Drug and Alcohol Rehab in South Carolina

Treatment Facilities by City in South Carolina

The South Carolina cities with the most SAMHSA-listed substance use treatment facilities. All 54 cities are listed below the table. Each city page lists its facilities with services, payment and phone numbers.

State Treatment Agency

Office of Substance Use Services (OSUS), South Carolina Department of Behavioral Health and Developmental Disabilities (BHDD) oversees substance use treatment in South Carolina.

• Office of Substance Use Services , South Carolina Department of Behavioral Health and Developmental Disabilities website
• Get treatment help from the South Carolina agency

Treatment if You Don't Have Insurance

Everyone who seeks help from a county alcohol and drug authority first gets an assessment to set the right level of care, and depending on your finances that assessment can be free. Outpatient treatment is available in every county through these OSUS-contracted providers.

• South Carolina state-funded treatment

Medicaid Coverage for Addiction Treatment in South Carolina

South Carolina's Medicaid program is Healthy Connections Medicaid. South Carolina has not expanded Medicaid, so adult eligibility is narrower. Covered services listed by the state include: Intensive outpatient (ASAM 2.1); Day treatment / partial hospitalization (ASAM 2.5); Clinically managed residential withdrawal management (3.2WM); High-intensity residential treatment (3.5); Medically monitored inpatient withdrawal management (3.7WM); Medically monitored intensive inpatient treatment (3.7).

• Healthy Connections Medicaid substance use coverage
• Section 1115 waiver details (Medicaid.gov)
• South Carolina Medicaid eligibility

Check a Program's License

Before you choose a program, confirm it is licensed using the SC Department of Public Health Find a Facility (Facilities for Chemically Dependent or Addicted Persons).

• SC Department of Public Health Find a Facility (Facilities for Chemically Dependent or Addicted Persons)

Sober Living Homes in South Carolina

South Carolina's recovery residence program: Voluntary recovery house certification administered by the S.C. Alliance for Recovery Residences (SCARR) under Act 160 of 2024 (certification is voluntary). The state's NARR affiliate is South Carolina Alliance for Recovery Residences.

• South Carolina recovery residence program

Naloxone (Narcan)

Under a joint protocol from the S.C. Boards of Medical Examiners and Pharmacy, organizations approved as naloxone Community Distributors can give naloxone to the public without a prescription, and state law shields them from civil and criminal liability. Naloxone nasal spray is also sold over the counter nationwide.

• South Carolina naloxone information

Good Samaritan Overdose Law

A person who calls 911, police or emergency services for someone who appears to be overdosing, and the person who overdosed, can't be prosecuted for listed drug possession offenses when the evidence came from seeking help, as long as they give their own name and cooperate with police and medical staff. (S.C. Code 44-53-1910 to 44-53-1960 (Drug or Alcohol-Related Overdose Medical Treatment))

• South Carolina Good Samaritan law

Involuntary Treatment and Protective Custody

S.C. Code Title 44, Chapter 52, Alcohol and Drug Abuse Commitment: Any adult who believes someone is chemically dependent and poses a substantial risk of physical harm can file a sworn affidavit seeking emergency admission, and the law also sets out court proceedings for involuntary commitment of a chemically dependent person.

• S.C. Code Title 44, Chapter 52, Alcohol and Drug Abuse Commitment

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