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10 Best Sliding Scale Rehabs in Buffalo, NY (2026)

We list 12 sliding scale rehabs in Buffalo, NY, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 12Treatment facilities
  • 1Offer detox
  • 1Inpatient / residential
  • 12Accept 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 10 sliding scale rehabs in Buffalo, NY

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. PROMESA Inc – Methadone Clinic 2

    Buffalo, NY

    7.4Very goodStartDrugRehab Score 7.4 out of 10

    Best for: Methadone treatmentJoint Commission

    Why it made our list: Joint Commission accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  2. DART Program COP

    Buffalo, NY

    7.3Very goodStartDrugRehab Score 7.3 out of 10
    3.8Google26 reviews

    Best for: Outpatient care with MATCARFCOA

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

    View details
  3. Palmerton Place – RRh

    Buffalo, NY

    7.2Very goodStartDrugRehab Score 7.2 out of 10

    Best for: Detox and residential careCOA

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

    View details
  4. Endeavor Health Services – Behavioral Health Clinic

    Buffalo, NY

    6.3GoodStartDrugRehab Score 6.3 out of 10

    Best for: Outpatient care with MAT

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

    View details
  5. Spectrum Health – OCCBHC

    Buffalo, NY

    6.3GoodStartDrugRehab Score 6.3 out of 10

    Best for: Outpatient care with MAT

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

    View details
  6. EHS Inc – Evergreen Health Services SUP OP

    Buffalo, NY

    6.1GoodStartDrugRehab Score 6.1 out of 10
    3.8Google228 reviews

    Best for: Outpatient care with MAT

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

    View details
  7. Beacon Center – Outpatient Clinic 2

    Buffalo, NY

    6.0GoodStartDrugRehab Score 6.0 out of 10
    3.7Google14 reviews

    Best for: Outpatient care with MAT

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

    View details
  8. Spectrum Health and Human Services – Southtowns Counseling Services

    Buffalo, NY

    5.7FairStartDrugRehab Score 5.7 out of 10
    2.9Google28 reviews

    Best for: Outpatient care with MAT

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

    View details
  9. Endeavor Health Services OCCBHC – Behavioral Health Clinic

    Buffalo, NY

    5.6FairStartDrugRehab Score 5.6 out of 10
    2.3Google15 reviews

    Best for: Outpatient care with MAT

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

    View details
  10. South Buffalo Counseling Center – OCCBHC

    Buffalo, NY

    5.6FairStartDrugRehab Score 5.6 out of 10
    2.7Google38 reviews

    Best for: Outpatient care with MAT

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

    View details

See the best rehab centers in Buffalo, NY →

All sliding scale rehabs in Buffalo, NY

Palmerton Place – RRh

Buffalo, NY 14224

7.2Very goodStartDrugRehab Score 7.2 out of 10

COA accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

7.4Very goodStartDrugRehab Score 7.4 out of 10

Joint Commission accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

DART Program COP

Buffalo, NY 14209

7.3Very goodStartDrugRehab Score 7.3 out of 10
3.8Google26 reviews

CARF · COA accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

5.5FairStartDrugRehab Score 5.5 out of 10
2.4Google14 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

6.0GoodStartDrugRehab Score 6.0 out of 10
3.7Google14 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

6.1GoodStartDrugRehab Score 6.1 out of 10
3.8Google228 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 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
2.7Google54 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.

6.3GoodStartDrugRehab Score 6.3 out of 10
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

5.6FairStartDrugRehab Score 5.6 out of 10
2.3Google15 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

5.6FairStartDrugRehab Score 5.6 out of 10
2.7Google38 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

Spectrum Health – OCCBHC

Buffalo, NY 14209

6.3GoodStartDrugRehab Score 6.3 out of 10
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +4 more

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

More options in Buffalo, NY

Sliding Scale Rehabs in other New York cities

Frequently asked questions

How many sliding scale rehabs are in Buffalo, NY?

We list 12 sliding scale rehabs in Buffalo, NY, 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.