Does an addiction medicine or MAT clinic in North Carolina need a medical director?

Q: Does an addiction medicine or MAT clinic in North Carolina need a medical director?

Yes. The rule calls the role Medical Director. Physician responsible for administering all medical services performed by the opioid treatment program.

💊 Addiction Medicine / MAT Clinic · North Carolina

North Carolina: medical director and delegated services for an addiction medicine or MAT clinic

Whether North Carolina requires a physician medical director for an addiction medicine or MAT clinic, the qualifications, duties, and what the state says about the staff who deliver protocol-driven services.

Medical directorMedical director required

Research date2026-08-12

Qualifications

Physician responsible for administering all medical services performed by the opioid treatment program.

Duties the rule assigns

Assumes responsibility for administering all medical services performed by the program, either directly or through delegation to authorized program physicians and healthcare professionals under supervision

Notes

Rests on the federal requirement at 42 C.F.R. § 8.12(f)(4), binding any opioid treatment program (methadone or OTP) regardless of state; SAMHSA certification and DEA narcotic-treatment-program registration are impossible without one. North Carolina's own OTP rule (10A NCAC 27G) should be checked for the state-specific citation.

Sources (1)

42 C.F.R. § 8.12(f)(4) — Federal opioid treatment program standards (program physician)

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