Top 21 Alcohol & Drug Rehab Centers in Montana & Free Treatment Resources

Find the best addiction treatment centers in Montana. Browse 110+ outpatient rehabs, 60+ inpatient rehabs, and 50+ detox clinics in the state. Get the answer to common rehab FAQs including how much rehab costs in Montana, substance abuse statistics, and important drug laws.
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Expert Insights

A recent news story revealed some frightening and infuriating facts about a sober living residence in Montana, specifically that the sober living staff used its clients for free labor. Unsuspecting people are often faced with the choice of either going to jail for drug-related crimes or going into one of these programs. Unfortunately, by the time it was all said and done, jail might have been a better option. There are a myriad of unlicensed and unregulated sober living residences currently operating in Montana. These facilities offer housing and support to people who truly should be in medically-supervised rehabs, but there is no state oversight for any services provided by sober living residences. Believe it or not, sober living homes in Montana aren’t even required to hire licensed addiction counselors, licensed social workers, or credentialed psychologists. This must change and states like Montana must step in and impose regulations.

~ Peg O’Connor

How Much Does Drug Rehab Cost in Montana?

Montana is ranked 47th nationwide in terms of addiction treatment affordability, with an average cost of drug and alcohol rehab of $62,530 (without insurance).

  • Medical detox is the most expensive, with an average cost of $154,159
  • Long-term inpatient drug rehab in Montana costs an average of $55,179
  • Outpatient addiction treatment in Montana costs an average of $9,169
  • Outpatient methadone treatment is the most affordable, with an average cost of $8,146

Depending on the circumstances, the cost of drug and alcohol rehab in Montana can vary greatly from person to person. Influencing factors include:

Inpatient vs. outpatient rehab

Location of the facility or detox center

Acceptance of insurance plans

Amenities and features (luxury vs. standard)

Duration of stay

Are There Free Rehab Centers in Montana?

If you are among the millions of Americans without health insurance and you need alcohol or drug rehab in Montana, don’t worry. There are multiple agencies in the state and across the country prepared to help people in your situation.

As of 2024, there were over 140 drug rehab facilities across the state of Montana. These facilities accept several payment methods. Of those treatment facilities, the following numbers reflect how many rehab centers offer free or low-cost treatment options:

Low-cost options are offered by government and non-profit agencies, such as sliding-scale fees that offer services at a rate you can afford, based on your income. State-funded facilities also offer low-cost and free services, either on a flat rate or a sliding-scale basis. These may have less availability than other programs but typically provide referrals to other similar programs when they’re unable to accommodate someone.

If you have no means to pay for treatment whatsoever, a scholarship might be your best bet. These are funded by private and public donations and block grants from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Does Insurance Cover Rehab Center Costs?

If you have insurance, either through your employer, government programs such as Medicaid, or if you bought insurance off the open marketplace, you could use it to pay for treatment. Depending on the type of insurance you have, you might be able to get services completely free, or at least at a reduced cost.

Private Insurance

Health insurance providers must provide some form of coverage for mental health and substance abuse treatment services – this includes drug rehab in Montana. Contact your provider to learn more about your specific plan.


Montana Medicaid provides health coverage to low-income pregnant people and families and covers services like medication-assisted treatment, and inpatient and outpatient care.


You can also use Montana Medicare to cover behavioral health and mental health care. This includes drug and alcohol rehab, as well as screening and assessments.

How Common is Drug and Alcohol Use in Montana?

According to state and federal surveys:1,2,3

Alcohol and Drug Laws in Montana

Here are a few of the laws surrounding addiction in Montana:

Family and Medical Leave Act (FMLA): Federal FMLA laws apply to people in every state to offer employment protection to those that live in states with no paid or unpaid leave laws, such as Montana. These laws require companies with more than 50 employees to offer at least 12 weeks of unpaid leave to workers that need medical treatment or to care for a sick or injured family member.6 This protects workers that need to seek rehab, as employers are prohibited from discriminating against employees because of a covered medical condition such as substance use disorder (SUD).

The Help Save Lives from Overdose Act: Designed to open access to overdose-reversal medication, HB 333 was created to help prevent overdoses in the state.7 It allows pharmacists to provide Naloxone kits to friends and family members of people addicted to or prescribed opiate medication, as well as first responders, harm reduction organization agents, veterans’ groups, and county health officials without a prescription, per a standing state order.

Good Samaritan Overdose Laws: The Good Samaritan laws were enacted to protect people who report medical emergencies, including drug overdoses, from prosecution.8 This is designed to encourage people who are in the presence of an overdose victim to call 911, even if they are currently committing a crime such as possession or use of illegal drugs or paraphernalia or trespassing on a restraining order.

How to Choose the Right Level of Care

There are several ways to use addiction treatment services, depending on your care needs and preferences. You can choose a program that’s as short as one month long, with daily comprehensive therapy, or a program that takes several months, or even a year or longer.

Medical Detox is often the first step of the recovery process. A professional detox team can help you manage painful and sometimes life-threatening withdrawal symptoms.

Inpatient rehab offers the highest levels of supervision, requiring participants to live in the facility for the duration of the program.

Partial hospitalization programs (PHPs) provide the highest level of care in outpatient care, offering daily therapy and medically supervised treatments such as addiction medication and talk therapy.

Intensive outpatient programs (IOPs) are a step down in care level from a PHP, requiring only nine hours of therapy per week which clients can engage in over several days.5

Standard outpatient programs (SOPs) deliver the lowest level of rehab services, generally providing only a single meeting per week with your recovery group or therapist.

Aftercare is the final step of the recovery process. After you finish rehabilitation, you’ll work with your team to create a plan to provide you with the support you need to avoid relapse in the long run.

How Do You Choose a Drug or Alcohol Rehab?

Everyone has different needs when they enter treatment, and your preferences need to be considered when looking for the best drug rehab in Montana for you.

  • Treatment: Investigate what types of care and therapies the program uses and look for specialized addiction treatment centers that cater to people like you.
  • Amenities: Look for the amenities and features that will make you feel comfortable.
  • Location: Choose a facility in a location that will best support your recovery.
  • Cost: One of the primary factors is cost, both for the program you want to engage in and the cost of living.
  • Accreditation: Treatment centers should be licensed by the state and should provide documentation to prove that.

Should You Travel for Drug and Alcohol Rehab in Montana?

MontanaIf you love a rural lifestyle with plenty of great outdoors to explore, from the Rocky Mountains to the grassy fields that stretch for miles, Montana might be the perfect place for you to go to rehab. This state has a variety of interesting sites to visit, such as museums filled with artifacts from Indian civilizations from the area and the Makoshika State Park badlands area with dinosaur fossils.

Some things to consider when deciding where to move for treatment include:

  • There is a particular facility or detox center you want to attend
  • You have friends or family in the area, and their support will help you
  • Your insurance covers treatment in Montana
  • Montana appeals to you because of the climate, scenery, or general vibe


  1. Montana Substance Use Disorder Task Force Strategic Plan 2. (n.d.). Montana DPHHS.
  2. (n.d.).
  3. Center for Disease Control. (2022). CDC Wonder.
  4. Montana State Legislature. (2020, June). Draft Final Report on the HJR 32 Study: Prenatal Drug Use.
  5. Substance Abuse and Mental Health Services Administration. (2018). MONTANA – National Survey on Drug Use and Health: 2017-2018 State.
  6. Substance Abuse and Mental Health Services Administration. (2022). Treatment Locator Map.
  7. Center for Substance Abuse Treatment. Substance Abuse: Clinical Issues in Intensive Outpatient Treatment. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); (2006). Chapter 3. Intensive Outpatient Treatment and the Continuum of Care.
  8. U.S. Department of Labor. (2022). FMLA: General Guidance.
  9. Montana Department of Public Health and Human Services. (2022). Naloxone.
  10. Montana Legislation. (2022). Good Samaritan Protections.
Medical Reviewer
Sendra Yang, PharmD, MBA
Medical Information Professional
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Sendra Yang received her Doctor of Pharmacy and Master of Business Administration degrees from Wingate University School of Pharmacy. She has experience in the pharmaceutical industry, pharmacy education, and clinical practice. She has also been a medical writer, editor, and reviewer for consumer health and medical content, including materials relating to addiction and rehabilitation.
Peg O'Connor
Peg O'Connor, PhD, Social Philosophy
Philosophy Professor, Author
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Peg O’Connor, PhD, is a professor of philosophy who regularly teaches courses in moral and social philosophy and on the subjects of addiction, trauma, and oppression. Peg is also a recovering alcoholic of 35 years who believes philosophy helped her to get - and stay - sober. She is the author of Higher and Friendly Powers: Transforming Addiction and Suffering and Life on the Rocks: Finding Meani