. These are research summaries with primary sources cited inline.
- Cost and access guides. Vivitrol cost without insurance, Medicaid Vivitrol coverage by state, prior authorization workflow, what to expect at a Vivitrol injection appointment, and how to get a Vivitrol prescription.
What we do not do
We do not publish a clinic without a current NPI, deliverable address, and working phone number. We do not list clinics that fail SAMHSA certification. We do not run a sales script on the intake line. We do not accept payment from clinics for placement, feature priority, or ranking. We do not republish lists from third party directories without independent verification against federal data. We do not generate AI summaries of clinical research and call them medical advice. Every page that derives a number explains the formula and cites the source in a methodology footnote.
Editorial standards
Read the editorial policy for our sourcing rules, correction policy, AI disclosure, and conflict-of-interest rules. Read the methodology for the formulas and source vintages behind every score, share, and stat we publish. Read the medical review board page for clinical review credentials.
How to reach a person
For treatment intake, call (888) 217-1376. The line runs 24/7 and does not require insurance to talk to someone.
For data corrections, listing reviews, partnerships, or press inquiries, use the contact page. We respond to verified data corrections faster than to anything else.
If you are in immediate crisis
Call or text 988 for the Suicide and Crisis Lifeline. For substance use treatment referrals, call SAMHSA at 1-800-662-HELP (4357). Both lines are free, confidential, and run by federal agencies.