Opioid Treatment and MAT in Miami, FL
CDC NCHS provisional county data show 333 drug overdose deaths among Miami-Dade County residents in 2024 (12-month period ending December 2024). Fentanyl remains central to local fatalities even where totals are falling. The Miami metro also has a measurable medication-assisted treatment network: buprenorphine prescribers and federally certified opioid treatment programs within 30 miles. This page explains each piece and how to access it.
How bad the opioid problem is here
Florida Medical Examiners Commission District 11 (Miami-Dade) reported 266 deaths with fentanyl present in 2024, including 227 in which fentanyl caused or contributed to death. Florida Medical Examiners Commission data show fentanyl remains the dominant opioid in District 11 deaths.
Medication-assisted treatment (MAT) near Miami
Medication-assisted treatment - also called medications for opioid use disorder, or MOUD - uses one of three FDA-approved medications alongside counseling. According to the National Institute on Drug Abuse:
- Methadone is a full opioid agonist that relieves withdrawal and cravings. It is dispensed through certified opioid treatment programs.
- Buprenorphine is a partial agonist that reduces cravings and withdrawal, and can be prescribed in a doctor's office.
- Naltrexone blocks opioid receptors so opioids no longer produce a high. It can be started only after opioids have cleared the body.
Within 30 miles of downtown Miami (ZIP 33130), the SAMHSA locator lists:
- 8 federally certified opioid treatment programs
- 39 facilities that prescribe buprenorphine
- 45 facilities that prescribe naltrexone
- 42 offering outpatient methadone, buprenorphine, or naltrexone treatment
Public-network anchors include Thriving Mind South Florida (South Florida Behavioral Health Network), the DCF Managing Entity for this region, and county behavioral health programs coordinated through Miami-Dade Human Services. Confirm current openings on FindTreatment.gov rather than treating any directory as a bed list.
Paying for opioid treatment in Miami
Florida Medicaid is administered by the Agency for Health Care Administration (AHCA). Florida has not expanded Medicaid under the ACA, so many low-income adults fall into a coverage gap and rely on DCF-funded Managing Entity slots. Statewide Medicaid Managed Care (SMMC) plans that members may enroll in include Sunshine Health, Simply Healthcare, Humana Medical Plan, Aetna Better Health of Florida, UnitedHealthcare, Molina Healthcare of Florida, and AmeriHealth Caritas Florida - confirm which plans serve your ZIP and whether the provider is in network. If you are uninsured, Thriving Mind South Florida coordinates publicly funded treatment with sliding-fee options.
How to start today
- If this is a medical emergency, call 911 and give naloxone if you have it. For a crisis, call or text 988.
- Call or text (800) 653-9376 to talk through your options with a treatment specialist, or use this form:
Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.
- Search findtreatment.gov with ZIP code 33130 and filter for opioid treatment programs or buprenorphine.
- For a mental health or substance use crisis, call or text 988. Uninsured residents can also ask Thriving Mind South Florida about publicly funded beds.
Medication for opioid use disorder works. The barrier is usually finding an opening and confirming payment - not whether treatment exists in Miami.