South Dakota · 42 licensed programs in 19 cities
We list 42 licensed drug and alcohol treatment facilities in South Dakota across 19 cities, with the most in Sioux Falls, Rapid City, Madison, and Hot Springs. 6 offer detox, 19 provide residential care and 35 accept South Dakota 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 Commission
Why it made our list: Joint Commission accredited; offers detox, residential care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Detox and residential careCARF
Why it made our list: CARF accredited; offers detox, residential care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Detox and residential careCARF
Why it made our list: CARF accredited; offers detox, residential care, IOP, and MAT; accepts private insurance, Medicaid, and self-pay.
Best for: Intensive outpatient careJoint Commission
Why it made our list: Joint Commission accredited; offers IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Veterans (VA care)Joint Commission
Why it made our list: Joint Commission accredited; offers residential care, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Veterans (VA care)Joint Commission
Why it made our list: Joint Commission accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Detox and residential care
Why it made our list: Offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careJoint Commission
Why it made our list: Joint Commission accredited; offers IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicare, and TRICARE.
Best for: Methadone treatmentCARF
Why it made our list: CARF accredited; offers outpatient care and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Residential treatmentJoint Commission
Why it made our list: Joint Commission accredited; offers residential care, MAT, and dual diagnosis care; accepts Medicaid.
There are 42 licensed drug and alcohol treatment facilities in South Dakota in our directory, across 19 cities. 19 offer residential (inpatient) rehab, 6 offer detox and 20 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. 26 facilities in South Dakota accept private insurance and 35 accept Medicaid (South Dakota 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, 13 programs report state or SAMHSA block-grant funding for people who qualify, and 11 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.
Rapid City, SD 57701
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Howard, SD 57349
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Canton, SD 57013
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Yankton, SD 57078
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Madison, SD 57042
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Hot Springs, SD 57747
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Rapid City, SD 57701
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Mobridge, SD 57601
Joint Commission accredited
Levels of care
Payment accepted
Medicaid
“Get help” calls our free helpline, not this facility.
Huron, SD 57350
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Rapid City, SD 57701
COA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Rapid City, SD 57701
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Hot Springs, SD 57747
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57104
CARF accredited
Levels of care
Payment accepted
Medicaid · Self-pay · State-funded
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57105
Joint Commission accredited
Levels of care
Payment accepted
Medicare · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57104
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Rapid City, SD 57701
Levels of care
Payment accepted
Medicaid · Self-pay · State-funded
“Get help” calls our free helpline, not this facility.
Rapid City, SD 57701
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Sisseton, SD 57262
Levels of care
Payment accepted
Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Fort Meade, SD 57741
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57105
COA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57104
CARF accredited
Levels of care
Payment accepted
Medicaid · Self-pay · State-funded
“Get help” calls our free helpline, not this facility.
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Rapid City, SD 57701
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale
“Get help” calls our free helpline, not this facility.
Lake Andes, SD 57356
Levels of care
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57104
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Pierre, SD 57501
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Huron, SD 57350
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Madison, SD 57042
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Flandreau, SD 57028
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Substance-free housing, including Oxford Houses, for early recovery after or alongside treatment.
Hot Springs, SD 57747
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Fort Meade, SD 57741
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Madison, SD 57042
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Residential, inpatient and partial hospitalization programs for mental health conditions.
Spearfish, SD 57783
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57101
Levels of care
Payment accepted
Medicaid
“Get help” calls our free helpline, not this facility.
Rehab guide
Your South Dakota rehab guide
Treatment options in South Dakota range from outpatient counseling a few hours a week to medically supervised detox and 24-hour residential programs. Of the 42 facilities listed here, 6 offer detox, 19 provide residential (inpatient) treatment, 20 offer medication-assisted treatment (MAT) and 1 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.
35 facilities in South Dakota report accepting Medicaid (South Dakota Medicaid) and 26 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, 13 programs in South Dakota 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 Dakota Department of Social Services, Division of Behavioral Health oversees publicly funded substance use treatment in South Dakota. Visit the agency.
South Dakota has expanded Medicaid, so adults with incomes up to about 138% of the federal poverty level can qualify for South Dakota Medicaid, which covers addiction treatment.
In South Dakota, 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 42 licensed substance use treatment facilities in South Dakota, based on SAMHSA's FindTreatment.gov data.
Yes. Medicaid programs cover substance use disorder treatment, and 35 facilities in South Dakota report accepting South Dakota Medicaid. Covered services and provider networks vary by plan, so confirm with the program before admission.
13 programs in South Dakota 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 Dakota, 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 42 licensed substance use treatment facilities in South Dakota, based on SAMHSA's FindTreatment.gov data (updated October 2026). Listings include outpatient, residential, detox and medication-assisted treatment programs.
Yes. 6 programs in South Dakota offer detoxification (medically supervised withdrawal) services. Alcohol and benzodiazepine withdrawal can be dangerous, so medical supervision is strongly recommended.
35 facilities in South Dakota report accepting Medicaid (South Dakota Medicaid). Coverage depends on your plan and the program's network, so confirm before admission.
26 facilities in South Dakota 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.
19 facilities in South Dakota offer residential (inpatient) treatment, where you live on site 24/7 while in care. Learn more about inpatient rehab.
Yes. 20 programs in South Dakota 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. 19 facilities in South Dakota offer residential care.
Most people use private health insurance, Medicaid (South Dakota Medicaid), Medicare or TRICARE, which are required to cover substance use treatment. People without insurance may qualify for state- or SAMHSA-funded programs (13 in South Dakota 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.
