We list 13 free & state-funded rehabs in South Dakota, based on SAMHSA's FindTreatment.gov data, with the most in Rapid City (4), Sioux Falls (4), and Madison (1). Compare services, insurance accepted and accreditation, or call for free help choosing.
State-Funded / Low-Cost: the basics
State-funded rehab programs use public money, including federal SAMHSA block grants, to provide free or low-cost addiction treatment to people who can't afford it. They usually serve people with low incomes and no insurance or not enough insurance. Availability and rules vary by state and county, and some programs have waitlists. 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: 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 careCARF
Why it made our list: CARF accredited; offers IOP, outpatient care, and dual diagnosis care; accepts Medicaid and self-pay.
Best for: Detox and residential care
Why it made our list: Offers detox, residential care, IOP, and outpatient care; accepts 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 self-pay.
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.
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: Intensive outpatient care
Why it made our list: Offers IOP, outpatient care, and dual diagnosis care; accepts Medicaid, Medicare, and self-pay.
Best for: Residential treatment
Why it made our list: Offers residential care and dual diagnosis care; accepts Medicaid and self-pay.
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.
Rapid City, SD 57701
Levels of care
Payment accepted
Medicaid · Self-pay · State-funded
“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.
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.
Vale, SD 57788
Levels of care
Payment accepted
Medicaid · Self-pay · State-funded
“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.
Rapid City, SD 57701
Levels of care
Payment accepted
Medicaid · Medicare · Self-pay +1 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.
We list 13 free & state-funded rehabs in South Dakota, based on SAMHSA's FindTreatment.gov data (updated October 2026).
The most listings are in Rapid City (4), Sioux Falls (4), and Madison (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.
