Alcohol & Drug Rehabs in Missoula, Montana

Our directory is built to help you compare real treatment options in Missoula, not to sell a single program. Each listing is organized around the details that matter most when you are choosing care, such as the levels of care offered, the substances and populations a facility specializes in, the payment types accepted and any accreditation or state licensing the program holds.

We prioritize facilities that publish clear, verifiable information about their services and credentials. Listings that carry recognized accreditation, such as the Joint Commission or CARF, or that hold current state licensing through the Montana Department of Public Health and Human Services, are surfaced with those signals noted so you can weigh them yourself.

We do not rank programs by advertising spend, and we use the same criteria for every facility on the page.

Missoula sits in Missoula County in western Montana and is the second-largest city in the state. Treatment options are anchored by the University of Montana and by St. Patrick Hospital and the Partnership Health Center network. The county’s twenty listed facilities span the full continuum of care, from medical detox and residential treatment through standard outpatient and medication for opioid use disorder.

You can also browse rehab centers across Montana if you want to compare Missoula against other parts of the state, or read more about addiction treatment options before you start calling programs.

Local behavioral health capacity is concentrated in a handful of well-known providers. Partnership Health Center, the county’s federally qualified community health center, offers outpatient care and medications for opioid use disorder. Community Medical Services operates the area’s opioid treatment program with methadone and buprenorphine.

Furthermore, Western Montana Mental Health Center, Winds of Change and Recovery Center Missoula add mental health treatment, case management and residential care, and the University of Montana’s Curry Health Center serves enrolled students.

Missoula County has felt the same fentanyl-driven shift seen across the state. Of the overdose deaths reported in the county in 2023, more than half were linked to fentanyl, and county opioid overdose deaths rose sharply over the prior few years. That trend is why so much local energy has gone into harm reduction, including a county naloxone distribution effort and syringe services, alongside traditional treatment.

If opioids are part of your struggle, it helps to understand opioid use disorder and the treatment options that address it.

There is no single price for rehab in Missoula, and the total depends on the level of care, the length of the program and whether you use insurance. Montana ranks near the bottom nationally for treatment affordability, with a statewide average cost of roughly $62,530 for drug and alcohol rehab without insurance, so it helps to know the state-level figures before you compare local programs.

Missoula’s cost of living runs at or above the Montana average, so in-city private-pay rates may sit toward the higher end of these ranges.

Most people in Missoula do not pay these full amounts out of pocket. Insurance, Medicaid, sliding-scale fees and grant-funded programs all lower the real cost, and verifying your benefits before you enroll is the single best way to understand what you will owe.

If you are weighing a residential stay against a lower-cost option, comparing inpatient rehab and outpatient rehab side by side is a good place to start.

Level of care detox, inpatient, or outpatient

Length of program 30, 60, or 90 days

Insurance coverage and network status

Sliding-scale fees and financial assistance

State or grant funding for those who qualify

Facility location and amenities

Across the twenty facilities listed in Missoula, payment options are broad enough that cost does not have to be the reason you delay care. Every listed facility accepts self-payment, most accept private insurance and a majority accept Montana Medicaid. Sliding-scale fees, financial assistance and TRICARE for military families widen the options further.

20 accept self-payment or cash

18 accept private health insurance

13 accept Montana Medicaid

9 accept Medicare

14 offer financial assistance

6 offer sliding-scale fees

8 accept TRICARE

1 offers free treatment

The right payment path depends on your coverage and income. The sections below break down the most common options in Missoula.

Medicare

Nine Missoula facilities accept Medicare, which covers addiction treatment for adults 65 and older and for some younger people with qualifying disabilities. Coverage typically includes inpatient care, outpatient services and counseling when they are medically necessary. Because benefits and prior-authorization rules vary by plan, it is worth confirming the specifics before you enroll.

You can read more about using insurance for rehab to understand what to ask.

Medicaid

Thirteen Missoula facilities accept Montana Medicaid, the largest single payer for substance use treatment in the state. Montana expanded Medicaid in 2016 through the HELP Program, and the state’s HEART Waiver has since broadened Medicaid-covered behavioral health services, including medication for opioid use disorder and treatment in larger facilities.

For opioid use disorder, Medicaid can cover medication-assisted treatment at programs like Community Medical Services and Partnership Health Center.

Military Benefits

Eight Missoula facilities accept TRICARE, the health program for active-duty service members, veterans and their families. Missoula also has a veterans treatment court and VA-connected services for justice-involved veterans, so if you or a family member served, ask each program how it coordinates with military benefits.

Insurance and Private Pay

Eighteen facilities accept private health insurance, and all twenty accept self-payment. If you have an employer or marketplace plan, addiction treatment is a covered essential health benefit, though your out-of-pocket cost depends on your deductible, copays and whether the facility is in network.

Verifying your benefits coverage ahead of time keeps you from being surprised by a bill in the future.

Other Low-Cost Options

Six facilities offer sliding-scale fees that adjust the price to your income, and fourteen offer some form of financial assistance. Community health centers such as Partnership Health Center use income-based fee scales and several nonprofit and state-funded programs draw on grant money to serve people who are uninsured or underinsured.

Free Treatment Programs

One Missoula facility offers fully free treatment, and additional no-cost services exist outside the traditional treatment system, including free naloxone and harm-reduction supplies. If cost is the main barrier, our guide to rehab scholarships and free treatment options explains other ways to fund care.

• Aetna
• Allegiance
• Blue Cross Blue Shield of Montana
• Cigna
• Montana Medicaid
• Medicare
• PacificSource
• TRICARE
• UnitedHealthcare

Missoula offers a full continuum of care, with nine medical detox facilities, thirteen inpatient programs and seventeen standard outpatient clinics, plus dual-diagnosis and sober-living options. The right level depends on the severity of the substance use, whether medically supervised withdrawal is needed and how much daily structure will help.

9 medical detox facilities

13 inpatient rehab programs

2 partial hospitalization programs

17 standard outpatient clinics

14 dual diagnosis programs

1 sober living home

Medical detox is often the first step when the body has become physically dependent, providing supervised withdrawal management before further treatment. Programs like Community Medical Services offer opioid detox on an outpatient basis. Learn more about what to expect from medical detox.

Inpatient and residential programs provide 24-hour care in a structured setting and suit people who need to step away from daily triggers. Recovery Center Missoula runs an integrated residential program in western Montana. Read more about residential treatment.

Partial hospitalization sits between residential and outpatient care, offering intensive daytime treatment while you return home at night. See how partial hospitalization works.

Standard outpatient care is the most widely available option in Missoula and lets people keep working or attending school while in treatment. Explore outpatient rehab and intensive outpatient programs.

Dual-diagnosis programs treat a substance use disorder alongside a co-occurring mental health condition such as depression or anxiety at the same time, which improves outcomes for many people. If a mental health condition is part of the picture, understanding co-occurring depression can help you ask the right questions.

Sober living and continuing care support the transition back to daily life after a program ends. Our guide to rehab aftercare covers what comes next.

Many Missoula facilities tailor treatment to specific populations and substances, which can make care feel more relevant and effective. The counts below reflect programs in the directory that flag a given specialty.

14 alcohol rehab programs

9 opioid rehab programs

13 women’s programs

13 men’s programs

14 young adult programs

7 programs for older adults

4 LGBTQ+ friendly programs

2 veterans & military programs

Fourteen programs focus on alcohol use disorder, and nine address opioid use disorder, reflecting the two substances most present in local overdose and treatment data. Four programs describe themselves as LGBTQ+ affirming addiction care and two offer rehab resources for veterans and military families.

With the University of Montana in town, several programs also serve young adults and college students navigating substance use.

Alongside licensed treatment facilities, Missoula has a strong network of free and low-cost services, from crisis lines to county public health programs and harm-reduction outreach. The organizations below can help whether you need immediate support, naloxone or a connection to ongoing care.

Crisis and Helplines

• 988 Suicide and Crisis Lifeline
   Call or text 988
   Free, confidential support 24/7. See our crisis and suicide prevention resources for more.
• SAMHSA National Helpline
  1-800-662-HELP (4357)
  Free, confidential, 24/7 treatment referral and information line.
• Montana 211.
  Dial 211
  Connect with local social services, including referrals to substance use treatment and recovery resources.

County Public Health

• Missoula Public Health.
  missoulapublichealth.org
  Provides free Narcan (naloxone) and fentanyl test strips to community members, along with overdose prevention training.

Harm Reduction

• Open Aid Alliance / Emma’s Exchange.
  openaidalliance.org
  Operates a syringe services program with sterile supplies, free naloxone, wound care and overdose prevention education and referrals to treatment. Supplies can be mailed within Montana.
• Dose of Hope.
  missoulaunitedway.org/dose-of-hope
  A United Way of Missoula County and Missoula Drug Safety Coalition project that stocks free naloxone in vending machines at locations including Open Aid Alliance and the Poverello Center. Community and Nonprofit Providers

• Partnership Health Center
  partnershiphealthcenter.com
  Missoula’s federally qualified health center, offering outpatient care and medications for opioid use disorder on an income-based fee scale.
• Western Montana Mental Health Center
  https://www.wmmhc.org/
  Substance use and mental health treatment for adults and children across Montana.

Veterans and Military

• Missoula VA and Veterans Treatment Court.
  https://courts.mt.gov/external/drugcourt
  VA-connected outpatient services and a county veterans treatment court supporting justice-involved veterans with substance use and mental health needs.

Government and Medicaid

• Montana DPHHS Behavioral Health.
  dphhs.mt.gov
  The state Department of Public Health and Human Services administers Montana Medicaid and lists state-approved substance use treatment providers.

Missoula County’s overdose picture mirrors a statewide shift toward fentanyl. Of the overdose deaths reported in the county in 2023, more than half were linked to fentanyl.  Statewide, Montana recorded 170 overdose deaths in 2024, with an opioid involved in three in five, or 62% of cases.

These figures underscore why access to opioid use disorder treatment and harm-reduction services matters locally. For national context and how Montana compares, see our national substance use statistics.

1. Addictions.com. (2024). Alcohol & Drug Rehabs in Montana. https://www.addictions.com/rehabs/montana/
2. Wilson, S. (2024). Fentanyl blamed for overdose deaths in Missoula. Missoulian. https://missoulian.com/
3. Montana Free Press. (2024). Missoula looks to curb overdose deaths with free, accessible medication. https://montanafreepress.org/2024/03/28/missoula-looks-to-curb-overdose-deaths-with-free-accessible-medication/
4. Daily Montanan. (2025). Overdoses spike in Montana, according to state health department. https://dailymontanan.com/2025/04/21/overdoses-spike-in-montana-according-to-state-health-department/
5. United Way of Missoula County. (2024). Dose of Hope. https://missoulaunitedway.org/dose-of-hope
6. Open Aid Alliance. (2025). Harm reduction and naloxone distribution services. https://openaidalliance.org/
7. Missoula Public Health. (2025). Mental and Physical Health resources. https://missoulapublichealth.org/people/mental-physical-health/
8. Montana Budget & Policy Center. (2024). Medicaid is Essential for Behavioral Health. https://montanabudget.org/post/behavioral-health
9. Montana Healthcare Foundation. (2024). Medicaid in Montana. https://mthf.org/medicaid-in-montana/