121 Drug & Alcohol Rehabs In Montana

Sober Nation lists 121 treatment centers across Montana, and they cluster where the population does. Billings has the most at 15 listed centers, followed by Missoula with 11, then Kalispell and Helena with 8 each. Great Falls lists 7, Butte 5, and Havre 4, while smaller communities such as Glendive, Livingston, and Bozeman each list 3. Reading that list from the top down, the takeaway is not only where care is concentrated but how much of the state sits far from any of it.

The available care skews heavily toward the outpatient end. Ninety-four percent of listed centers offer outpatient services and 95% offer aftercare, while only 7% provide medically supervised detox and 11% offer residential treatment. Medication-assisted treatment is available at 29% of centers. On the payment side, 98% of listed centers accept Medicaid and 34% accept Medicare.

Those figures describe the programs in our directory, not the size of the problem itself. For statewide context, federal survey data show that about 20% of Montanans aged 12 and older — roughly 195,000 people — met the criteria for a substance use disorder in the past year, yet nearly three-quarters of those who needed treatment did not receive it (SAMHSA's 2022–2023 National Survey on Drug Use and Health). On overdose, Montana recorded about 170 drug overdose deaths in 2024, an age-adjusted rate of roughly 15 per 100,000 residents, with methamphetamine involved in about 49% of them — more than any other drug (CDC / National Center for Health Statistics).

Most people do not need every level of care; the real question is where to start. Medically supervised detox is the scarcest service in Montana, offered by just 7% of listed centers — so if you expect significant withdrawal from alcohol, benzodiazepines, or opioids, confirming that a detox program is available near you is the first call to make. Residential, or inpatient, care is offered by 11% of centers and provides 24-hour structure, often as the step immediately after detox.

Outpatient care, at 94%, is by far the most widely available level; it lets people keep living at home and working while attending scheduled sessions, which is a practical fit given how far apart Montana communities are. Medication-assisted treatment, available at 29% of centers, pairs FDA-approved medications with counseling and is used mainly for opioid and alcohol use disorders. Aftercare, offered by 95% of centers, is the ongoing support — recovery groups, alumni programs, relapse-prevention planning — that holds progress together once formal treatment ends. For many people the path runs from detox to residential or outpatient and then into aftercare, but there is no single correct sequence; it depends on the substance, the severity, and your circumstances.

Cost is the first worry for most families, and in Montana the most important figure is this: 98% of the treatment centers listed here accept Medicaid. That makes public coverage the single widest door into care in the state. Montana expanded Medicaid eligibility in 2016 and made the expansion permanent in 2025, so many adults who once fell into a coverage gap now qualify — worth re-checking even if you were turned down in the past. Medicare is accepted at 34% of listed centers, which matters for adults 65 and older and for some people with disabilities.

Private insurance is another route; federal parity law — the Mental Health Parity and Addiction Equity Act — generally requires health plans that cover mental health and addiction treatment to do so on terms no more restrictive than other medical and surgical care, though what a specific plan approves still varies, so verify your benefits before you commit. For anyone without coverage, do not assume treatment is out of reach — ask facilities directly about sliding-scale fees, state-funded treatment slots, and payment plans. Availability changes from program to program, so the only reliable move is to call and ask about your exact situation.

A few starting points beyond this directory:

• Montana's designated Single State Agency for substance use services is the Behavioral Health and Developmental Disabilities Division within the state Department of Public Health and Human Services. It administers public funding and can point you toward state-supported programs.
• NAMI Montana, the state chapter of the National Alliance on Mental Illness, offers education, family support groups, and help making sense of the mental health and addiction systems.
• The 988 Suicide & Crisis Lifeline is available 24/7 by call or text and connects you to trained counselors and, in many areas, local crisis resources.

These are not a substitute for treatment, but they are a place to start when you are not sure where to turn. A single call to any of them can save hours of searching, and none will push you toward a particular facility.