South Carolina · 94 licensed programs in 54 cities
We list 94 licensed drug and alcohol treatment facilities in South Carolina across 54 cities, with the most in Greenville, Florence, Columbia, and Aiken. 18 offer detox, 15 provide residential care and 78 accept Healthy Connections (SC 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: Private-pay residential careJoint CommissionCOA
Why it made our list: Joint Commission and COA accredited; offers detox, residential care, PHP, and IOP; accepts private insurance and self-pay.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, PHP, IOP, and outpatient care; accepts private insurance, TRICARE, and self-pay.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, PHP, IOP, and outpatient care; accepts private insurance and self-pay.
Best for: Residential treatmentCARF
Why it made our list: CARF accredited; offers residential care, PHP, IOP, and outpatient care; accepts private insurance, Medicaid, and TRICARE.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, PHP, IOP, and MAT; accepts private insurance, Medicare, and TRICARE.
Best for: Supervised detoxCARF
Why it made our list: CARF accredited; offers detox, 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 PHP, IOP, MAT, and dual diagnosis care; accepts private insurance, TRICARE, and self-pay.
Best for: Intensive outpatient careJoint Commission
Why it made our list: Joint Commission accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, TRICARE, and self-pay.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
There are 94 licensed drug and alcohol treatment facilities in South Carolina in our directory, across 54 cities. 15 offer residential (inpatient) rehab, 18 offer detox and 80 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. 86 facilities in South Carolina accept private insurance and 78 accept Medicaid (Healthy Connections (SC 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, 64 programs report state or SAMHSA block-grant funding for people who qualify, and 24 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.
Rock Hill, SC 29732
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Columbia, SC 29203
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Greenville, SC 29615
Joint Commission · COA accredited
Levels of care
Payment accepted
Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Chesnee, SC 29323
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
North Charleston, SC 29405
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Columbia, SC 29203
CARF accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Simpsonville, SC 29680
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Aiken, SC 29801
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
North Charleston, SC 29405
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Greer, SC 29650
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Myrtle Beach, SC 29577
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Greenville, SC 29607
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Greenville, SC 29611
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Bluffton, SC 29910
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Florence, SC 29501
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
West Columbia, SC 29169
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Spartanburg, SC 29307
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Myrtle Beach, SC 29577
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Columbia, SC 29210
Joint Commission accredited
Levels of care
Payment accepted
Medicare · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Orangeburg, SC 29115
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Jacksonboro, SC 29452
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Florence, SC 29501
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
North Charleston, SC 29405
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Aiken, SC 29801
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Chesterfield, SC 29709
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Camden, SC 29020
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Barnwell, SC 29812
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Easley, SC 29640
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Aiken, SC 29801
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Spartanburg, SC 29303
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Substance-free housing, including Oxford Houses, for early recovery after or alongside treatment.
Greenville, SC 29611
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
North Charleston, SC 29405
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Florence, SC 29501
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Residential, inpatient and partial hospitalization programs for mental health conditions.
Walterboro, SC 29488
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Awendaw, SC 29429
Levels of care
Payment accepted
Medicaid
“Get help” calls our free helpline, not this facility.
Greenville, SC 29605
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Rehab guide
Your South Carolina rehab guide
Treatment options in South Carolina range from outpatient counseling a few hours a week to medically supervised detox and 24-hour residential programs. Of the 94 facilities listed here, 18 offer detox, 15 provide residential (inpatient) treatment, 80 offer medication-assisted treatment (MAT) and 26 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.
78 facilities in South Carolina report accepting Medicaid (Healthy Connections (SC Medicaid)) and 86 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, 64 programs in South Carolina 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 South Carolina Department of Behavioral Health and Developmental Disabilities oversees publicly funded substance use treatment in South Carolina. Each county has a local alcohol and drug abuse authority that provides publicly funded assessment and treatment. Visit the agency.
South Carolina has not expanded Medicaid under the Affordable Care Act, so most adults without children qualify for Healthy Connections (SC Medicaid) only with very low income or a disability. If you don't qualify, look at Marketplace plans, which may be low-cost with subsidies, or state-funded programs.
In South Carolina, the law allows a court to order involuntary treatment for a substance use disorder in limited circumstances, usually when the person is a danger to themselves or others or cannot care for themselves. An order can last up to 90 days. 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 94 licensed substance use treatment facilities in South Carolina, based on SAMHSA's FindTreatment.gov data.
Yes. Medicaid programs cover substance use disorder treatment, and 78 facilities in South Carolina report accepting Healthy Connections (SC Medicaid). Covered services and provider networks vary by plan, so confirm with the program before admission.
64 programs in South Carolina 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.
In South Carolina, the law allows a court to order involuntary treatment for a substance use disorder in limited circumstances, usually when the person is a danger to themselves or others or cannot care for themselves. An order can last up to 90 days.
Our directory lists 94 licensed substance use treatment facilities in South Carolina, based on SAMHSA's FindTreatment.gov data (updated October 2026). Listings include outpatient, residential, detox and medication-assisted treatment programs.
Yes. 18 programs in South Carolina offer detoxification (medically supervised withdrawal) services. Alcohol and benzodiazepine withdrawal can be dangerous, so medical supervision is strongly recommended.
78 facilities in South Carolina report accepting Medicaid (Healthy Connections (SC Medicaid)). Coverage depends on your plan and the program's network, so confirm before admission.
86 facilities in South Carolina 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.
15 facilities in South Carolina offer residential (inpatient) treatment, where you live on site 24/7 while in care. Learn more about inpatient rehab.
Yes. 80 programs in South Carolina 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. 15 facilities in South Carolina offer residential care.
Most people use private health insurance, Medicaid (Healthy Connections (SC Medicaid)), Medicare or TRICARE, which are required to cover substance use treatment. People without insurance may qualify for state- or SAMHSA-funded programs (64 in South Carolina 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.
