We list 11 sliding scale rehabs in South Dakota, based on SAMHSA's FindTreatment.gov data, with the most in Rapid City (3), Sioux Falls (3), and Pierre (1). Compare services, insurance accepted and accreditation, or call for free help choosing.
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
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: 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: Methadone treatmentCARF
Why it made our list: CARF accredited; offers outpatient care and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Detox and residential care
Why it made our list: Offers detox, residential care, IOP, and outpatient care; accepts private insurance, Medicaid, and Medicare.
Best for: Residential treatmentCOA
Why it made our list: COA accredited; offers residential care, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and TRICARE.
Best for: Intensive outpatient care
Why it made our list: Offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and self-pay.
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.
Best for: Residential treatment
Why it made our list: Offers residential care, IOP, and outpatient care; accepts Medicaid, self-pay, and sliding-scale fees.
Yankton, SD 57078
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 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 +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 · Medicare · Private insurance +2 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.
Rapid City, SD 57701
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale
“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.
Rapid City, SD 57701
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57105
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale +1 more
“Get help” calls our free helpline, not this facility.
We list 11 sliding scale rehabs in South Dakota, based on SAMHSA's FindTreatment.gov data (updated October 2026).
The most listings are in Rapid City (3), Sioux Falls (3), and Pierre (1).
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.
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.
