We list 102 sliding scale rehabs in Washington, based on SAMHSA's FindTreatment.gov data, with the most in Spokane (10), Seattle (8), and Yakima (5). 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: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, IOP, outpatient care, and MAT; 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 outpatient care; accepts private insurance, Medicaid, and TRICARE.
Best for: Veterans (VA care)Joint CommissionCARF
Why it made our list: Joint Commission and CARF accredited; offers residential care, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicare, and TRICARE.
Best for: Methadone treatmentCARF
Why it made our list: CARF accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careJoint CommissionNCQA
Why it made our list: Joint Commission and NCQA accredited; offers IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and TRICARE.
Best for: Intensive outpatient careJoint Commission
Why it made our list: Joint Commission accredited; offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, self-pay, and sliding-scale fees.
Best for: Intensive outpatient careCARF
Why it made our list: CARF accredited; offers IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and TRICARE.
Best for: Methadone treatmentCARF
Why it made our list: CARF accredited; offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careCARF
Why it made our list: CARF accredited; offers IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and TRICARE.
Best for: Outpatient care with MATJoint CommissionCARF
Why it made our list: Joint Commission and CARF accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Vancouver, WA 98661
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Centralia, WA 98531
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
East Wenatchee, WA 98802
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Walla Walla, WA 99362
Joint Commission · CARF accredited
Levels of care
Payment accepted
Medicare · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Yakima, WA 98902
Joint Commission · COA · NCQA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Oak Harbor, WA 98277
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Seattle, WA 98168
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Bellingham, WA 98226
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Sliding scale · State-funded
“Get help” calls our free helpline, not this facility.
Seattle, WA 98133
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Port Angeles, WA 98362
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Aberdeen, WA 98520
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Bellingham, WA 98226
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Ellensburg, WA 98926
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Kennewick, WA 99336
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Pasco, WA 99301
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Sunnyside, WA 98944
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Toppenish, WA 98948
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Wapato, WA 98951
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Yakima, WA 98901
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Bonney Lake, WA 98391
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · Self-pay · Sliding scale
“Get help” calls our free helpline, not this facility.
Shelton, WA 98584
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Bellingham, WA 98226
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Aberdeen, WA 98520
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Oak Harbor, WA 98277
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Mount Vernon, WA 98273
Joint Commission · NCQA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +3 more
“Get help” calls our free helpline, not this facility.
Monroe, WA 98272
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Walla Walla, WA 99362
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Kent, WA 98032
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Bellevue, WA 98005
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Seattle, WA 98122
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
We list 102 sliding scale rehabs in Washington, based on SAMHSA's FindTreatment.gov data (updated October 2026).
The most listings are in Spokane (10), Seattle (8), and Yakima (5).
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.
