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4 Best Sliding Scale Rehabs in Des Moines, IA (2026)

We list 6 sliding scale rehabs in Des Moines, IA, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 6Treatment facilities
  • 0Offer detox
  • 3Inpatient / residential
  • 6Accept 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 4 sliding scale rehabs in Des Moines, IA

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. MercyOne House Mercy – Des Moines

    Des Moines, IA

    8.0ExcellentStartDrugRehab Score 8.0 out of 10
    3.7Google12 reviews

    Best for: Residential treatmentCARF

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

    View details
  2. Youth and Shelter Services – Rooftop Gardens OP

    Des Moines, IA

    7.4Very goodStartDrugRehab Score 7.4 out of 10
    5.0Google1 review

    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 TRICARE.

    View details
  3. Youth and Shelter Services (YSS) – Ihyc

    Des Moines, IA

    7.4Very goodStartDrugRehab Score 7.4 out of 10

    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 TRICARE.

    View details
  4. Community and Family Resources – Des Moines/Bernie Lorenz Recovery

    Des Moines, IA

    7.2Very goodStartDrugRehab Score 7.2 out of 10
    3.6Google11 reviews

    Best for: Residential treatmentCARF

    Why it made our list: CARF accredited; offers residential care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and self-pay.

    View details

See the best rehab centers in Des Moines, IA →

All sliding scale rehabs in Des Moines, IA

8.0ExcellentStartDrugRehab Score 8.0 out of 10
3.7Google12 reviews

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

7.2Very goodStartDrugRehab Score 7.2 out of 10
3.6Google11 reviews

CARF accredited

Setting
Inpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Private insurance · Self-pay +2 more

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

6.5GoodStartDrugRehab Score 6.5 out of 10
3.0Google29 reviews

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Inpatient / Residential
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Private insurance · Self-pay +2 more

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

6.8GoodStartDrugRehab Score 6.8 out of 10
3.0Google29 reviews

CARF accredited

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.

7.4Very goodStartDrugRehab Score 7.4 out of 10
5.0Google1 review

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Private insurance · TRICARE +2 more

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

7.4Very goodStartDrugRehab Score 7.4 out of 10

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Private insurance · TRICARE +2 more

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

More options in Des Moines, IA

Sliding Scale Rehabs in other Iowa cities

Frequently asked questions

How many sliding scale rehabs are in Des Moines, IA?

We list 6 sliding scale rehabs in Des Moines, IA, based on SAMHSA's FindTreatment.gov data (updated October 2026).

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.