Admissions specialists available 24/7
  • Free
  • Confidential
  • No obligation
Who answers? (833) 589-6933

5 Best Sliding Scale Rehabs in Billings, MT (2026)

We list 5 sliding scale rehabs in Billings, MT, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 5Treatment facilities
  • 0Offer detox
  • 0Inpatient / residential
  • 5Accept 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 5 sliding scale rehabs in Billings, MT

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. Billings Urban Indian Health and – Wellness Center

    Billings, MT

    6.1GoodStartDrugRehab Score 6.1 out of 10
    2.7Google11 reviews

    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
  2. New Directions Counseling

    Billings, MT

    5.8FairStartDrugRehab Score 5.8 out of 10
    5.0Google1 review

    Best for: Intensive outpatient care

    Why it made our list: Offers IOP and outpatient care; accepts private insurance, Medicaid, and self-pay.

    View details
  3. Billings Addiction Counseling LLC

    Billings, MT

    5.8FairStartDrugRehab Score 5.8 out of 10

    Best for: Low-cost outpatient care

    Why it made our list: Offers outpatient care and dual diagnosis care; accepts private insurance, Medicaid, and self-pay.

    View details
  4. Yellowstone Boys and Girls Ranch – Community Based Services

    Billings, MT

    5.4FairStartDrugRehab Score 5.4 out of 10
    2.6Google53 reviews

    Best for: Low-cost outpatient careCOA

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

    View details
  5. Compass/Alternatives Inc

    Billings, MT

    5.3FairStartDrugRehab Score 5.3 out of 10
    2.5Google16 reviews

    Best for: Intensive outpatient care

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

    View details

See the best rehab centers in Billings, MT →

All sliding scale rehabs in Billings, MT

6.1GoodStartDrugRehab Score 6.1 out of 10
2.7Google11 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

5.8FairStartDrugRehab Score 5.8 out of 10
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

Compass/Alternatives Inc

Billings, MT 59101

5.3FairStartDrugRehab Score 5.3 out of 10
2.5Google16 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

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

Payment accepted

Medicaid · Self-pay · Sliding scale +1 more

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

New Directions Counseling

Billings, MT 59102

5.8FairStartDrugRehab Score 5.8 out of 10
5.0Google1 review
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Telehealth

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

5.4FairStartDrugRehab Score 5.4 out of 10
2.6Google53 reviews

COA accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Private insurance · TRICARE +3 more

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

More options in Billings, MT

Sliding Scale Rehabs in other Montana cities

Frequently asked questions

How many sliding scale rehabs are in Billings, MT?

We list 5 sliding scale rehabs in Billings, MT, 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.