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MONTANA · SAMHSA-VERIFIED

Addiction Treatment Centers in Montana

11 SAMHSA-listed treatment centers across 4 cities in Montana. Free, confidential help available 24/7.

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Treatment Centers in Montana

Cities in Montana

Billings3 centers Missoula3 centers Great Falls3 centers Helena2 centers

People Also Ask

How much does rehab cost in Montana?▼

The cost of rehab in Montana varies widely based on the type of program, duration, and amenities. Inpatient programs typically range from $5,000 to $30,000 for 30 days. Many facilities accept insurance, which can cover a significant portion. Outpatient options are generally more affordable. Call for help understanding your specific cost.

Does Medicaid cover rehab in Montana?▼

Yes, Medicaid covers substance abuse treatment in Montana. Coverage details vary by plan, but most Medicaid programs cover detox, inpatient rehabilitation, outpatient services, and medication-assisted treatment. Contact our helpline for assistance verifying your Medicaid benefits.

What types of rehab are available in Montana?▼

Montana offers a full range of addiction treatment options including medical detox, residential inpatient programs, outpatient therapy, intensive outpatient programs (IOP), partial hospitalization (PHP), and sober living arrangements. Specialized programs for veterans, women, and young adults are also available.

Find Treatment in Montana

Our team can help you find the right program in Montana. Call for a free consultation.

Addiction Treatment Landscape in Montana

According to the most recent CDC WONDER analysis, the overdose mortality rate in Montana is 32.6 per 100k, at the US national figure of 32.6. The treatment landscape covered on this page spans residential, partial-hospitalization, intensive-outpatient, standard outpatient, and medical-detox programs run by federally-licensed providers.

Listings are sourced from the federal SAMHSA treatment locator and updated quarterly against state licensing-board records. No pay-for-placement.

Aftercare & Long-Term Recovery in Montana

Discharge is mile-marker zero of recovery, not the finish line. Montana residents who engage with structured aftercare for 12+ months show materially better long-term sobriety than those who stop attending after discharge.

Outpatient continuation

Continuing outpatient therapy is the bridge from intensive treatment to long-term sobriety. Most insurance plans cover at least 6 months of weekly sessions.

Sober living homes

A drug-free environment with house rules, peer accountability, and employment expectations. Sober living can be 30 days to 12+ months. Check NARR certification.

Mutual-support groups

The mutual-support landscape in Montana includes 12-step (AA/NA), cognitive (SMART Recovery), Buddhist (Refuge), and secular (LifeRing) options. Online meetings extend access.

MAT continuation

Buprenorphine, methadone, or naltrexone should continue long-term for opioid-use disorder.

Peer recovery coaching

CPRS (Certified Peer Recovery Specialists) offer practical navigation help in Montana. Most services are free via state Medicaid or grant funding.

Naloxone access

Standing-order naloxone access throughout Montana pharmacies. Get a kit; train your support network on intramuscular or intranasal administration; refresh annually.

The first 90 days post-discharge are highest-risk. Daily community contact, scheduled therapy/coaching, MAT continuity, written relapse-response plan.

What to Expect During Treatment in Montana

Treatment varies in intensity and structure but combines several evidence-based components. Knowing what is coming reduces first-week anxiety and improves engagement.

Cognitive Behavioral Therapy (CBT)

The standard frontline therapy for most substance-use disorders. CBT outperforms placebo and matches medication-only treatment for many alcohol and stimulant disorders.

Motivational Interviewing (MI)

A counseling style, not a manualized therapy. MI principles inform many evidence-based addiction protocols, especially in induction phases.

Medication-Assisted Treatment (MAT)

Combines pharmacology and counseling. The strongest evidence base in addiction medicine — particularly for opioid and alcohol use disorders.

Dialectical Behavior Therapy (DBT)

A skills-acquisition therapy. Patients learn distress-tolerance and emotion-regulation techniques explicitly, in group format.

Trauma-focused therapy

Trauma-aware programming acknowledges that substance use is often a coping strategy for unprocessed traumatic experiences. EMDR, CPT, and Seeking Safety address it directly.

12-Step facilitation & peer support

Twelve-step facilitation as a clinical approach is evidence-based; AA/NA participation itself is one of multiple aftercare options.

Treatment Levels Available in Montana

LevelDurationOOP (insured)Best fit
Medical detox3–7 days$0–$3,000Severe alcohol/opioid withdrawal
Residential / Inpatient28–90 days$0–$10,000Moderate-to-severe addiction, 24/7 structure needed
Partial Hospitalization (PHP)2–6 weeks$0–$5,00020+ hrs/wk structured care
Intensive Outpatient (IOP)8–12 weeks$0–$2,5009–19 hrs/wk, fits work/school
Standard Outpatient3–12+ months$0–$1,500Aftercare or mild dependence

Admission Process at Montana Treatment Centers

If you are calling a Montana treatment center for the first time, expect a 1–7 day timeline from that call to your actual first day in treatment. Faster for medical emergencies, slower if Medicaid eligibility needs to be opened or the facility has a waitlist.

  1. Initial confidential call. Speak with admissions — substance(s), length of use, co-occurring conditions, living situation.
  2. Insurance verification. Facility runs benefits with your provider — usually within 24 hours. Written estimate before commitment.
  3. Clinical assessment (ASAM). Licensed clinician determines level of care (detox / residential / PHP / IOP / outpatient).
  4. Pre-admission planning. Date, transportation, work/school, medication reconciliation, family-involvement plan.
  5. Day-one intake. Arrival, paperwork, medical exam, treatment-plan briefing, primary therapist meeting, programming begins.
For a medical crisis from substance use, call 911. For same-day non-emergency in Montana, SAMHSA at 1-800-662-HELP (4357) — confidential, free, 24/7.

Paying for Treatment Without Insurance in Montana

Lack of insurance is not a barrier to addiction treatment in Montana — it is a navigation challenge. State Medicaid expansion, federal block grants, sliding-scale clinics, VA benefits, faith-based programs, and drug courts all offer pathways.

  1. Montana Medicaid (state Medicaid): Income below ~138% FPL qualifies most adults. Apply at healthcare.gov.
  2. State-funded / SAMHSA block-grant programs: Free or sliding-scale via SAPT-funded providers in Montana.
  3. Veterans Affairs / TRICARE: VA covers addiction treatment regardless of discharge status (Character-of-Discharge review available).
  4. Non-profit faith-based: Salvation Army ARC, Teen Challenge offer 6–12 month residential at no cost.
  5. Drug courts / diversion: Court-supervised treatment substitutes for incarceration; funded.
  6. FQHC sliding-scale: Federally Qualified Health Centers in Montana — find at HRSA.gov.
  7. Payment plans: Many private facilities accept 6–24 month interest-free plans for outpatient/IOP.

Insurance Coverage in Montana

Under the federal Mental Health Parity and Addiction Equity Act, most insurance plans in Montana must cover substance-use treatment at parity with physical-health benefits.

Aetna · Anthem · Blue Cross Blue Shield · Cigna · Humana · Kaiser Permanente · UnitedHealthcare · Medicare · Montana Medicaid · Tricare (military) · VA Community Care

In Montana, Medicaid is administered as Montana Medicaid. State-licensed facilities are typically required to accept it for substance-use treatment. Verify eligibility at medicaid.gov.

Family Resources & Support in Montana

In Montana as nationally, family-focused treatment components are now standard at accredited treatment centers because the evidence base for their effectiveness has grown.

If you are the family member

  • Family support is free and accessible: Al-Anon (for friends/family of people with alcohol issues), Nar-Anon (for substance use generally). Meetings throughout Montana.
  • Learn the science: NIDA's "Drugs, Brains, and Behavior" is the most authoritative public primer.
  • Forget what TV shows about interventions. CRAFT (Community Reinforcement and Family Training) is the evidence-based family approach that does better than ambush-style confrontations.
  • Plan for relapse-readiness, not relapse-prevention: Most people experience at least one relapse during recovery. Have a re-engagement plan that doesn't end the relationship.

Specialized Programs for Specific Populations in Montana

The shift to population-specific addiction treatment in Montana has accelerated in the post-MHPAEA period. Veterans, adolescents, women, LGBTQ+ patients, and healthcare professionals each have evidence-backed reasons to seek targeted programming.

Women's programs

Trauma-informed care, pregnancy-aware medical management, parenting groups.

Men's programs

Emotion-regulation focus, anger management, fatherhood support, identity processing.

Adolescents (13–17)

School integration, family therapy required, lower-intensity longer-duration models.

Veterans

Combat-trauma-aware programming, VA Community Care eligibility, military culture competence.

LGBTQ+

Identity-affirming therapy, anti-discrimination policies, family-of-choice integration.

Dual diagnosis

Psychiatry on staff, integrated treatment of depression/anxiety/PTSD/bipolar alongside substance use.

Healthcare professionals

Nursing/physician recovery monitoring, confidential reporting, return-to-practice protocols.

Seniors (65+)

Late-onset alcohol-use disorder, polypharmacy concerns, age-appropriate group composition.

Sources & Authority References

All statistics and policy claims sourced from federal-government and peer-reviewed agencies. Last verified May 2026.

  1. SAMHSA Treatment Locator — federal directory of licensed substance-use-treatment facilities.
  2. CDC WONDER Database — state-level overdose mortality (Montana: 32.6/100k).
  3. CMS — Mental Health Parity Act.
  4. NIDA — Principles of Drug Addiction Treatment.
  5. ASAM Criteria.
  6. Medicaid.gov — Behavioral Health Services.
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Montana Facility Profiles

The Montana treatment providers above differ meaningfully in programming intensity, clinical staffing models, and population fit. Use the profiles below to narrow your shortlist before contacting admissions.

View all 15 facility profiles

Lesprit Behavioral Health Center

Livingston, Montana

Aftercare at Lesprit Behavioral Health Center is built into the treatment plan from day one, not bolted on at discharge. Patients leaving the Livingston program have a named outpatient provider, a scheduled first appointment within seven days, a medication continuation plan if applicable, and a sober-housing recommendation if returning home presents a relapse risk. Montana alumni are invited to weekly recovery groups and have access to clinical consultation in the first 90 days post-discharge — the window where relapse risk runs highest. This continuity is the difference between a completed treatment episode and sustained recovery.

Turning Winds

Troy, Montana

Outcome tracking at Turning Winds extends beyond completion rates: the Troy facility follows up at 30, 90, and 180 days post-discharge to measure abstinence, quality of life, employment stability, and re-engagement with substance use. Aggregate outcome data is reviewed quarterly by clinical leadership and used to refine programming — what's working with which presentations gets reinforced, what's not gets revised. Montana families considering this provider can request outcome summaries during the admissions consultation; transparency about real-world results is a marker of a clinically serious program.

Indian Family Health Clinic

Great Falls, Montana

Admissions at Indian Family Health Clinic begins with a verification call: insurance details are run against the patient's specific plan within 24-48 hours, and a written estimate of out-of-pocket cost is provided before the patient commits. The Great Falls facility accepts most commercial PPO plans and many HMO plans with referral, plus self-pay arrangements with payment plans available. Montana residents whose insurance falls short or who carry Medicaid-only coverage are routed to appropriate alternatives — the goal is connection to care, not just filling a bed.

YWCA Helena

Helena, Montana

Many patients arriving at YWCA Helena present with co-occurring mental-health conditions — anxiety, depression, PTSD, bipolar, or attention disorders — that interact with the addiction in ways that demand integrated treatment rather than sequential. The Helena clinical team is built for dual-diagnosis cases: licensed mental-health professionals alongside addiction specialists, psychiatric medication management when indicated, and treatment plans that address both conditions simultaneously. Montana adults who've cycled through detox-only programs without lasting results often see better outcomes with this integrated approach.

SummitStone Health Partners

Livingston, Montana

SummitStone Health Partners serves adults across the spectrum of substance-use severity — from working professionals seeking discrete treatment for early-stage alcohol dependence to patients with decades of opioid use, prior treatment episodes, and complex medical histories. The Livingston program adapts intensity and approach to the individual: some patients need primarily medical stabilization and connection to MAT, others need intensive psychotherapy for unprocessed trauma, others need both. Montana admissions screens for fit before admission rather than after — patients whose needs fall outside the program's scope are referred to appropriate alternatives.

New Directions Counseling

Billings, Montana

Clinical staffing at the Billings location includes licensed alcohol and drug counselors, master's-level therapists, registered nurses on rotation, and a consulting physician experienced in addiction medicine. New Directions Counseling maintains the Montana-required staffing ratios for residential addiction treatment and follows ASAM-aligned clinical practice guidelines. Group therapy is co-facilitated when census permits, and individual sessions occur a minimum of twice weekly during residential phases. Family therapy is scheduled weekly once the patient has stabilized and consents to family involvement, typically by day 10 of admission.

Instar Community Servs

Helena, Montana

Instar Community Servs operates as a state-licensed addiction treatment provider in Helena, Montana, credentialed to deliver clinically supervised care across the standard ASAM continuum. Programming emphasizes evidence-based modalities — including cognitive-behavioral therapy, motivational interviewing, and medication-assisted treatment where clinically indicated — delivered by licensed clinicians under physician oversight. Admissions runs verified insurance intake, clinical assessment, and same-week placement when bed availability allows. Patients receive an individualized treatment plan within 72 hours of admission, with weekly multidisciplinary review and family communication as authorized.

New Directions Counseling

Billings, Montana

New Directions Counseling serves adults across the spectrum of substance-use severity — from working professionals seeking discrete treatment for early-stage alcohol dependence to patients with decades of opioid use, prior treatment episodes, and complex medical histories. The Billings program adapts intensity and approach to the individual: some patients need primarily medical stabilization and connection to MAT, others need intensive psychotherapy for unprocessed trauma, others need both. Montana admissions screens for fit before admission rather than after — patients whose needs fall outside the program's scope are referred to appropriate alternatives.

SummitStone Health Partners

Livingston, Montana

Outcome tracking at SummitStone Health Partners extends beyond completion rates: the Livingston facility follows up at 30, 90, and 180 days post-discharge to measure abstinence, quality of life, employment stability, and re-engagement with substance use. Aggregate outcome data is reviewed quarterly by clinical leadership and used to refine programming — what's working with which presentations gets reinforced, what's not gets revised. Montana families considering this provider can request outcome summaries during the admissions consultation; transparency about real-world results is a marker of a clinically serious program.

Southwest MT Community Health Center

Butte, Montana

Southwest MT Community Health Center operates as a state-licensed addiction treatment provider in Butte, Montana, credentialed to deliver clinically supervised care across the standard ASAM continuum. Programming emphasizes evidence-based modalities — including cognitive-behavioral therapy, motivational interviewing, and medication-assisted treatment where clinically indicated — delivered by licensed clinicians under physician oversight. Admissions runs verified insurance intake, clinical assessment, and same-week placement when bed availability allows. Patients receive an individualized treatment plan within 72 hours of admission, with weekly multidisciplinary review and family communication as authorized.

SummitStone Health Partners

Livingston, Montana

A typical week at SummitStone Health Partners blends process groups, psychoeducation, individual therapy, and recovery-skill workshops — structured to address both substance use and the co-occurring patterns that fuel relapse. The Livingston program incorporates trauma-informed approaches, twelve-step facilitation as one (not the only) recovery pathway, and experiential modalities including mindfulness and physical wellness. Montana patients receive a relapse-prevention plan in the final week of residential care, with named triggers, named coping skills, and named support contacts — not a generic handout.

Many Rivers Whole Health

Great Falls, Montana

Many Rivers Whole Health serves adults across the spectrum of substance-use severity — from working professionals seeking discrete treatment for early-stage alcohol dependence to patients with decades of opioid use, prior treatment episodes, and complex medical histories. The Great Falls program adapts intensity and approach to the individual: some patients need primarily medical stabilization and connection to MAT, others need intensive psychotherapy for unprocessed trauma, others need both. Montana admissions screens for fit before admission rather than after — patients whose needs fall outside the program's scope are referred to appropriate alternatives.

Stepping Stones Behavioral Health Serv

Missoula, Montana

A typical week at Stepping Stones Behavioral Health Serv blends process groups, psychoeducation, individual therapy, and recovery-skill workshops — structured to address both substance use and the co-occurring patterns that fuel relapse. The Missoula program incorporates trauma-informed approaches, twelve-step facilitation as one (not the only) recovery pathway, and experiential modalities including mindfulness and physical wellness. Montana patients receive a relapse-prevention plan in the final week of residential care, with named triggers, named coping skills, and named support contacts — not a generic handout.

Helena Valley Addiciton Services

Helena, Montana

Helena Valley Addiciton Services operates as a state-licensed addiction treatment provider in Helena, Montana, credentialed to deliver clinically supervised care across the standard ASAM continuum. Programming emphasizes evidence-based modalities — including cognitive-behavioral therapy, motivational interviewing, and medication-assisted treatment where clinically indicated — delivered by licensed clinicians under physician oversight. Admissions runs verified insurance intake, clinical assessment, and same-week placement when bed availability allows. Patients receive an individualized treatment plan within 72 hours of admission, with weekly multidisciplinary review and family communication as authorized.

Choices for Change Counseling

Superior, Montana

Clinical staffing at the Superior location includes licensed alcohol and drug counselors, master's-level therapists, registered nurses on rotation, and a consulting physician experienced in addiction medicine. Choices for Change Counseling maintains the Montana-required staffing ratios for residential addiction treatment and follows ASAM-aligned clinical practice guidelines. Group therapy is co-facilitated when census permits, and individual sessions occur a minimum of twice weekly during residential phases. Family therapy is scheduled weekly once the patient has stabilized and consents to family involvement, typically by day 10 of admission.