Hawaii · 84 licensed programs in 26 cities
We list 84 licensed drug and alcohol treatment facilities in Hawaii across 26 cities, with the most in Honolulu, Kaneohe, Kailua, and Waianae. 7 offer detox, 11 provide residential care and 33 accept Med-QUEST (Hawaii Medicaid).
2026 rankings
Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank
Best for: Detox and residential careCARF
Why it made our list: CARF accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and self-pay.
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.
Best for: Detox and residential careCARF
Why it made our list: CARF accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and self-pay.
Best for: Intensive outpatient careCARFNCQA
Why it made our list: CARF and NCQA accredited; offers PHP, IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and self-pay.
Best for: Intensive outpatient careCARF
Why it made our list: CARF accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and self-pay.
Best for: Private-pay residential careJoint CommissionCARF
Why it made our list: Joint Commission and CARF accredited; offers detox, residential care, MAT, and dual diagnosis care; accepts private insurance, TRICARE, and self-pay.
Best for: Intensive outpatient careCARFCOA
Why it made our list: CARF and COA accredited; offers IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Methadone treatmentCARF
Why it made our list: CARF accredited; offers IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careCARF
Why it made our list: CARF accredited; offers PHP, IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and self-pay.
Best for: Intensive outpatient careCARF
Why it made our list: CARF accredited; offers IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
There are 84 licensed drug and alcohol treatment facilities in Hawaii in our directory, across 26 cities. 11 offer residential (inpatient) rehab, 7 offer detox and 16 provide medication-assisted treatment, based on SAMHSA FindTreatment.gov data updated October 2026.
Level of care
Insurance & cost
Specialized programs
Most people pay for rehab with health insurance. 32 facilities in Hawaii accept private insurance and 33 accept Medicaid (Med-QUEST (Hawaii Medicaid)). Under the Affordable Care Act and federal parity law, most plans must cover addiction treatment much like other medical care, though deductibles, prior authorization and network rules apply.
Without insurance, 62 programs report state or SAMHSA block-grant funding for people who qualify, and 9 offer sliding-scale fees based on income. What you pay depends mostly on the level of care: outpatient programs cost far less than residential rehab or medically managed detox.
Rehab coverage guides by insurer:
Not sure what your plan covers? Call (833) 589-6933 for a free, confidential benefits check.
Kaneohe, HI 96744
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Honolulu, HI 96817
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Kailua Kona, HI 96745
Joint Commission · CARF accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Honolulu, HI 96813
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Honolulu, HI 96819
Joint Commission accredited
Levels of care
Payment accepted
Medicare · Private insurance · TRICARE
“Get help” calls our free helpline, not this facility.
Kahuku, HI 96731
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance
“Get help” calls our free helpline, not this facility.
Kealakekua, HI 96750
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Kahului, HI 96732
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Kaneohe, HI 96744
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Kailua, HI 96734
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Waipahu, HI 96797
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Honolulu, HI 96817
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Honolulu, HI 96816
CARF accredited
Levels of care
Payment accepted
Medicaid · Self-pay · State-funded
“Get help” calls our free helpline, not this facility.
Keaau, HI 96749
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Honolulu, HI 96819
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance
“Get help” calls our free helpline, not this facility.
Wailuku, HI 96793
CARF · NCQA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Hilo, HI 96720
CARF · NCQA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Honolulu, HI 96819
CARF · NCQA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Lihue, HI 96766
CARF · NCQA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Kailua Kona, HI 96740
CARF · NCQA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Pearl City, HI 96782
CARF · NCQA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Hilo, HI 96720
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Honolulu, HI 96817
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Waikoloa, HI 96738
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Kailua Kona, HI 96740
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Pahoa, HI 96778
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Hilo, HI 96720
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
CARF · COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance
“Get help” calls our free helpline, not this facility.
Kaneohe, HI 96744
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Kaneohe, HI 96744
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale
“Get help” calls our free helpline, not this facility.
Substance-free housing, including Oxford Houses, for early recovery after or alongside treatment.
Kahului, HI 96732
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Honolulu, HI 96817
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Waianae, HI 96792
Levels of care
Payment accepted
Medicaid · Medicare · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Rehab guide
Your Hawaii rehab guide
Treatment options in Hawaii range from outpatient counseling a few hours a week to medically supervised detox and 24-hour residential programs. Of the 84 facilities listed here, 7 offer detox, 11 provide residential (inpatient) treatment, 16 offer medication-assisted treatment (MAT) and 3 are federally certified opioid treatment programs that dispense methadone.
The right level of care depends on how severe the substance use is, whether withdrawal could be dangerous, other health conditions and the support you have at home. A clinical assessment, often free over the phone, is the usual first step.
33 facilities in Hawaii report accepting Medicaid (Med-QUEST (Hawaii Medicaid)) and 32 accept private health insurance. Under the Affordable Care Act and federal parity law, most health plans must cover substance use disorder treatment on terms comparable to other medical care, though prior authorization and network rules apply.
If you have no insurance, 62 programs in Hawaii report government or SAMHSA block-grant funding, which can pay for treatment for people who qualify. Many others offer sliding-scale fees based on income.
The Hawaii Department of Health, Alcohol and Drug Abuse Division (ADAD) oversees publicly funded substance use treatment in Hawaii. Hawaii CARES is the state's coordinated entry point for substance use and mental health treatment referrals. Visit the agency.
For a free referral, contact Hawaii CARES at 808-832-3100.
Hawaii has expanded Medicaid, so adults with incomes up to about 138% of the federal poverty level can qualify for Med-QUEST (Hawaii Medicaid), which covers addiction treatment.
In Hawaii, the law allows a court to order involuntary treatment for a substance use disorder in limited circumstances, usually when the person is a danger to themselves or others or cannot care for themselves. An order can last up to 90 days. Laws and procedures change, so contact the local court clerk or an attorney before filing.
If you or someone else is in danger, call 911. For a mental health or substance use crisis, call or text 988 (the Suicide & Crisis Lifeline). SAMHSA's National Helpline, 1-800-662-4357, is free, confidential and open 24/7 for treatment referrals.
Our directory lists 84 licensed substance use treatment facilities in Hawaii, based on SAMHSA's FindTreatment.gov data.
Yes. Medicaid programs cover substance use disorder treatment, and 33 facilities in Hawaii report accepting Med-QUEST (Hawaii Medicaid). Covered services and provider networks vary by plan, so confirm with the program before admission.
62 programs in Hawaii report state or federal (SAMHSA block grant) funding, which can cover treatment for people without insurance who qualify. Call (833) 589-6933 or SAMHSA's helpline at 1-800-662-4357 for help finding a low-cost option.
In Hawaii, the law allows a court to order involuntary treatment for a substance use disorder in limited circumstances, usually when the person is a danger to themselves or others or cannot care for themselves. An order can last up to 90 days.
Yes. You can reach Hawaii CARES at 808-832-3100 for free referrals. You can also call SAMHSA's National Helpline at 1-800-662-4357 or call or text 988 in a crisis.
Our directory lists 84 licensed substance use treatment facilities in Hawaii, based on SAMHSA's FindTreatment.gov data (updated October 2026). Listings include outpatient, residential, detox and medication-assisted treatment programs.
Yes. 7 programs in Hawaii offer detoxification (medically supervised withdrawal) services. Alcohol and benzodiazepine withdrawal can be dangerous, so medical supervision is strongly recommended.
33 facilities in Hawaii report accepting Medicaid (Med-QUEST (Hawaii Medicaid)). Coverage depends on your plan and the program's network, so confirm before admission.
32 facilities in Hawaii accept private health insurance. Benefits vary by plan (deductibles, prior authorization, in- vs. out-of-network). Call (833) 589-6933 for a free insurance check.
11 facilities in Hawaii offer residential (inpatient) treatment, where you live on site 24/7 while in care. Learn more about inpatient rehab.
Yes. 16 programs in Hawaii use FDA-approved medications such as buprenorphine, naltrexone or methadone. See our guide to MAT.
Residential programs commonly run 28 to 30 days, with longer stays of 60 to 90 days for more severe addiction, and detox alone usually takes 3 to 10 days. The National Institute on Drug Abuse notes that most people need at least three months of treatment, across all levels of care, to significantly reduce or stop drug use, and that longer treatment is linked to better outcomes. 11 facilities in Hawaii offer residential care.
Most people use private health insurance, Medicaid (Med-QUEST (Hawaii Medicaid)), Medicare or TRICARE, which are required to cover substance use treatment. People without insurance may qualify for state- or SAMHSA-funded programs (62 in Hawaii report this funding) or sliding-scale fees. Call (833) 589-6933 for a free benefits check.
Cost depends mainly on the level of care and your coverage. Outpatient counseling is the least expensive; intensive outpatient and partial hospitalization cost more; residential rehab and medically managed detox cost the most because they include 24-hour care. With insurance, your share is set by your deductible, copays and out-of-pocket maximum, so verify benefits with the program before admission.
Yes. Many people travel for treatment, for example to put distance between themselves and triggers or to reach a specialized program. Check whether your plan covers out-of-state or out-of-network care first: Medicaid generally covers only in-state providers, while many private plans have national networks.
