Drug and Alcohol Rehab in South Dakota

Treatment Facilities by City in South Dakota

Every South Dakota city with a SAMHSA-listed substance use treatment facility, most facilities first. Each city page lists its facilities with services, payment and phone numbers.

State Treatment Agency

Division of Behavioral Health, South Dakota Department of Social Services (DSS) oversees substance use treatment in South Dakota.

• Division of Behavioral Health, South Dakota Department of Social Services website
• Get treatment help from the South Dakota agency

Treatment if You Don't Have Insurance

The Division of Behavioral Health contracts with accredited treatment agencies statewide for screening, assessment, early intervention, detox, outpatient and inpatient care, and funding help may be available if you need assistance paying; contact your local treatment agency.

• South Dakota state-funded treatment

Medicaid Coverage for Addiction Treatment in South Dakota

South Dakota has expanded Medicaid, so adults with low incomes can qualify based on income alone. Covered services listed by the state include: Integrated assessment; Early intervention; Outpatient treatment; Intensive outpatient treatment; Day treatment; Clinically managed low-intensity residential treatment; Medically monitored intensive inpatient treatment; Medications for opioid use disorder.

• South Dakota Medicaid substance use coverage
• Section 1115 waiver details (Medicaid.gov)
• South Dakota Medicaid eligibility

Check a Program's License

Before you choose a program, confirm it is licensed using the DSS Office of Licensing and Accreditation portal (search for an accredited behavioral health program).

• DSS Office of Licensing and Accreditation portal (search for an accredited behavioral health program)

Naloxone (Narcan)

Under a statewide standing order with the SD Departments of Health and Social Services, pharmacists can dispense naloxone without a prescription to anyone at risk of an overdose or their family and friends, and DSS funding covers the cost for people without insurance. Naloxone nasal spray is also sold over the counter nationwide.

• South Dakota naloxone information

Good Samaritan Overdose Law

A person who calls police or emergency medical services to report someone's drug overdose can't be arrested or prosecuted for drug possession or use when the evidence came from seeking help, as long as they stay on the scene and cooperate. (SDCL 34-20A-109 to 34-20A-113)

• South Dakota Good Samaritan law

Involuntary Treatment and Protective Custody

SDCL 34-20A-70, involuntary commitment of an alcoholic or drug abuser: A spouse, guardian, relative, physician, treatment facility administrator or other responsible person can petition the circuit court to commit someone who habitually lacks control over alcohol or drugs and is dangerous, incapacitated, or pregnant and using.

• SDCL 34-20A-70, involuntary commitment of an alcoholic or drug abuser

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