Quick overview
West Virginia has the highest drug overdose death rate of any state, 81.9 per 100,000 in 2023 according to the CDC. Treatment is available: Medicaid covers substance use disorder care, and community behavioral health centers serve all 55 counties. Call HELP4WV, available 24/7, or search the SAMHSA locator to find care.
West Virginia has the highest overdose death rate of any U.S. state, but treatment works and help is available today. Medicaid covers substance use disorder treatment, and a network of community behavioral health centers serves all 55 counties. Start with the SAMHSA treatment locator or call HELP4WV, which answers around the clock.
How severe is the overdose problem in West Virginia?
The CDC's National Center for Health Statistics reports that West Virginia's age-adjusted drug overdose death rate in 2023 was 81.9 deaths per 100,000 people, the highest of any state. The same national data show West Virginia's rate for deaths involving any opioid at 71.6, synthetic opioids such as fentanyl at 69.2, and psychostimulants such as methamphetamine at 46.2.
Those figures describe a population, not a person. Substance use disorder is a treatable condition, and care for opioid and alcohol use disorder is available across West Virginia.
Does West Virginia Medicaid cover addiction treatment?
Yes. West Virginia expanded Medicaid under the Affordable Care Act in 2014, and the program includes behavioral health coverage. Data compiled by the Federal Reserve Bank of Cleveland show that 16.5% of West Virginians aged 18 to 64 were enrolled in the Medicaid expansion group as of December 2024, the seventh-highest rate among expansion states.
The West Virginia Bureau for Medical Services, which administers the state's Medicaid program, lists behavioral health services including outpatient care, targeted case management, and services delivered through licensed behavioral health centers. Benefits and provider networks change, so verify your coverage before choosing a program.
Who runs West Virginia's treatment system?
The West Virginia Bureau for Behavioral Health (BBH) is the state authority for mental health and substance use services. The publicly funded system is anchored by 13 Comprehensive Behavioral Health Centers around the state. Certified Community Behavioral Health Clinics are required to serve anyone who requests care for mental health or substance use, regardless of ability to pay, place of residence, or age.
BBH also oversees the Ryan Brown Addiction Prevention and Recovery Fund, created by the Legislature in 2017. BBH reports that grant funding from the fund expanded residential treatment services and increased residential capacity and the number of treatment beds in the state by 254%.
How to find treatment in West Virginia
- Call HELP4WV for confidential support and referrals 24 hours a day. Staff can connect callers with outpatient counseling, medication for addiction treatment, and residential care.
- Use SAMHSA's FindTreatment.gov locator to search by city, ZIP code, or service type, and filter for payment options such as Medicaid.
- Ask your primary care provider or your local comprehensive behavioral health center about an assessment.
If you would like to talk through options, call or text (800) 653-9376 or use the form below.
Will insurance cover treatment?
Many private plans and West Virginia Medicaid cover at least some level of substance use disorder care. What is covered depends on your plan, your clinical needs, and the provider you choose. We check your benefits before you commit so there are no surprises.
What to expect in treatment
Care is matched to the person. Options range from medically supervised withdrawal (detox) to outpatient counseling, intensive outpatient or residential programs, medication for opioid or alcohol use disorder, and ongoing recovery support.
If you drink heavily or take benzodiazepines, do not stop suddenly. Withdrawal can be dangerous and may require medical supervision. If someone is unresponsive, has trouble breathing, or appears to be overdosing, call 911 immediately. For a mental health crisis, call or text 988.
Reach out any time at (800) 653-9376 to learn which level of care may fit your situation.
Treatment Centers by City in West Virginia
Explore city-specific treatment resources, local detox centers, outpatient clinics, and Medicaid guidance:
Beckley
Local detox facilities, outpatient clinics, and Medicaid recovery options in Beckley, WV.
Bluefield
Local detox facilities, outpatient clinics, and Medicaid recovery options in Bluefield, WV.
Buckhannon
Local detox facilities, outpatient clinics, and Medicaid recovery options in Buckhannon, WV.
Charleston
Local detox facilities, outpatient clinics, and Medicaid recovery options in Charleston, WV.
Clarksburg
Local detox facilities, outpatient clinics, and Medicaid recovery options in Clarksburg, WV.
Elkins
Local detox facilities, outpatient clinics, and Medicaid recovery options in Elkins, WV.
Fairmont
Local detox facilities, outpatient clinics, and Medicaid recovery options in Fairmont, WV.
Huntington
Local detox facilities, outpatient clinics, and Medicaid recovery options in Huntington, WV.
Logan
Local detox facilities, outpatient clinics, and Medicaid recovery options in Logan, WV.
Martinsburg
Local detox facilities, outpatient clinics, and Medicaid recovery options in Martinsburg, WV.
Morgantown
Local detox facilities, outpatient clinics, and Medicaid recovery options in Morgantown, WV.
Parkersburg
Local detox facilities, outpatient clinics, and Medicaid recovery options in Parkersburg, WV.
Point Pleasant
Local detox facilities, outpatient clinics, and Medicaid recovery options in Point Pleasant, WV.
Princeton
Local detox facilities, outpatient clinics, and Medicaid recovery options in Princeton, WV.
Wheeling
Local detox facilities, outpatient clinics, and Medicaid recovery options in Wheeling, WV.
Treatment by city and substance
- Alcohol Rehab and Detox in Beckley, WV
- Benzodiazepine Detox and Treatment in Beckley, WV
- Opioid Treatment and MAT in Beckley, WV
- Alcohol Rehab and Medical Detox in Charleston, WV
- Benzodiazepine Detox and Treatment in Charleston, WV
- Opioid Treatment and MAT in Charleston, WV
- Alcohol Treatment and Detox in Fairmont, WV
- Benzodiazepine Detox and Treatment in Fairmont, WV
- Opioid Treatment and MOUD in Fairmont, WV
- Alcohol Rehab and Detox in Huntington, WV
- Benzodiazepine Detox and Treatment in Huntington, WV
- Opioid Treatment and MAT in Huntington, WV
- Alcohol Rehab and Detox in Martinsburg, WV
- Benzodiazepine Detox and Treatment in Martinsburg, WV
- Opioid Treatment and MAT in Martinsburg, WV
- Alcohol Rehab and Detox in Morgantown, WV
- Benzodiazepine Detox and Treatment in Morgantown, WV
- Opioid Treatment and MAT Clinics in Morgantown, WV
- Alcohol Rehab and Detox in Parkersburg, WV
- Benzodiazepine Detox and Treatment in Parkersburg, WV
- Opioid Treatment and MAT in Parkersburg, WV
- Alcohol Rehab and Detox in Wheeling, WV
- Benzodiazepine Detox and Treatment in Wheeling, WV
- Opioid Treatment and MAT in Wheeling, WV
Frequently asked questions
Does West Virginia Medicaid cover addiction treatment?
Yes. West Virginia expanded Medicaid in 2014 and its Medicaid program covers behavioral health services, including outpatient care and case management. Coverage rules and provider networks change, so confirm your benefits before enrolling in a program.
How do I find a treatment center in West Virginia?
Search the SAMHSA FindTreatment.gov locator by city, ZIP code, or service type and filter for Medicaid. You can also call HELP4WV, a 24/7 line that connects West Virginians with treatment and recovery resources.
Is it safe to stop drinking or using benzodiazepines suddenly?
No. Stopping alcohol or benzodiazepines abruptly after regular use can be dangerous and even life-threatening. Withdrawal should be managed with medical supervision. If someone is unresponsive or struggling to breathe, call 911.
Can I get help without insurance?
In many cases, yes. Certified Community Behavioral Health Clinics in West Virginia must serve anyone who requests care for mental health or substance use, regardless of ability to pay, residence, or age.
What is HELP4WV?
HELP4WV is a statewide call, chat, and text line for West Virginians dealing with addiction or mental health concerns. It answers 24 hours a day and offers confidential referrals.