What medications are used to treat opioid use disorder?

Three FDA-approved medications: buprenorphine, methadone, and naltrexone. West Virginia's Medicaid State Plan confirms MAT is covered as a benefit for members who meet medical necessity criteria, with methadone provided through certified Opioid Treatment Programs and buprenorphine and naltrexone available through enrolled prescribers.

Can I get buprenorphine without going to a daily clinic?

Often, yes. West Virginia Medicaid covers office-based medication-assisted treatment with buprenorphine or naltrexone through enrolled providers, under policy that requires an evaluation by a physician, PA, or APRN before prescribing. Methadone is different: it is dispensed only through licensed Opioid Treatment Programs.

How bad is fentanyl in Monongalia County?

The state's county profile shows fentanyl involved in 51% of Monongalia County's 49 overdose deaths in 2024, with the death count down from 77 in 2023. The same profile records opioid prescription dispensing down 56.8% from 2014 to 2024, reflecting the shift toward illicit fentanyl.

Who do I call to start treatment today?

HELP4WV, 1-844-HELP4WV, is West Virginia's free 24/7 referral line, or call our helpline at (800) 653-9376. In an overdose emergency, call 911; naloxone reverses opioid overdoses. For a crisis that is not a medical emergency, call or text 988.

Opioid Treatment and MAT Clinics in Morgantown, WV

Q: Does Morgantown have a Quick Response Team?

Yes. The Monongalia County Health Department's QRT sends peer recovery support specialists and partner agencies to contact people within 24 to 72 hours of a suspected overdose. The health department reports each successful contact multiplies the likelihood of connecting to treatment twelvefold; in 2024 it reached 324 of 489 people attempted.

If you are opioid-dependent in Morgantown, the treatment with the strongest evidence behind it is medication: buprenorphine, methadone, or naltrexone, paired with counseling. West Virginia Medicaid covers all three as a plan benefit, and Monongalia County's Quick Response Team can reach you within days of an overdose. Fentanyl was involved in 51% of the county's 49 overdose deaths in 2024 — the risk of waiting is real, and starting medication is the fastest proven way to cut it.

How MAT coverage works under West Virginia Medicaid

West Virginia's Medicaid State Plan Amendment 25-0005, approved by CMS, confirms three things that matter if you are deciding whether you can afford treatment:

MAT is covered as a benefit for adults and children who meet medical necessity criteria
Naltrexone, buprenorphine, and methadone are covered in all FDA-approved forms
Methadone is provided through certified Opioid Treatment Programs as a bundled service that includes medication, administration, labs, and therapy

Medicaid's provider manual adds the practical detail for the office-based route: buprenorphine or naltrexone starts with an evaluation by an enrolled physician, physician assistant, or APRN, and members are also offered individual or group therapy as part of the care agreement. Some services require prior authorization. Managed care plans follow BMS policy on this, so ask any program you contact whether it is Medicaid-enrolled.

What the Monongalia County data shows

The state ODCP's Monongalia County At-A-Glance 2025 profile, drawing on vital statistics and Board of Pharmacy data for the county's 108,697 residents, records 49 overdose deaths in 2024, down from 77 in 2023. Fentanyl was involved in 51% of the 2024 deaths, methamphetamine in 43%, benzodiazepines in 31%, and cocaine in 22%. Opioid prescription dispensing fell 56.8% between 2014 and 2024 — the deaths now track illicit fentanyl, not prescriptions.

Valley Healthcare System is the county's local comprehensive behavioral healthcare provider and a Certified Community Behavioral Health Clinic, which obligates it to serve people regardless of ability to pay. The state profile's resources list points to West Virginia's certified recovery residence locator for peer-run recovery housing in the area, which gives MAT patients a stable place to live while in care.

The county Quick Response Team and how people actually connect

Monongalia County's QRT, run by the county health department, was one of West Virginia's pilot teams. Peer recovery support specialists and partner agencies attempt contact within 24 to 72 hours of a suspected overdose. The health department reports that each successful interaction multiplies the likelihood of a person connecting to treatment twelvefold, and that in 2024 the team successfully contacted 324 of the 489 people it attempted to reach.

If no one has knocked on your door yet, you do not have to wait for that. Three routes start today:

Call HELP4WV at 1-844-HELP4WV — free, confidential, 24/7, statewide
Call our helpline at (800) 653-9376 and talk through buprenorphine, OTP, and residential options
Walk into any Certified Community Behavioral Health Clinic and ask for a substance use assessment

How to start today

Call or text (800) 653-9376 to talk through treatment options with a person — no pressure, no commitment. Or use the form below and we will reach out:

Calling is free; the referral service is paid for by treatment providers.

Emergency and crisis lines

For a suspected overdose, call 911 immediately and give naloxone if you have it. For a non-medical crisis, call or text 988. Keep naloxone on hand if you or anyone around you uses opioids — the state distributes kits free through local programs.