Montana · Listings Checked October 2026
Drug and Alcohol Rehab in Montana
Where Can You Get Addiction Treatment in Montana?
SAMHSA's FindTreatment.gov lists 64 substance use treatment facilities in Montana, in 30 cities. Of these, 62 accept Medicaid, 7 offer detox, 11 offer residential treatment, 4 are certified methadone clinics and 17 prescribe buprenorphine. The state agency for substance use treatment is the Behavioral Health and Developmental Disabilities Division (BHDD), Montana Department of Public Health and Human Services.
- 64Treatment facilities
- 62Accept Medicaid
- 7Offer detox
- 11Residential treatment
- 19Intensive outpatient
- 4Methadone clinics (OTP)
- 17Prescribe buprenorphine
- 41Sliding fee scale
- 47Programs for teens
- 19Programs for veterans
Treatment Facilities by City in Montana
The Montana cities with the most SAMHSA-listed substance use treatment facilities. All 30 cities are listed below the table. Each city page lists its facilities with services, payment and phone numbers.
| City | Facilities | Medicaid | Detox | Residential | Methadone |
|---|---|---|---|---|---|
| Rehab in Billings | 7 | 7 | 1 | 1 | 1 |
| Rehab in Helena | 6 | 6 | 2 | 3 | 0 |
| Rehab in Missoula | 6 | 6 | 1 | 0 | 1 |
| Rehab in Great Falls | 5 | 4 | 1 | 2 | 0 |
| Rehab in Kalispell | 4 | 4 | 0 | 0 | 1 |
| Rehab in Glendive | 3 | 3 | 0 | 0 | 0 |
| Rehab in Livingston | 3 | 3 | 0 | 1 | 0 |
| Rehab in Sidney | 3 | 3 | 0 | 0 | 0 |
| Rehab in Dillon | 2 | 2 | 0 | 0 | 0 |
| Rehab in Harlem | 2 | 2 | 0 | 0 | 0 |
| Rehab in Lewistown | 2 | 2 | 0 | 0 | 0 |
| Rehab in Miles City | 2 | 2 | 0 | 0 | 0 |
| Rehab in Wolf Point | 2 | 2 | 0 | 0 | 0 |
| Rehab in Belgrade | 1 | 1 | 0 | 0 | 1 |
| Rehab in Broadus | 1 | 1 | 0 | 0 | 0 |
| Rehab in Butte | 1 | 1 | 1 | 1 | 0 |
| Rehab in Colstrip | 1 | 1 | 0 | 0 | 0 |
| Rehab in Columbia Falls | 1 | 1 | 0 | 1 | 0 |
| Rehab in Columbus | 1 | 1 | 0 | 0 | 0 |
| Rehab in Forsyth | 1 | 1 | 0 | 0 | 0 |
All 30 Cities in Montana With Treatment Facilities
State Treatment Agency
Behavioral Health and Developmental Disabilities Division (BHDD), Montana Department of Public Health and Human Services oversees substance use treatment in Montana.
Treatment if You Don't Have Insurance
The state-run Montana Chemical Dependency Center provides intensive inpatient addiction treatment, including withdrawal management; referrals come from a Montana licensed addiction counselor and patients complete a financial assessment.
Medicaid Coverage for Addiction Treatment in Montana
Montana's Medicaid program is Montana Medicaid (HELP plan for expansion adults). Montana has expanded Medicaid, so adults with low incomes can qualify based on income alone. Its Section 1115 waiver (Montana Healing and Ending Addiction through Recovery and Treatment (HEART)) expands substance use treatment coverage. Covered services listed by the state include: Tenancy support services; Contingency management; Re-entry services; Targeted case management.
Check a Program's License
Before you choose a program, confirm it is licensed using the Montana DPHHS state-approved substance use treatment provider list.
Sober Living Homes in Montana
Montana's recovery residence program: Montana Recovery Residence Registry (Senate Bill 94, 2023) (certification is required). The state's NARR affiliate is Recovery Access Montana.
Naloxone (Narcan)
DPHHS distributes naloxone through a statewide standing order, and Narcan nasal spray is available at mapped locations across Montana with no formal training required. Naloxone nasal spray is also sold over the counter nationwide.
Good Samaritan Overdose Law
A person who seeks medical help in good faith for someone overdosing, and the person overdosing, is protected from certain drug possession and paraphernalia charges when the evidence came from seeking help, and from probation or parole revocation on that basis. (MCA 50-32-609)
Involuntary Treatment and Protective Custody
Involuntary commitment of alcoholics (MCA 53-24-302): A spouse, guardian, relative, certifying physician or treatment facility chief can petition a district court to commit a person with alcoholism who has threatened or caused harm or is incapacitated by alcohol, for an initial 40 days.
Guides for Your Next Step
Learn what detox, inpatient rehab and outpatient rehab involve, how medication for opioid use disorder works, and how to find rehab that takes Medicaid or free and low-cost rehab. Before you commit, read how to choose a rehab you can trust.
Frequently Asked Questions
How Many Rehab Centers Are in Montana?
SAMHSA's FindTreatment.gov lists 64 substance use treatment facilities in Montana (checked October 2026), the most in Billings (7).
How Many Rehabs in Montana Accept Medicaid?
62 of the 64 listed facilities accept Medicaid. Confirm your specific plan when you call.
Where Are Methadone Clinics in Montana?
4 federally certified opioid treatment programs (methadone clinics) are listed in Montana. Use the methadone filter on any city page to find them.
Can You Get Free Rehab in Montana?
The state-run Montana Chemical Dependency Center provides intensive inpatient addiction treatment, including withdrawal management; referrals come from a Montana licensed addiction counselor and patients complete a financial assessment. 41 listed facilities offer a sliding fee scale, and 0 provide treatment at no charge.
Does Montana Have a Good Samaritan Overdose Law?
A person who seeks medical help in good faith for someone overdosing, and the person overdosing, is protected from certain drug possession and paraphernalia charges when the evidence came from seeking help, and from probation or parole revocation on that basis.
Sources
- SAMHSA FindTreatment.gov listing data, checked October 2026
- Behavioral Health and Developmental Disabilities Division , Montana Department of Public Health and Human Services website
- Get treatment help from the Montana agency
- Montana state-funded treatment
- Montana Medicaid (HELP plan for expansion adults) substance use coverage
- Section 1115 waiver details (Medicaid.gov)
- Montana Medicaid eligibility
- Montana DPHHS state-approved substance use treatment provider list
- Montana recovery residence program
- Montana naloxone information
- Montana Good Samaritan law
- Involuntary commitment of alcoholics (MCA 53-24-302)