District of Columbia Access Score: 10/100
Composite of methadone OTP density, buprenorphine provider density, mental health shortage need-met %, Medicaid coverage breadth, 1115 SUD waiver status, and legal protections. How we score.
Suboxone Providers in District of Columbia
District of Columbia has 83 active NPPES enumerations across 1 cities for clinicians who commonly prescribe buprenorphine for opioid use disorder. Coverage is wider than the old X-waiver lists suggested, but availability still varies clinic to clinic. Confirm intake before you drive anywhere.
CAA 2023 disclaimer. Buprenorphine X-waiver eliminated by Consolidated Appropriations Act 2023. Any DEA II-V prescriber may now prescribe buprenorphine.
Composite analysis
Treatment Access Pressure Index
Lower pressure21.6Rank 41 of 52
District of Columbia ranks among the states with the least treatment access pressure on this index. Provider density is comparatively strong and acute demand signals are softer.
Mental health HPSA score (weighted)
16.6
0–25 scale. Higher means greater federally-designated shortage.
6,710,256 residents live inside designated mental health HPSAs.
Source: HRSA Data Warehouse
Frequent mental distress
13.9%
Population-weighted share of adults reporting 14+ days of poor mental health in the last month.
Source: CDC PLACES (BRFSS 2022)
Unemployment rate
6.5%
Seasonally adjusted state unemployment, used as a stress proxy.
Latest period: M02 2026.
Source: BLS Local Area Unemployment Statistics
Verified treatment density
12.67
Methadone OTPs plus buprenorphine prescribers per 100,000 residents. Higher density lowers pressure.
(3 OTPs, 83 bupren providers.)
Source: SAMHSA + CMS NPPES (CCIWA dataset)
TAPI is a CCIWA composite. Each input is z-scored across 50 states plus DC and Puerto Rico, then combined as a weighted sum (HPSA 30%, frequent mental distress 25%, unemployment 15%, treatment density 30%, sign-flipped). The result is rescaled 0 to 100 by percentile rank. Read the full methodology.
F
Score breakdown
| Component | Detail | Points |
|---|---|---|
| OTP density | Unknown | 0 / 30 |
| Buprenorphine density | Unknown | 0 / 20 |
| Mental health HPSA need met | Unknown | 10 / 20 |
| Medicaid breadth | 0 of 5 service categories covered | 0 / 15 |
| 1115 SUD waiver | None | 0 / 10 |
| Legal protections | Good Samaritan: No · Naloxone access: No | 0 / 5 |
Demand snapshot
1 city with buprenorphine providers
Cities below have at least 5 active prescribers. Smaller cities consolidate into the closest hub city for V1.