We list 150 sliding scale rehabs in Missouri, based on SAMHSA's FindTreatment.gov data, with the most in Saint Louis (10), Kansas City (9), and Columbia (5). Compare services, insurance accepted and accreditation, or call for free help choosing.
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
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: Residential treatmentJoint CommissionCARF
Why it made our list: Joint Commission, CARF, COA, and NCQA accredited; offers residential care, PHP, IOP, and outpatient care; accepts private insurance, Medicaid, and Medicare.
Best for: Residential treatmentJoint CommissionCARF
Why it made our list: Joint Commission and CARF accredited; offers residential care, PHP, IOP, and outpatient care; accepts private insurance, Medicaid, and Medicare.
Best for: Residential treatmentJoint Commission
Why it made our list: Joint Commission accredited; offers residential care, PHP, IOP, and outpatient care; accepts private insurance, Medicaid, and Medicare.
Best for: Supervised detoxCARF
Why it made our list: CARF accredited; offers detox, PHP, IOP, and outpatient care; accepts private insurance, Medicaid, and self-pay.
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 Medicare.
Best for: Residential treatmentCARF
Why it made our list: CARF accredited; offers residential care, PHP, IOP, and outpatient care; accepts private insurance, Medicaid, and self-pay.
Best for: Residential treatmentCARF
Why it made our list: CARF accredited; offers residential care, PHP, IOP, and outpatient care; accepts Medicaid, Medicare, and TRICARE.
Best for: Intensive outpatient careCARF
Why it made our list: CARF accredited; offers PHP, 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 MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careCARFNCQA
Why it made our list: CARF and NCQA accredited; offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Kirksville, MO 63501
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Farmington, MO 63640
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Poplar Bluff, MO 63901
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Salem, MO 65560
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Joint Commission · CARF · COA · NCQA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Joplin, MO 64804
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Saint Louis, MO 63108
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Saint Louis, MO 63118
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Jefferson City, MO 65101
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Kansas City, MO 64133
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Columbia, MO 65203
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Linn Creek, MO 65052
Joint Commission · CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Clinton, MO 64735
Joint Commission · CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Clinton, MO 64735
Joint Commission · CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Joplin, MO 64804
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
West Plains, MO 65775
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
West Plains, MO 65775
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Cape Girardeau, MO 63703
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Lees Summit, MO 64081
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Saint Louis, MO 63120
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Saint Charles, MO 63301
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Joplin, MO 64804
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Bolivar, MO 65613
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Rolla, MO 65401
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Warrensburg, MO 64093
Joint Commission · CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Kennett, MO 63857
Joint Commission · CARF · COA · NCQA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Kansas City, MO 64108
CARF accredited
Levels of care
Payment accepted
Medicaid · Sliding scale
“Get help” calls our free helpline, not this facility.
Kansas City, MO 64109
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Kansas City, MO 64108
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Kansas City, MO 64134
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
We list 150 sliding scale rehabs in Missouri, based on SAMHSA's FindTreatment.gov data (updated October 2026).
The most listings are in Saint Louis (10), Kansas City (9), and Columbia (5).
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.
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.
