How We Rank Listings
Our directory is built to help you compare real options, not to sell a single facility. Listings are organized by the details that matter most when you are choosing care: level of care offered, accepted insurance and payment types, accreditation status, and the specialty programs available for specific populations.
We prioritize programs that hold recognized accreditation and appropriate state licensure, disclose their payment and insurance options clearly, and publish accurate service information. We do not accept payment in exchange for a higher ranking. When information cannot be verified through a facility or a public source, we leave it out rather than guess.
- Level of care and treatment services offered
- Accreditation and state licensure
- Accepted insurance, Medicaid, Medicare, and low-cost payment options
- Specialty programs for specific populations
- Verifiable, up-to-date facility information
Rehab in Billings: What to Know
Billings is the largest city in Montana and the seat of Yellowstone County, the state’s most populous county.
Its 20 treatment providers make it the deepest concentration of addiction care in the region, drawing people from across south-central and eastern Montana who often travel long distances for services. You can compare programs here or browse the full Montana rehab directory to see options statewide.
The local behavioral health system is anchored by a few major providers. Rimrock Foundation is the largest drug and alcohol treatment center in the region, offering detox, residential, outpatient, and medication-assisted treatment.
RiverStone Health, the Yellowstone County city-county health department, provides integrated behavioral health counseling and medications for opioid and alcohol use disorder on a sliding fee scale.
The Community Crisis Center serves as the first point of access for anyone in crisis, regardless of ability to pay. To understand how these pieces fit together, it helps to review your addiction treatment options before you call.
In 2025, local organizations formed the Yellowstone County Behavioral Health Coalition to coordinate services across the city’s hospitals, health department, schools, and public safety agencies and to close gaps in the behavioral health continuum, including restarting mobile crisis response.
The effort reflects how much demand has grown alongside the fentanyl supply. Opioids drive much of the local need. Yellowstone County has recorded the highest absolute number of overdose deaths of any Montana county, and fentanyl has become the leading driver of those deaths statewide.
Understanding how fentanyl addiction takes hold, and the treatment that works for it, is often the first step for families in Billings.
Cost of Rehab in Billings
Montana is one of the more expensive states for addiction treatment, ranking near the bottom nationally for affordability. The average cost of drug and alcohol rehab statewide is about $62,530 without insurance, and Billings figures generally track the state averages below.
Because Yellowstone County has a higher cost of living than much of rural Montana, expect local pricing at or slightly above these figures, especially for residential care.
These figures reflect full sticker price before any insurance, Medicaid, or sliding-scale reduction, so most people pay considerably less than the totals above.
Verifying your benefits first is the single most useful step, since coverage can move a residential stay from tens of thousands of dollars to a manageable copay. Learn more about using insurance for rehab before you commit to a program.
How to Pay for Rehab in Billings
All 20 Billings providers accept some form of self-payment, and 18 accept private health insurance. Beyond that, the local system is built around public coverage and low-cost options.
Thirteen of the addiction providers accept Montana Medicaid, 10 offer sliding-scale fees, and several accept TRICARE or offer financial assistance. Very few programs anywhere are entirely free, so most people combine coverage sources to make treatment affordable.
Choosing how to pay usually comes down to what coverage you already have and what a given program accepts. The breakdown below walks through the most common paths in Billings.
Medicare
Six Billings providers accept Medicare, which covers medically necessary addiction treatment including inpatient care, outpatient services, and some medications for people 65 and older or those who qualify through disability. Coverage rules and copays vary by plan, so confirm what your specific plan covers before enrolling.
Medicaid
Montana Medicaid covers substance use disorder treatment, and 13 Billings providers accept it, making it one of the most important payment paths in Yellowstone County. Coverage includes assessment, outpatient and residential treatment, and medications for opioid and alcohol use disorder.
RiverStone Health and Rimrock Foundation both accept Medicaid. If a medication-based approach fits your situation, learn how medication-assisted treatment is covered.
Military Benefits
Ten Billings providers accept TRICARE, and the Benjamin Charles Steele VA Clinic in Billings provides outpatient substance use treatment and medication-assisted therapy for eligible veterans. Veterans and active-duty families have additional options through the VA system, and the free resources section below lists local veteran-specific care.
Insurance and Private Pay
Eighteen providers accept private insurance and all 20 accept self-payment. If you are paying out of pocket, ask each program about total cost, payment plans, and whether the quoted price includes detox. Blue Cross Blue Shield, Cigna, and UnitedHealthcare are among the most widely accepted carriers in Montana.
Other Low-Cost Options
Ten providers offer sliding-scale fees based on income and 8 offer financial assistance. RiverStone Health, the county health department, uses a sliding fee scale for behavioral health services, which can substantially lower costs for uninsured and underinsured residents.
Free Treatment Programs
Free treatment is limited but available in specific circumstances, often through scholarships, grant-funded slots, or the Community Crisis Center’s no-cost stabilization services. If cost is the main barrier, ask each program directly about scholarship availability and read our overview of rehab scholarships.
- Aetna
- Blue Cross Blue Shield
- Cigna
- Humana
- Montana Medicaid
- Medicare
- TRICARE
- UnitedHealthcare
Levels of Care Available in Billings
Billings offers the full continuum of addiction care, with 9 providers offering medical detox, 11 offering inpatient or residential treatment, 18 offering outpatient services, and 13 offering dual-diagnosis care for co-occurring mental health conditions. Two providers operate sober living homes.
Medical detox is the supervised first step for people physically dependent on alcohol, opioids, or benzodiazepines, managing withdrawal safely before further treatment begins. Rimrock Foundation provides withdrawal management and medical detox in Billings. Read more about what to expect during medical detox.
Inpatient and residential rehab provides 24-hour care in a live-in setting, which suits more severe cases or people who need distance from a high-risk environment. Learn how residential treatment is structured.
Outpatient rehab, the most widely available level in Billings, lets people live at home while attending scheduled treatment, ranging from standard weekly counseling to intensive outpatient programs. See how outpatient rehab and intensive outpatient programs compare.
Dual-diagnosis programs treat addiction alongside conditions such as depression or anxiety at the same time, which improves outcomes when both are present. Explore how treatment addresses co-occurring depression.
Sober living homes offer a structured, substance-free residence after formal treatment ends, supporting the transition back to daily life. Understand the role of continuing care in long-term recovery.
Specialty Programs in Billings
Many Billings providers tailor treatment to specific groups, which can make care feel more relevant and reduce barriers to staying engaged. The counts below reflect programs serving these populations across the city’s 20 facilities.
Twelve providers offer programs focused on alcohol use disorder, reflecting Montana’s persistently high rates of alcohol-related harm.
Six offer programs for opioid use disorder, the area’s fastest-growing treatment need. Four programs describe themselves as LGBTQ+ affirming, and two provide dedicated care for veterans and military members and their families.
Free and Low-Cost Rehab Resources in Billings
Cost should not keep anyone in Billings from getting help. The resources below offer crisis support, low-cost treatment, and harm-reduction services, many at no charge and regardless of insurance status. If you or someone you know is in immediate danger, call 988 for the Suicide and Crisis Lifeline. Our crisis support resources can help you know what to expect.
Crisis and Immediate Help
- 988 Suicide and Crisis Lifeline
https://988lifeline.org/
Call or text 988, 24/7, for mental health and substance use crises. - SAMHSA National Helpline
https://www.samhsa.gov/find-help/helplines/national-helpline
Free, confidential, 24/7 treatment referral in English and Spanish. - Community Crisis Center
https://www.crisiscenterbillings.org/
Walk-in crisis stabilization, substance use and mental health assessments, and counseling regardless of ability to pay.
County Health Department
- RiverStone Health
https://riverstonehealth.org/
The Yellowstone County city-county health department offers integrated behavioral health counseling and medications for opioid and alcohol use disorder on a sliding fee scale.
Treatment Providers
- Rimrock Foundation
https://www.rimrock.org/
The region’s largest treatment center, offering detox, residential, outpatient, MAT, and recovery homes.
Harm Reduction and Naloxone
- RiverStone Health Pharmacy
https://riverstonehealth.org/pharmacy/
Free naloxone (Narcan) is available to the public to reverse opioid overdoses. Naloxone is also available over the counter at most pharmacies and by mail through NEXT Distro at nextdistro.org.
Veterans and Military
- Benjamin Charles Steele VA Clinic
https://www.va.gov/montana-health-care/locations/benjamin-charles-steele-va-clinic/
Billings. Outpatient substance use treatment and medication-assisted therapy for eligible veterans. Additional VA options are listed through the VA’s substance use disorder locator at va.gov. See our resources for veterans.
Government and Recovery Support
- Montana Medicaid
https://dphhs.mt.gov/MontanaHealthcarePrograms/MemberServices
Covers substance use disorder treatment for eligible low-income residents; check eligibility through the Montana Department of Public Health and Human Services. - STEP Inc.
https://step-inc.org/
Operates sober living homes in Billings, including residences for women, women with children, and men.
Drug and Alcohol Use Statistics in Billings
Yellowstone County carries the heaviest overdose burden in Montana, recording the highest absolute number of overdose deaths of any county in the state during both the 2014-2018 and 2019-2023 periods.
Fentanyl and methamphetamine are the two dominant drivers, and the local trend has climbed sharply alongside the statewide fentanyl supply.
The county-level picture reflects statewide trends: Montana drug overdose deaths rose 37% over the past decade, and about three-quarters of the roughly 216,000 Montanans who need treatment each year do not receive it.
Opioids are involved in more than two-thirds of all Montana overdose deaths, which is why local opioid treatment and naloxone access have become central to the community response. For national context, see our substance use statistics.
Resources
- Addictions.com. (2024). Alcohol & Drug Rehabs in Montana. https://www.addictions.com/rehabs/montana/
- Montana Department of Public Health and Human Services. (2024). Drug Overdose Deaths in Montana 2014-2023. https://dphhs.mt.gov/assets/publichealth/EMSTS/Data/DrugOverdoseDeaths_2014-2023.pdf https://www.dphhs.mt.gov/assets/publichealth/EMSTS/Data/DrugOverdoseDeaths_2014-2023.pdf
- Centers for Disease Control and Prevention, National Center for Health Statistics. (2021). Drug Poisoning Mortality by County (dataset rpvx-m2md), 2019-2021 model-based estimates. https://data.cdc.gov/National-Center-for-Health-Statistics/NCHS-Drug-Poisoning-Mortality-by-County-United-Sta/rpvx-m2md
- Montana Free Press. (2023). Fentanyl use in Montana driving spike in overdose deaths. https://montanafreepress.org/2023/07/07/fentanyl-use-in-montana-driving-spike-in-overdose-deaths/
- RiverStone Health. (2026). Yellowstone County Behavioral Health Coalition. https://riverstonehealth.org/yellowstone-county-behavioral-health-coalition/
- City of Billings. Community Resources and Addiction/Recovery directory. https://www.billingsmt.gov/2517/Community-Resources
- Rimrock Foundation. Contact and services. https://www.rimrock.org/
- World Forum for Mental Health. (2026). Montana Drug and Alcohol Statistics. https://www.wfmh.org/stats/montana-drug-alcohol-statistics