The 2025 Ohio Addiction
Treatment Report

Executive Summary

Access to care remains the single greatest barrier for individuals and families facing a substance use disorder. Our 2025 analysis of all 474 licensed treatment facilities in Ohio reveals a complex and contradictory landscape.

While the state is a national leader in financial accessibility through Medicaid (93.9% acceptance) and the adoption of modern telehealth services (88.2%), this success masks critical gaps in geographic availability and the provision of specialized care for both co-occurring disorders and vulnerable populations.

A Story of Success: The Medicaid Gap

The most significant finding of this report is Ohio's overwhelming success in eliminating the financial barrier of Medicaid. Of all licensed facilities, 445 (a striking 93.9%) are listed as accepting Medicaid. This stands in stark contrast to other states and demonstrates a clear, successful policy commitment to providing a path to care for residents on public assistance.

Geographic Disparities: "Treatment Deserts"

Despite Ohio's success with Medicaid, access to care is not evenly distributed. Our analysis of counties with populations over 50,000 reveals significant "treatment deserts," particularly in suburban and exurban counties.

Populous counties such as Warren, Clermont, and Delaware report fewer than 2 facilities per 100,000 residents, with Union County reporting zero. This forces residents to travel to neighboring counties for care, creating a major logistical and financial obstacle to recovery, even if their insurance is accepted.

Ohio's Treatment Oases

Conversely, other counties—primarily in the southern and eastern regions—have a much higher concentration of facilities per capita, indicating a more robust, though geographically isolated, treatment infrastructure.

Core Levels of Care: An Outpatient Focus

The data shows Ohio's treatment infrastructure is heavily weighted toward outpatient services. While an overwhelming 92.4% of facilities offer outpatient care, there is a significant shortage of high-acuity services. Only 22.6% offer residential (non-hospital) services and 27% offer any form of detoxification. This suggests a potential shortage of high-acuity care for those in the most acute stages of withdrawal.

Specialized Care: A Mixed Bag

Ohio shows a strong commitment to modern, evidence-based practices for opioid use disorder, with 78.1% of facilities offering Medication-Assisted Treatment (MAT). However, a significant gap remains for patients with complex needs. Only 60.3% of facilities are equipped to treat co-occurring mental and substance use disorders, a critical need for holistic recovery.

Services for Vulnerable Populations

Access to affirming and culturally competent care is critical. The data reveals alarming shortfalls for specific communities. A strikingly low 5.9% of facilities are listed as serving DUI/DWI clients. Furthermore, less than 40% of facilities offer dedicated programs for Pregnant Women (37.8%), LGBTQ+ clients (38.2%), or Adolescents (30.8%).

The Payment Landscape

Beyond Ohio's success with Medicaid, the payment landscape is robust. Almost 94.7% of facilities accept self-pay, and 82.3% accept private insurance. Crucially, nearly half (48.7%) offer sliding scale fees, providing a financial safety net for those who don't qualify for Medicaid but still cannot afford full-price care.

Modern Care Trends: The Rise of Telehealth

Ohio is a clear leader in the adoption of telehealth. An overwhelming 88.2% of facilities in the state now offer telehealth services. This critical development is vital for bridging the geographic gaps identified in this report, connecting rural and underserved communities with care.