By State · SAMHSA-verified directory
Addiction treatment in Montana
122 verified treatment centers across Montana. Overdose rate 18.3 per 100,000 (CDC 2023) · Medicaid expanded.
122
Centers
47
Cities
Expanded
Medicaid
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Map of treatment centers in Montana
102 locations with a mapped address. Select a marker to open its page.
Treatment centers in Montana
Every listing sourced from SAMHSA Treatment Services Locator.
South Central Montana Regional MHC Big Timber MH and Addiction Services
Big Timber, MT
ChoicePoint Billings
Billings, MT
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Cities in Montana with verified facilities
47 cities. Click through for city-specific listings.
Billings
21 centers
Helena
12 centers
Missoula
11 centers
Great Falls
7 centers
Kalispell
6 centers
Butte
6 centers
Livingston
3 centers
Glendive
3 centers
Bozeman
3 centers
Wolf Point
2 centers
Thompson Falls
2 centers
Stevensville
2 centers
Miles City
2 centers
Lewistown
2 centers
Havre
2 centers
Harlem
2 centers
Hamilton
2 centers
Eureka
2 centers
Dillon
2 centers
Conrad
2 centers
Columbia Falls
2 centers
Whitefish
1 centers
White Sulphur Springs
1 centers
Warm Springs
1 centers
Troy
1 centers
Superior
1 centers
Sidney
1 centers
Shelby
1 centers
Ronan
1 centers
Red Lodge
1 centers
Polson
1 centers
Plentywood
1 centers
Martin City
1 centers
Marion
1 centers
Laurel
1 centers
Hays
1 centers
Harlowton
1 centers
Glasgow
1 centers
Dodson
1 centers
Clancy
1 centers
Broadus
1 centers
Box Elder
1 centers
Boulder
1 centers
Big Timber
1 centers
Belgrade
1 centers
Anaconda
1 centers
Alberton
1 centers
Understanding treatment in Montana
On any given week in Montana, several hundred residents are hospitalized for overdose. The treatment infrastructure that could prevent most of the deaths behind those hospitalizations is distributed unevenly — 122 facilities concentrated in specific metros, thinning as you move toward the Northern Rockies geography. This is an editorial look at who that serves and who it fails.
The Medicaid question
The Medicaid story in Montana: Montana expanded Medicaid in 2016 under the Affordable Care Act. Has realistic access to Medicaid coverage for addiction treatment once enrolled. No individual clinical decision, no facility-level quality variation, changes the underlying math. States that expanded have a treatment system; states that did not have a triage system.
The overdose-mortality context
The overdose rate in Montana is 18.3 per 100,000 — a number that is rarely cited without caveat, because averages smooth out the specific places and specific populations where death concentrates. tribal-area access gaps, methamphetamine prevalence, long driving distances That geographic and demographic inequality is the thing the top-line number cannot tell you.
How access actually works in Montana
The 122 facilities in Montana are not interchangeable. Ownership structure, clinical framework, payer mix, and MAT availability vary enough that "any rehab" and "a good rehab for this person" are materially different propositions. tribal-area access gaps, methamphetamine prevalence, long driving distances — so the search is less about proximity than about fit.
What to do next
Practically, three things happen next if someone in Montana is going to get help: a clinical assessment (by someone whose incentives are clinical, not financial), an insurance verification (in writing), and a facility selection (ASAM-aligned and MAT-inclusive). In that order. Reversing the order is the most common source of the "they said they took my insurance but I got a $15,000 bill" stories.
Last updated September 2026. Sources: SAMHSA Treatment Locator, CDC WONDER (overdose mortality 2023), KFF Medicaid Tracker, ASAM Criteria 4e. See our editorial policy.