Montana · 69 licensed programs in 33 cities
We list 69 licensed drug and alcohol treatment facilities in Montana across 33 cities, with the most in Billings, Helena, Missoula, and Great Falls. 8 offer detox, 11 provide residential care and 66 accept Montana 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 careJoint CommissionNCQA
Why it made our list: Joint Commission and NCQA accredited; offers detox, residential care, outpatient care, and MAT; 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 TRICARE.
Best for: Intensive outpatient careCARFCOA
Why it made our list: CARF and COA accredited; offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careJoint Commission
Why it made our list: Joint Commission accredited; offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and TRICARE.
Best for: Private-pay residential careJoint Commission
Why it made our list: Joint Commission accredited; offers detox, residential care, MAT, and dual diagnosis care; accepts private insurance and self-pay.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Methadone treatmentCARF
Why it made our list: CARF accredited; offers outpatient care and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Supervised detox
Why it made our list: Offers detox, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and TRICARE.
Best for: Intensive outpatient care
Why it made our list: Offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Supervised detoxNCQA
Why it made our list: NCQA accredited; offers detox, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
There are 69 licensed drug and alcohol treatment facilities in Montana in our directory, across 33 cities. 11 offer residential (inpatient) rehab, 8 offer detox and 29 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. 65 facilities in Montana accept private insurance and 66 accept Medicaid (Montana 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, 39 programs report state or SAMHSA block-grant funding for people who qualify, and 42 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.
Billings, MT 59101
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Helena, MT 59602
Joint Commission · NCQA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Great Falls, MT 59401
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Missoula, MT 59802
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Butte, MT 59701
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Billings, MT 59102
CARF · COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Troy, MT 59935
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Kalispell, MT 59901
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Billings, MT 59102
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Belgrade, MT 59714
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Kalispell, MT 59901
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Missoula, MT 59801
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Helena, MT 59601
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Great Falls, MT 59401
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Livingston, MT 59047
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Helena, MT 59624
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Bozeman, MT 59715
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Havre, MT 59501
NCQA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Livingston, MT 59047
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Martin City, MT 59926
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Columbia Falls, MT 59912
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Great Falls, MT 59405
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Helena, MT 59601
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale +1 more
“Get help” calls our free helpline, not this facility.
Billings, MT 59101
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Billings, MT 59102
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Helena, MT 59601
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Superior, MT 59872
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Forsyth, MT 59327
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Great Falls, MT 59401
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Kalispell, MT 59901
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Substance-free housing, including Oxford Houses, for early recovery after or alongside treatment.
Helena, MT 59602
Joint Commission · NCQA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Billings, MT 59102
CARF · COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Livingston, MT 59047
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Residential, inpatient and partial hospitalization programs for mental health conditions.
Great Falls, MT 59405
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Eureka, MT 59917
Levels of care
Payment accepted
Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Billings, MT 59101
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Rehab guide
Your Montana rehab guide
Treatment options in Montana range from outpatient counseling a few hours a week to medically supervised detox and 24-hour residential programs. Of the 69 facilities listed here, 8 offer detox, 11 provide residential (inpatient) treatment, 29 offer medication-assisted treatment (MAT) and 4 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.
66 facilities in Montana report accepting Medicaid (Montana Medicaid) and 65 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, 39 programs in Montana 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 Montana DPHHS, Behavioral Health and Developmental Disabilities Division oversees publicly funded substance use treatment in Montana. Visit the agency.
Montana has expanded Medicaid, so adults with incomes up to about 138% of the federal poverty level can qualify for Montana Medicaid, which covers addiction treatment.
Montana's commitment law covers mental disorders; substance use alone is not a basis for involuntary commitment. 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 69 licensed substance use treatment facilities in Montana, based on SAMHSA's FindTreatment.gov data.
Yes. Medicaid programs cover substance use disorder treatment, and 66 facilities in Montana report accepting Montana Medicaid. Covered services and provider networks vary by plan, so confirm with the program before admission.
39 programs in Montana 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.
Montana's commitment law covers mental disorders; substance use alone is not a basis for involuntary commitment.
Our directory lists 69 licensed substance use treatment facilities in Montana, based on SAMHSA's FindTreatment.gov data (updated October 2026). Listings include outpatient, residential, detox and medication-assisted treatment programs.
Yes. 8 programs in Montana offer detoxification (medically supervised withdrawal) services. Alcohol and benzodiazepine withdrawal can be dangerous, so medical supervision is strongly recommended.
66 facilities in Montana report accepting Medicaid (Montana Medicaid). Coverage depends on your plan and the program's network, so confirm before admission.
65 facilities in Montana 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 Montana offer residential (inpatient) treatment, where you live on site 24/7 while in care. Learn more about inpatient rehab.
Yes. 29 programs in Montana 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 Montana offer residential care.
Most people use private health insurance, Medicaid (Montana Medicaid), Medicare or TRICARE, which are required to cover substance use treatment. People without insurance may qualify for state- or SAMHSA-funded programs (39 in Montana 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.
