38 of the 42 Vermont programs in our directory are government-run, offer reduced fees or accept Medicaid. Call a program to confirm what it charges and whether you qualify.
Each count comes from the payment details programs report in our directory. The counts overlap: a program with a sliding scale that also takes Medicaid appears in both. When one organization lists a site more than once, it counts once.
Programs that don't charge, are government-run or offer reduced fees are listed first, followed by programs whose low-cost option is Medicaid. Showing 21 to 38 of 38.
South Burlington, VT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
Saint Johnsbury, VT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
Saint Albans, VT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
Wallingford, VT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
Rutland, VT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
Burlington, VT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
Burlington, VT
Substance use treatment · Cognitive behavioral therapy · Dialectical behavior therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
Bradford, VT
Substance use treatment · SAMHSA-certified Opioid Treatment Program · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
Montpelier, VT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
Rutland, VT
Substance use treatment · All Clients in Opioid Treatment Program · SAMHSA-certified Opioid Treatment Program
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
Brattleboro, VT
Substance use treatment · SAMHSA-certified Opioid Treatment Program · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
Townshend, VT
Substance use treatment · Cognitive behavioral therapy · Substance abuse counseling
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
South Burlington, VT
Substance use treatment · All Clients in Opioid Treatment Program · SAMHSA-certified Opioid Treatment Program
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
Burlington, VT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
Manchester Center, VT
Substance use treatment · Does not treat opioid addiction · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
Rutland, VT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
Bennington, VT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
Vergennes, VT
Substance use treatment · Cognitive behavioral therapy · Dialectical behavior therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
To talk with a treatment representative about programs and costs, call the sponsored hotline. It's available 24/7.
There's no single national rule. Each state runs its own publicly funded treatment system and sets its own eligibility rules. In Vermont, Vermont Department of Health, Division of Substance Use Programs (DSU) oversees publicly funded substance use services.
Federal rules do set some priorities. Programs that get SAMHSA substance use block grant funds and serve women have to give pregnant women preference for admission. Funded programs that serve people who inject drugs give treatment preference in this order:
A program that reports "no payment accepted" doesn't charge patients. Government-run programs may still bill insurance or use a sliding scale, and eligibility can depend on where you live, your income and whether you're insured. Ask before you go.
Vermont Department of Health, Division of Substance Use Programs (DSU) is the Vermont agency for publicly funded substance use treatment. Visit the Vermont Department of Health, Division of Substance Use Programs (DSU) website for help finding treatment.
37 of the 42 Vermont programs in our directory say they accept Medicaid, and 36 accept a state-financed health plan other than Medicaid. Vermont's Medicaid program is Green Mountain Care.
State Medicaid programs cover addiction treatment to different degrees. Whether detox, residential care, outpatient programs or medication for opioid use disorder are covered depends on Vermont's rules and your plan, so check with both the program and your plan. Check eligibility and apply.
In Vermont, substance use treatment programs are licensed or certified by Vermont Department of Health, Division of Substance Use Programs (certifies preferred/approved SUD treatment providers).
None of the 42 Vermont programs in our directory report that they accept no payment, but 2 are run by a state, county, tribal or federal agency and may be free or low-cost for people who qualify. Both government-run programs are run by the VA, the Department of Defense or the Indian Health Service. Those programs serve only eligible veterans, military health system patients or American Indian and Alaska Native patients. Ask about cost and eligibility when you call. If you have no insurance, SAMHSA's National Helpline (see samhsa.gov) can refer you to Vermont Department of Health, Division of Substance Use Programs (DSU), which handles state-funded treatment.
37 of the 42 Vermont programs in our directory say they accept Medicaid. Vermont's Medicaid program is Green Mountain Care. State Medicaid programs cover addiction treatment to different degrees, so ask the program and your Medicaid plan which services are covered before you start.
It depends on the type of care, how long it lasts and the program itself. Outpatient care usually costs less than a residential stay. In Vermont, 26 programs in our directory use a sliding fee scale based on income, and 13 offer payment assistance. Ask for the self-pay rate and whether you qualify for a reduced fee before you're admitted.
Under federal block grant rules, programs that get block grant funds and serve women must give pregnant women preference for admission. Funded programs that serve people who inject drugs give treatment preference in this order: pregnant women who inject drugs, other pregnant women with a substance use disorder, people who inject drugs, and then everyone else (45 CFR 96.131). Other eligibility rules vary by state, so ask the program or Vermont Department of Health, Division of Substance Use Programs (DSU).
A sliding fee scale sets what you pay based on your income and other factors. Payment assistance varies more: each program decides what help it offers, so ask what's available and what paperwork you'll need.
Yes. Veterans can ask the VA about substance use treatment through VA health care. American Indian and Alaska Native people can contact the Indian Health Service or a tribal health program about alcohol and substance use services.
Program counts: data updated September 2026.
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