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10 Best Sliding Scale Rehabs in Alabama (2026)

We list 53 sliding scale rehabs in Alabama, based on SAMHSA's FindTreatment.gov data, with the most in Mobile (4), Birmingham (3), and Dothan (3). Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 53Treatment facilities
  • 5Offer detox
  • 9Inpatient / residential
  • 46Accept Medicaid

Sliding Scale Fees: the basics

Sliding-scale rehab programs charge based on what you can afford, usually using your income and household size. The lower your income, the less you pay, and some people pay very little. Community health centers, nonprofit programs and publicly funded clinics often use sliding fees. You'll usually need to show proof of income. Read the full guide →

2026 rankings

Top 10 sliding scale rehabs in Alabama

Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank

  1. CCBHC at Vets Recover

    Mobile, AL

    8.2ExcellentStartDrugRehab Score 8.2 out of 10
    4.4Google16 reviews

    Best for: Intensive outpatient careJoint Commission

    Why it made our list: Joint Commission accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  2. Cahaba Medical Care Foundation

    Centreville, AL

    8.2ExcellentStartDrugRehab Score 8.2 out of 10
    4.6Google469 reviews

    Best for: Outpatient care with MATJoint CommissionNCQA

    Why it made our list: Joint Commission and NCQA accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  3. Chilton County Treatment Center

    Clanton, AL

    8.0ExcellentStartDrugRehab Score 8.0 out of 10
    4.1Google19 reviews

    Best for: Supervised detoxCARF

    Why it made our list: CARF accredited; offers detox, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  4. Shelby County Treatment Center

    Alabaster, AL

    8.0ExcellentStartDrugRehab Score 8.0 out of 10
    3.9Google7 reviews

    Best for: Supervised detoxCARF

    Why it made our list: CARF accredited; offers detox, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  5. AltaPointe Health Systems Inc – AltaPointe Substance Use Services

    Mobile, AL

    7.9Very goodStartDrugRehab Score 7.9 out of 10
    3.9Google76 reviews

    Best for: Supervised detoxJoint Commission

    Why it made our list: Joint Commission accredited; offers detox, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  6. Bessemer Neighborhood – Health Center

    Bessemer, AL

    7.4Very goodStartDrugRehab Score 7.4 out of 10
    4.1Google21 reviews

    Best for: Outpatient care with MATCARF

    Why it made our list: CARF accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  7. Dothan Houston County Drug – Treatment Center

    Dothan, AL

    6.6GoodStartDrugRehab Score 6.6 out of 10

    Best for: Intensive outpatient care

    Why it made our list: Offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  8. Northwest Alabama Mental Health Center – Fayette County Outpatient

    Vernon, AL

    6.6GoodStartDrugRehab Score 6.6 out of 10

    Best for: Intensive outpatient care

    Why it made our list: Offers PHP, IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  9. WellStone Inc

    Huntsville, AL

    6.4GoodStartDrugRehab Score 6.4 out of 10
    2.3Google134 reviews

    Best for: Detox and residential care

    Why it made our list: Offers detox, residential care, IOP, and outpatient care; accepts private insurance, Medicaid, and Medicare.

    View details
  10. Fellowship House Inc

    Birmingham, AL

    6.3GoodStartDrugRehab Score 6.3 out of 10
    4.4Google233 reviews

    Best for: Residential treatment

    Why it made our list: Offers residential care, outpatient care, MAT, and dual diagnosis care; accepts self-pay and sliding-scale fees.

    View details

See the best rehab centers in Alabama →

Cities with sliding scale rehabs in AL

All sliding scale rehabs in Alabama

7.9Very goodStartDrugRehab Score 7.9 out of 10
3.9Google76 reviews

Joint Commission accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

8.0ExcellentStartDrugRehab Score 8.0 out of 10
4.1Google19 reviews

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Intensive Outpatient
  • Outpatient
  • +4 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

Shelby County Treatment Center

Alabaster, AL 35007

8.0ExcellentStartDrugRehab Score 8.0 out of 10
3.9Google7 reviews

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Intensive Outpatient
  • Outpatient
  • +4 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

BHG Mobile Treatment Center

Mobile, AL 36609

7.5Very goodStartDrugRehab Score 7.5 out of 10
3.5Google41 reviews

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Intensive Outpatient
  • Outpatient
  • +4 more

Payment accepted

Medicaid · Medicare · Self-pay +2 more

“Get help” calls our free helpline, not this facility.

WellStone Inc

Huntsville, AL 35802

6.4GoodStartDrugRehab Score 6.4 out of 10
2.3Google134 reviews
Setting
In/Outpatient
Operator
Public
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Intensive Outpatient
  • +4 more

Payment accepted

Medicaid · Medicare · Private insurance +4 more

“Get help” calls our free helpline, not this facility.

CCBHC at Vets Recover

Mobile, AL 36604

8.2ExcellentStartDrugRehab Score 8.2 out of 10
4.4Google16 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +4 more

“Get help” calls our free helpline, not this facility.

7.4Very goodStartDrugRehab Score 7.4 out of 10
4.1Google21 reviews

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

Cahaba Medical Care Foundation

Centreville, AL 35042

8.2ExcellentStartDrugRehab Score 8.2 out of 10
4.6Google469 reviews

Joint Commission · NCQA accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

5.9FairStartDrugRehab Score 5.9 out of 10
2.9Google52 reviews
Setting
In/Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Inpatient / Residential
  • Intensive Outpatient
  • Outpatient
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +4 more

“Get help” calls our free helpline, not this facility.

CED Fellowship House Inc

Gadsden, AL 35904

5.6FairStartDrugRehab Score 5.6 out of 10
3.5Google17 reviews
Setting
Inpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Self-pay · Sliding scale · State-funded

“Get help” calls our free helpline, not this facility.

5.9FairStartDrugRehab Score 5.9 out of 10
Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Outpatient
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicaid · Self-pay · Sliding scale +1 more

“Get help” calls our free helpline, not this facility.

Fellowship House Inc

Birmingham, AL 35205

6.3GoodStartDrugRehab Score 6.3 out of 10
4.4Google233 reviews
Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Self-pay · Sliding scale · State-funded

“Get help” calls our free helpline, not this facility.

New Life for Women

Gadsden, AL 35904

5.5FairStartDrugRehab Score 5.5 out of 10
3.6Google25 reviews
Setting
Inpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Medication-Assisted Treatment

Payment accepted

Private insurance · Self-pay · Sliding scale +1 more

“Get help” calls our free helpline, not this facility.

Central Alabama Wellness

Clanton, AL 35045

6.2GoodStartDrugRehab Score 6.2 out of 10
5.0Google1 review
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

6.6GoodStartDrugRehab Score 6.6 out of 10
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

6.0GoodStartDrugRehab Score 6.0 out of 10
3.8Google55 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Private insurance · Self-pay +2 more

“Get help” calls our free helpline, not this facility.

5.8FairStartDrugRehab Score 5.8 out of 10
5.0Google2 reviews
Setting
Inpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Medication-Assisted Treatment
  • Dual Diagnosis

Payment accepted

Self-pay · Sliding scale · State-funded

“Get help” calls our free helpline, not this facility.

6.1GoodStartDrugRehab Score 6.1 out of 10
2.4Google32 reviews

COA · NCQA accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +4 more

“Get help” calls our free helpline, not this facility.

The Shoulder

Spanish Fort, AL 36527

5.5FairStartDrugRehab Score 5.5 out of 10
4.2Google19 reviews
Setting
In/Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Inpatient / Residential
  • Outpatient
  • Telehealth

Payment accepted

Self-pay · Sliding scale · State-funded

“Get help” calls our free helpline, not this facility.

The Shoulder

Mobile, AL 36619

5.2FairStartDrugRehab Score 5.2 out of 10
Setting
In/Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Inpatient / Residential
  • Telehealth

Payment accepted

Self-pay · Sliding scale · State-funded

“Get help” calls our free helpline, not this facility.

AIDS Alabama Inc

Birmingham, AL 35218

6.2GoodStartDrugRehab Score 6.2 out of 10
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

Central Alabama Wellness

Calera, AL 35040

5.7FairStartDrugRehab Score 5.7 out of 10
3.0Google4 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

6.0GoodStartDrugRehab Score 6.0 out of 10
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Self-pay +2 more

“Get help” calls our free helpline, not this facility.

Family Life Center Inc

Attalla, AL 35954

5.8FairStartDrugRehab Score 5.8 out of 10
3.2Google5 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicaid · Self-pay · Sliding scale +1 more

“Get help” calls our free helpline, not this facility.

6.0GoodStartDrugRehab Score 6.0 out of 10
5.0Google2 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +4 more

“Get help” calls our free helpline, not this facility.

6.0GoodStartDrugRehab Score 6.0 out of 10
2.3Google3 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis

Payment accepted

Medicaid · Medicare · Private insurance +4 more

“Get help” calls our free helpline, not this facility.

More options in Alabama

Sliding Scale Rehabs in other states

Frequently asked questions

How many sliding scale rehabs are in Alabama?

We list 53 sliding scale rehabs in Alabama, based on SAMHSA's FindTreatment.gov data (updated October 2026).

Which Alabama cities have the most sliding scale rehabs?

The most listings are in Mobile (4), Birmingham (3), and Dothan (3).

How do I choose the right program?

Look for state licensing and accreditation (The Joint Commission or CARF), the right level of care for your needs, evidence-based therapies, and insurance compatibility. Read our guide to choosing a rehab or call (833) 589-6933 to talk it through.

Will my insurance cover treatment?

Most private plans and Medicaid cover substance use treatment when it's medically necessary, but benefits vary by plan and network. Call (833) 589-6933 for a free, confidential benefits check.

Source: SAMHSA FindTreatment.gov, data updated October 2026. Listings are not endorsements.