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10 Best Intensive Outpatient Programs in Montana (2026)

We list 21 intensive outpatient programs in Montana, based on SAMHSA's FindTreatment.gov data, with the most in Billings (6), Helena (3), and Livingston (2). Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 21Treatment facilities
  • 2Offer detox
  • 4Inpatient / residential
  • 20Accept Medicaid

Intensive Outpatient (IOP): the basics

An intensive outpatient program (IOP) is addiction treatment that meets several times a week for a few hours at a time while you live at home. Adult programs commonly provide about 9 to 19 hours of therapy a week, often for several weeks to a few months. IOP fits people who need more than weekly counseling but not 24-hour care. Read the full guide →

2026 rankings

Top 10 intensive outpatient programs in Montana

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. Rimrock – Main Building

    Billings, MT

    8.5ExcellentStartDrugRehab Score 8.5 out of 10
    3.8Google25 reviews

    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.

    View details
  2. New Day Inc – Eagle’s Nest Adult Treatment Program

    Billings, MT

    8.0ExcellentStartDrugRehab Score 8.0 out of 10
    3.8Google25 reviews

    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.

    View details
  3. BIG SKY Treatment – Montana

    Kalispell, MT

    7.9Very goodStartDrugRehab Score 7.9 out of 10
    4.6Google29 reviews

    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.

    View details
  4. Helena Valley Addiciton Services

    Helena, MT

    7.0Very goodStartDrugRehab Score 7.0 out of 10
    4.7Google13 reviews

    Best for: Supervised detox

    Why it made our list: Offers detox, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and TRICARE.

    View details
  5. Benefis Hospitals Inc – Behavioral Health Services

    Great Falls, MT

    6.9GoodStartDrugRehab Score 6.9 out of 10
    4.3Google9 reviews

    Best for: Intensive outpatient care

    Why it made our list: Offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  6. Southwest Chemical Dependency Program – Main office

    Livingston, MT

    6.7GoodStartDrugRehab Score 6.7 out of 10
    1.0Google1 review

    Best for: Residential treatment

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

    View details
  7. YWCA Helena

    Helena, MT

    6.6GoodStartDrugRehab Score 6.6 out of 10
    4.3Google24 reviews

    Best for: Residential treatment

    Why it made our list: Offers residential care, IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and TRICARE.

    View details
  8. Many Rivers Whole Health – Great Falls

    Great Falls, MT

    6.3GoodStartDrugRehab Score 6.3 out of 10
    3.2Google36 reviews

    Best for: Residential treatment

    Why it made our list: Offers residential care, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and TRICARE.

    View details
  9. Oxytocin

    Kalispell, MT

    6.2GoodStartDrugRehab Score 6.2 out of 10
    3.3Google13 reviews

    Best for: Intensive outpatient care

    Why it made our list: Offers PHP, IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and TRICARE.

    View details
  10. Trailhead Counseling Center

    Whitefish, MT

    6.1GoodStartDrugRehab Score 6.1 out of 10
    4.6Google9 reviews

    Best for: Intensive outpatient care

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

    View details

See the best rehab centers in Montana →

Cities with intensive outpatient programs in MT

All intensive outpatient programs in Montana

Rimrock – Main Building

Billings, MT 59101

8.5ExcellentStartDrugRehab Score 8.5 out of 10
3.8Google25 reviews

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Hospital Inpatient
  • +6 more

Payment accepted

Medicaid · Private insurance · TRICARE +2 more

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

8.0ExcellentStartDrugRehab Score 8.0 out of 10
3.8Google25 reviews

CARF · COA accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

BIG SKY Treatment – Montana

Kalispell, MT 59901

7.9Very goodStartDrugRehab Score 7.9 out of 10
4.6Google29 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Private insurance · TRICARE +1 more

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

7.0Very goodStartDrugRehab Score 7.0 out of 10
4.7Google13 reviews
Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Private insurance · TRICARE +2 more

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

6.3GoodStartDrugRehab Score 6.3 out of 10
3.2Google36 reviews
Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Private insurance · TRICARE +3 more

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

6.7GoodStartDrugRehab Score 6.7 out of 10
1.0Google1 review
Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

YWCA Helena

Helena, MT 59624

6.6GoodStartDrugRehab Score 6.6 out of 10
4.3Google24 reviews
Setting
In/Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Inpatient / Residential
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Private insurance · TRICARE +2 more

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

6.9GoodStartDrugRehab Score 6.9 out of 10
4.3Google9 reviews
Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Hospital Inpatient
  • Partial Hospitalization
  • Intensive Outpatient
  • +4 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

6.4GoodStartDrugRehab Score 6.4 out of 10
1.0Google1 review
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

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.

6.0GoodStartDrugRehab Score 6.0 out of 10
2.3Google3 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

Choices for Change Counseling

Superior, MT 59872

6.1GoodStartDrugRehab Score 6.1 out of 10
3.5Google13 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Oxytocin

Kalispell, MT 59901

6.2GoodStartDrugRehab Score 6.2 out of 10
3.3Google13 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +2 more

Payment accepted

Medicaid · Private insurance · TRICARE +3 more

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

6.6GoodStartDrugRehab Score 6.6 out of 10
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.

6.4GoodStartDrugRehab Score 6.4 out of 10
1.0Google1 review
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.

Trailhead Counseling Center

Whitefish, MT 59937

6.1GoodStartDrugRehab Score 6.1 out of 10
4.6Google9 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

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

Payment accepted

Private insurance · Self-pay

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

6.1GoodStartDrugRehab Score 6.1 out of 10
3.9Google11 reviews
Setting
Outpatient
Operator
Public
MAT
Offered

Levels of care

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

Payment accepted

Medicaid

“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.

5.9FairStartDrugRehab Score 5.9 out of 10
4.2Google5 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Telehealth

Payment accepted

Medicaid · Private insurance · TRICARE +3 more

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

Stillwater Alternatives

Columbus, MT 59019

5.6FairStartDrugRehab Score 5.6 out of 10
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Telehealth

Payment accepted

Medicaid · Self-pay · Sliding scale +1 more

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

More options in Montana

Intensive Outpatient Programs in other states

Frequently asked questions

How many intensive outpatient programs are in Montana?

We list 21 intensive outpatient programs in Montana, based on SAMHSA's FindTreatment.gov data (updated October 2026).

Which Montana cities have the most intensive outpatient programs?

The most listings are in Billings (6), Helena (3), and Livingston (2).

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.