Alcohol & Drug Rehabs in Silver Spring, Maryland

Every rehab center in the Silver Spring directory is a licensed or accredited provider, and listings are organized to help you compare real options rather than to promote one facility over another. We prioritize programs licensed by the Maryland Behavioral Health Administration (BHA) and independently accredited by the Joint Commission or CARF, and we label any sponsored placement clearly so you always know what you are looking at.

Listing details reflect the levels of care, specialty tracks, and payment types each facility reports, drawn from public licensing records and facility information. Because openings and insurance participation change, confirm current availability and program specifics directly with a center when you reach out. The aim is to give you an accurate starting point for finding care close to home.

Silver Spring is a dense, diverse down-county community in Montgomery County that borders Washington, D.C. and sits on the Metro Red Line, with a solid base of addiction treatment. The area has 13 rehab centers offering detox, inpatient, and outpatient care, and you can compare every nearby option through the Maryland rehab directory.

Residents can reach treatment through Montgomery County’s ACCESS to Behavioral Health Services line and its 24/7 Crisis Center, which offers mobile crisis teams and walk-in help. Holy Cross Hospital in Silver Spring provides hospital-based care and referrals, and county harm-reduction services distribute naloxone and test strips at no cost. Maryland Medicaid coverage for addiction care runs through the Public Behavioral Health System.

Sitting on the District line, Silver Spring sees the same fentanyl-driven overdose risk as the wider D.C. metro, met by an unusually deep bench of outpatient and dual diagnosis care. Statewide, Maryland overdose deaths have fallen for four straight years to a 10-year low.

Crisis support: Call or text 988, or reach the Montgomery County Crisis Center 24/7 at 240-777-4000.

Maryland Medicaid: SUD care is covered through HealthChoice and the Public Behavioral Health System.

Transit access: Silver Spring’s Metro and bus connections make outpatient care easy to reach.

Free naloxone and test strips: Available through the county Overdose Response Program at 240-777-1836.

The cost of rehab in Silver Spring depends on the level of care, program length, and whether you use insurance. Maryland sits near the middle of the regional range, with a statewide residential average of roughly $56,783 without insurance, though most people pay a fraction of that once insurance benefits are applied. The figures below reflect Maryland averages by care type.

Actual costs vary with setting, amenities, and length of stay. Outpatient programs cost far less than residential care and are the most common local format, while medical detox and inpatient stays carry the highest price tags. Just inside the Beltway, private-pay rates can run above the state average, though Maryland Medicaid and public behavioral health funding anchor affordability.

Treatment setting: inpatient and residential care cost more than outpatient.

Program length: 30, 60, and 90-day programs scale in price.

Level of care: medical detox and 24-hour supervision raise costs.

Insurance status: in-network coverage and Medicaid reduce out-of-pocket cost.

Region: inner D.C. suburban rates run higher than rural Maryland.

Across the 13 rehab centers serving Silver Spring, all accept self-payment, and most work with Maryland Medicaid, private insurance, and financial assistance. The counts below show how many local facilities report accepting each payment type.

13 accept self-payment or cash

9 accept Maryland Medicaid

8 accept private health insurance

6 offer financial assistance

5 accept Medicare

3 offer sliding-scale fees

3 accept TRICARE

Which option makes the most sense depends on your coverage and income. The subsections below outline how the main payment paths work for Silver Spring residents.

Maryland Medicaid

Maryland Medicaid covers the full continuum of substance use care through the Public Behavioral Health System, from detox to outpatient counseling and medication for addiction treatment, including all three FDA-approved opioid use disorder medications. Specialty behavioral health benefits are administered by Carelon Behavioral Health for HealthChoice members. Nine Silver Spring facilities report accepting Maryland Medicaid.

Medicare

Medicare covers substance use treatment that is medically necessary, including inpatient care under Part A and outpatient services and counseling under Part B, with Medicare Advantage plans offering the same benefits. Five Silver Spring area centers accept Medicare.

Military and TRICARE

Veterans and active-duty families have several routes to care. Three area facilities accept TRICARE, and the Washington, D.C. VA Medical Center sits minutes away across the District line. See more rehab resources for veterans and military families.

Insurance and Private Pay

Most Silver Spring centers accept private insurance or self-payment, and Maryland parity laws require commercial plans to cover substance use treatment. Coverage varies by plan and network status, so verify benefits before you commit. Major carriers active in Maryland include:

• CareFirst BlueCross BlueShield
• UnitedHealthcare
• Kaiser Permanente
• Cigna
• Aetna

Other Low-Cost Options

For those without full coverage, six Silver Spring centers offer financial assistance and three offer sliding-scale fees. Public behavioral health funding serves residents regardless of ability to pay, and treatment scholarships can help close the gap.

Accreditation

Accreditation signals that a program meets independent quality standards. Among Silver Spring area facilities, one holds Joint Commission accreditation and one holds CARF accreditation. Accreditation is separate from BHA licensing, which every legitimate Maryland substance use provider must maintain.

Silver Spring leans toward outpatient care, with 2 detox programs, 3 inpatient programs, and 9 outpatient clinics reported locally, plus sober living. Most facilities also treat co-occurring mental health conditions.

2 medical detox facilities

3 inpatient rehab programs

9 standard outpatient clinics

11 dual diagnosis programs

1 sober living home

Medical detox provides 24-hour supervision to manage withdrawal safely and is the usual first step for opioid or alcohol dependence. Two area programs offer medically supervised detox, with more available across the D.C. metro.

Inpatient and residential rehab provides structured, live-in treatment. Three local inpatient rehab programs serve people who need to step away from daily triggers to focus on early recovery.

Outpatient treatment lets people live at home while attending scheduled sessions, and it is the most common local format, with 9 clinics reported. Silver Spring’s transit access makes outpatient rehab especially practical.

Dual diagnosis care treats addiction alongside conditions like depression or anxiety. Eleven reporting facilities address co-occurring disorders, nearly the entire local directory, which matters given how often mental health and substance use overlap.

Sober living offers substance-free housing that supports the transition back to independent life. One local home provides this option, paired with aftercare planning.

Many Silver Spring facilities tailor treatment to specific groups and substances. The counts below reflect programs that report each specialty focus.

10 young adult programs

9 women’s programs

9 men’s programs

7 alcohol rehab programs

6 opioid rehab programs

5 programs for older adults

2 LGBTQ+ friendly programs

Programs for young adults are the most widely reported specialty locally, and seven programs address alcohol use disorder while six treat opioid use disorder. Facilities also serve women, men, and older adults, and offer LGBTQ+ affirming addiction care in one of Maryland’s most diverse communities.

Cost should not keep anyone from help. Silver Spring residents can reach crisis support, treatment access lines, and harm-reduction resources at no charge, including crisis and suicide-prevention support around the clock.

Crisis and Helplines

• 988 Suicide & Crisis Lifeline: Call or text 988 any time for a mental health or substance use crisis.
• Montgomery County Crisis Center: 240-777-4000, free 24/7 crisis support with mobile teams and walk-in services in Rockville.
• ACCESS to Behavioral Health Services: 240-777-1770 to find a treatment program that fits your coverage.

Local Treatment and Recovery

• Holy Cross Hospital: Hospital-based care, assessment, and referrals in Silver Spring (holycrosshealth.org).
• Montgomery County Behavioral Health and Crisis Services: County treatment navigation, crisis care, and the Pick Up the Pieces campaign (montgomerycountymd.gov).

Government and Harm Reduction

• Overdose Response Program: Free naloxone, fentanyl test strips, and syringe services through Montgomery County at 240-777-1836.
• Free naloxone: Available at Maryland pharmacies without a prescription and through StopOverdose.maryland.gov.
• SAMHSA National Helpline: 1-800-662-4357, free and confidential treatment referrals, 24/7.

Silver Spring sits in Montgomery County on the Washington, D.C. line, where fentanyl drives most overdose deaths but a deep treatment and harm-reduction network has helped push numbers down. Maryland recorded one of the nation’s steepest declines in overdose deaths, and overdose data show a fourth straight year of improvement driven by naloxone saturation and expanded medication for opioid use disorder.

1. Maryland Department of Health, Behavioral Health Administration. (2026). Overdose data dashboard and treatment resources. health.maryland.gov.
2. Office of Governor Wes Moore. (2026). Maryland overdose deaths falling for fourth straight year, reaching 10-year low.
3. Montgomery County Department of Health and Human Services. (2025). Behavioral Health and Crisis Services and Overdose Response Program. montgomerycountymd.gov.
4. Maryland Department of Health. (2025). Statewide naloxone standing order and StopOverdose.maryland.gov.
5. National Center for Drug Abuse Statistics. (2022). Average Cost of Drug Rehab by Type, State and More.