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Medical Detox by State

Detox is a short medical event. It is not treatment for opioid use disorder. The data on relapse after detox alone is grim, which is why the federal SAMHSA position has been clear for years that detox without ongoing medication for opioid use disorder raises overdose risk after discharge. We publish state level pages to help readers understand what detox is, what it is not, and how to step into the right next phase.

Read this first. If you walk out of a detox program and stop using opioids without buprenorphine, methadone, or naltrexone, your tolerance has dropped. A relapse at the old dose can kill you. That is the central reason any modern addiction physician treats detox as a doorway, not a destination.

State pages

Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

Why we do not list individual detox facilities

SAMHSA, state licensing boards, and hospital systems all maintain detox listings, but inpatient bed availability, payer mix, and clinical protocols swing week to week. A directory snapshot goes stale fast. We focus on the question that actually matters: what should you ask a detox program before you commit to a bed, and what should happen the day after you discharge.

The questions that matter

  1. Will you start me on buprenorphine, methadone, or naltrexone before discharge?
  2. Who is my prescriber on day 1 after discharge, and is the appointment scheduled before I leave?
  3. What is the protocol if my withdrawal is not controlled in the first 24 hours?
  4. Do you accept my insurance, and what is the out of pocket cost if I am uninsured?
  5. What is your readmission rate at 30 days?

Programs that handle those five questions well are usually the ones running solid medicine. Programs that dodge them are usually the ones marketing detox as a stand alone cure, which is not how the science works.