Does a addiction medicine / mat clinic in North Carolina need a medical director?

Q: Does a addiction medicine / 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 for a addiction medicine / mat clinic

Whether North Carolina requires a physician medical director for a addiction medicine / mat clinic, the qualifications, duties and the rule it comes from.

Medical directorMedical director required

Title in the ruleMedical Director

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/OTP) regardless of state — SAMHSA certification and DEA narcotic-treatment-program registration are impossible without one. This pass could NOT reach NC's own OTP rule (10A NCAC 27G) to confirm a state-specific citation (every other state in this batch with an OTP rule names one) — flag as an open item for follow-up, not as doubt that some requirement applies.

Sources (1)

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

Every agreement North Carolina names · Addiction Medicine / MAT Clinic in other states