Alcohol & Drug Rehabs in Helena, Montana

Addictions.com lists licensed drug and alcohol treatment providers in Helena and across Lewis and Clark 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 and surfaced 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 be sure to confirm current services, availability and insurance directly with a provider before you enroll.

Helena is Montana’s state capital and the seat of Lewis and Clark County. This directory covers 14 licensed drug and alcohol treatment providers in the Helena area, part of the wider Montana rehab directory. As a smaller capital city, Helena offers a solid core of addiction treatment options, though residents sometimes travel to Missoula or Great Falls for specialized care.

Lewis and Clark Public Health is the county health department, and St. Peter’s Health anchors local care with an emergency department and a behavioral health unit. PureView Health Center provides sliding-scale services as a federally qualified health center.

Lewis and Clark County Criminal Justice Services also plays an active role, distributing free fentanyl test strips and naloxone and funding a recovery drop-in center and the county takes part in Montana’s Angel Initiative, which lets people ask law enforcement for help getting into treatment.

Fentanyl has driven repeated overdose spikes in the Helena area, with St. Peter’s Health and the county sheriff’s office issuing public warnings after clusters of overdoses. In 2023, the county recorded five opioid overdose deaths, four of them fentanyl-related. Alcohol remains the substance most Montanans name when they enter treatment and our guide to alcohol use disorder explains what care looks like.

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 will depend 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 and financial assistance all lower the real cost. Confirming your insurance benefits for rehab is usually the first step.

Level of care detox, inpatient, or outpatient

Program length 30, 60, or 90 days

Insurance coverage and network status

Facility location and setting

All 14 Helena-area providers in our directory accept some form of payment, and most accept several. The grid below shows how many local centers take each type.

14 accept self-payment or cash

12 accept private health insurance

8 accept Montana Medicaid

7 accept Medicare

6 offer sliding-scale fees

6 offer financial assistance

6 accept TRICARE

Here is how the most common options work in Montana.

Insurance and Private Pay

Twelve Helena facilities accept private health insurance, and all 14 accept self-payment. If you are insured through an employer or the marketplace, your plan can tell you which local programs are in network and what your share of the cost will be.

Medicaid

Eight Helena 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

Seven Helena 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

Six local providers accept TRICARE, the health program for active-duty members, veterans and their families. The VA Montana Health Care System is based at nearby Fort Harrison, and veterans can explore rehab resources for veterans and military families.

Other Low-Cost Options

Six Helena facilities offer sliding-scale fees based on income, and six provide financial assistance. Some programs also offer rehab scholarships or grant-funded slots for people who are uninsured or underinsured. Ask each program what it offers before ruling out care on cost.

• Aetna
• Blue Cross Blue Shield of Montana
• Cigna
• Mountain Health Co-op
• PacificSource
• UnitedHealthcare

Helena offers care across the main levels, from medically supervised detox through inpatient and outpatient treatment. The counts below reflect the providers in our directory.

5 medical detox facilities

9 inpatient rehab programs

12 standard outpatient clinics

8 dual diagnosis programs

Here is what each level involves.

Medical Detox

Five Helena 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

Nine 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

Twelve Helena providers offer outpatient rehab, letting people keep up with work, school, and family while attending scheduled treatment. Outpatient is often used as a step down from residential care.

Dual Diagnosis and Co-Occurring Care

Eight 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.

Several Helena providers tailor treatment to specific groups and needs. The programs below are available locally.

3 women's programs

Gender-specific treatment for women, including trauma-informed care.

4 men's programs

Men’s treatment tracks that address the health patterns and pressures common among men in recovery.

1 LGBTQ+ friendly program

Affirming care for LGBTQ+ clients in recovery.

9 young adult programs

Support built for teens and young adults navigating early substance use.

3 programs for older adults

Care adapted to the health and medication needs of older adults.

8 alcohol rehab programs

Treatment focused on alcohol use, the substance most often reported by Montanans entering care.

3 opioid rehab programs

Programs treating opioid use disorder, including medication-assisted options.

Cost should not be the reason someone goes without help. Several free and low-cost resources serve Helena and Lewis and Clark 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
  Call or text 988
  Free, confidential support 24/7, including substance use and mental health crises.
• SAMHSA National Helpline
  1-800-662-4357
  Free treatment referral and an information line that is available around-the-clock.
• Montana 211
  Dial 211 or visit montana211.org
  Help with finding local health and human services.
• Lewis and Clark County Criminal Justice Services
  https://www.lccountymt.gov/Government/Criminal-Justice-Services
  Free fentanyl test strips and naloxone, plus a recovery drop-in center for people in or at risk of the justice system.
• Boyd Andrew Community Services
  https://boydandrew.com/
  Assessments, adult outpatient treatment and transitional living in Helena
• St. Peter’s Health
  sphealth.org
  Emergency and behavioral health services
• Helena Indian Alliance
  https://hia-mt.org/
  Urban Indian health and behavioral health services
• VA Montana Health Care System
  https://www.va.gov/montana-health-care/
  Veterans’ services based at nearby Fort Harrison
• Montana naloxone access
  nextdistro.org
  Free overdose-reversal medication

Detailed city-level data for Helena is limited, so the figures here combine what Lewis and Clark County has reported with statewide context. Local officials have flagged fentanyl as the main driver of recent overdose spikes: in 2023 the county recorded five opioid overdose deaths, four of them fentanyl-related, and 23 opioid-related ambulance calls in the first half of the year alone. Statewide numbers put that local picture in context alongside broader substance use statistics.

1. Montana Department of Public Health and Human Services. (2024). Drug Overdose Deaths in Montana 2014-2023. https://www.dphhs.mt.gov
2. Montana Department of Public Health and Human Services. (2024). Alcohol Use in Montana. https://www.dphhs.mt.gov
3. Lewis and Clark County Sheriff’s Office (via KTVH). (2023). Lewis and Clark County opioid overdose data. https://www.ktvh.com
4. Addictions.com. (2025). Drug and Alcohol Rehab in Montana: statewide treatment cost averages. https://www.addictions.com/rehabs/montana/