How We Rank Listings
Addictions.com lists licensed drug and alcohol treatment providers in Great Falls and across Cascade County. We organize each directory so you can compare local options side by side and weigh the factors that matter most when choosing care.
Listings are grouped based on:
- Level of care offered, from detox through inpatient, outpatient, and aftercare
- Accreditation and state licensing status
- Accepted payment types, including private insurance, Montana Medicaid, and self-pay
- Specialized programs for specific populations and substances
- Verified facility information and the completeness of each profile
We update listings as facilities change their services and credentials. Inclusion in this directory is not an endorsement or a guarantee of any treatment outcome. Always confirm current services, availability, and insurance directly with a provider before enrolling in a treatment program.
Rehab Resources and Trends in Great Falls
Great Falls is Montana’s third-largest city, the seat of Cascade County, and home to Malmstrom Air Force Base. The city offers a core set of addiction treatment options, with a military community that adds demand for care that understands service-related needs. This directory covers 11 licensed drug and alcohol treatment providers in the Great Falls area, part of the wider Montana rehab directory.
The Cascade City-County Health Department is the county’s public health agency and distributes naloxone locally. Benefis Health System anchors care in the area, including outpatient behavioral health, and Alluvion Health provides sliding-scale services as a federally qualified health center.
Cascade County was the first partner in Montana’s Angel Initiative, which lets people ask law enforcement for help getting into treatment. Local groups such as Alliance for Youth work on prevention through the Healthy Lives, Vibrant Futures coalition. The Little Shell Tribe of Chippewa Indians is headquartered in Great Falls and operates the Little Shell Health Center, which adds culturally specific care for Native residents.
Cascade County recorded 108 drug overdoses in 2022, 19 of them fatal, and Great Falls police reported a sharp rise in early 2023. Alcohol remains the substance most Montanans name when they enter treatment, and our guide to alcohol use disorder covers what care looks like.
How Much Does Rehab Cost in Great Falls?
City-level pricing is rarely published, so Montana’s statewide averages are the best starting point. Montana ranks 47th in the country for treatment affordability, with a blended average near $62,530 without insurance. Use the figures below as statewide baselines. Your actual cost depends on the level of care, the length of the program, and your coverage.
Most people do not pay these full amounts out of pocket. Insurance, Montana Medicaid, sliding-scale fees, financing, and a couple of no-cost programs all lower the real cost in Great Falls. Confirming your insurance benefits for rehab is usually the first step.
Several factors affect the final cost of treatment:
How to Pay for Rehab in Great Falls
The 11 Great Falls-area providers in our directory accept a range of payment types, and most work with more than one. The grid below shows how many local centers take each.
Here is how the most common options work in Montana.
Insurance and Private Pay
Nine Great Falls facilities accept private health insurance, and 10 accept self-payment. Three offer financing that spreads the cost over time. If you are insured through an employer, the marketplace, or Malmstrom Air Force Base, your plan can tell you which local programs are in network and what your share of the cost will be.
Insurance providers active in this area include:
- Aetna
- Blue Cross Blue Shield of Montana
- Cigna
- Mountain Health Co-op
- PacificSource
- UnitedHealthcare
Medicaid
Five Great Falls providers accept Montana Medicaid, which covers detox, outpatient care, and medication-assisted treatment. Montana broadened Medicaid coverage for substance use care through its HEART initiative, which funds treatment and recovery programs statewide.
Medicare
Four Great Falls facilities accept Medicare, which can help older adults and some people with disabilities pay for assessment, counseling, and treatment. Copays and coverage rules vary by plan, so confirm the details before you enroll.
Military Benefits
With Malmstrom Air Force Base in the city, military coverage matters locally. Three providers accept TRICARE, the health program for active-duty members, veterans, and their families, which covers inpatient care, outpatient services, and medication-assisted treatment. Veterans can also explore rehab resources for veterans and military families.
Other Low-Cost Options
Five Great Falls facilities offer financial assistance, and four provide sliding-scale fees based on income. Two programs offer free treatment, and some also provide rehab scholarships or grant-funded slots for people who are uninsured or underinsured. Ask each program what it offers before ruling out care based on cost.
Levels of Care Available in Great Falls
Great Falls offers care across the main levels, from medically supervised detox through inpatient and outpatient treatment. The counts below reflect providers in our directory.
Here is what each level involves.
Medical Detox
Seven Great Falls facilities provide medical detox, the supervised process of clearing substances from the body while managing withdrawal safely. Detox is usually the first step for people with alcohol or opioid dependence.
Inpatient and Residential Rehab
Seven local programs offer inpatient rehab, where clients live on site with structured therapy and around-the-clock support. Residential care fits people with more severe use or unstable living situations.
Outpatient Treatment
Ten Great Falls providers offer outpatient rehab, which lets people keep up with work, school, and family while attending scheduled treatment. Outpatient treatment is often used as a step down from residential care.
Dual Diagnosis and Co-Occurring Care
Six local programs treat co-occurring conditions, addressing substance use alongside mental health concerns such as depression or anxiety. Treating both together leads to stronger results.
Sober Living and Aftercare
Two sober living homes in Great Falls offer substance-free housing for people transitioning out of treatment. Strong aftercare support helps protect early recovery.
Specialty Programs in Great Falls
Several Great Falls providers tailor treatment to specific groups and needs. The programs below are available locally.
Free and Low-Cost Rehab Resources in Great Falls
Cost should not be the reason someone goes without help. Several free and low-cost resources serve Great Falls and Cascade County. If you or someone you know is in crisis, start with the resources below or call 988 for immediate crisis support.
- 988 Suicide and Crisis Lifeline
https://988lifeline.org/
Call or text 988 for free, confidential support 24/7. Great Falls is home to Voices of Hope, one of Montana’s three 988 call centers. - SAMHSA National Helpline
https://www.samhsa.gov/find-help/helplines/national-helpline
A free treatment referral and information line available around the clock - Montana 211
https://montana211.org/about
Dial 211 or visit montana211.org to find local health and human services. - Cascade City-County Health Department
https://www.cascadecountymt.gov/
The county public health agency distributes naloxone and offers overdose prevention resources. - Benefis Health System
https://www.benefis.org/
Outpatient behavioral health and hospital-based care - Alluvion Health
https://www.alluvionhealth.org/
A federally qualified health center offering sliding-scale primary and behavioral health care - Indian Family Health Center
https://ifhcgf.org/
Urban Indian health and behavioral health services, 1220 Central Ave, Suite 2B - Little Shell Health Center
https://montanalittleshelltribe.org/clinic/
Care operated by the Little Shell Tribe, headquartered in Great Falls (425 Smelter Ave NE) - Montana naloxone access
https://nextdistro.org/
Free overdose-reversal medication by mail from NEXT Distro
Drug and Alcohol Use Statistics in Great Falls
Great Falls and Cascade County have seen overdoses climb alongside the statewide fentanyl surge. The county recorded 108 drug overdoses in 2022, 19 of them fatal, and Great Falls police reported 33 suspected overdoses and three deaths in just the first three months of 2023. Alcohol, meanwhile, remains the substance most Montanans name when entering treatment, in line with broader substance use statistics.
Resources
- Montana Department of Public Health and Human Services. (2024). Drug Overdose Deaths in Montana 2014-2023. https://www.dphhs.mt.gov
- Montana Department of Public Health and Human Services. (2024). Alcohol Use in Montana. https://www.dphhs.mt.gov
- Great Falls Emergency Services (via Health Street). (2023). Cascade County overdose data. https://www.health-street.net
- Montana Governor’s Office. (2023). Great Falls public safety roundtable. https://news.mt.gov
- Addictions.com. (2025). Drug and Alcohol Rehab in Montana: statewide treatment cost averages. https://www.addictions.com/rehabs/montana/