Find Drug & Alcohol Detox Centers in San Mateo, CA

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Detox Centers in San Mateo

15 Results

Name	Address	Detox Service Setting	Levels Of Care
Jericho Project	430 Valley Dr San Mateo, CA 94005	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Alcoholics Anonymous San Mateo	2215 S El Camino Real San Mateo, CA 94403	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Horizon Services, Inc. – Palm Avenue Detox	2251 Palm Avenue San Mateo, CA 94403	Detox Service Setting Inpatient Detox	Levels Of Care InpatientOutpatientPHP
Mills Health Center	100 South San Mateo Drive San Mateo, CA 94401	Detox Service Setting Hospital DetoxInpatient Detox	Levels Of Care InpatientOutpatient
Project Ninety	720 S B St San Mateo, CA 94401	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
The Coleman Institute	1860 El Camino Real Burlingame, CA 94010	Detox Service Setting	Levels Of Care Aftercare
Service League of San Mateo County Hope House	727 Middlefield Road Redwood City, CA 94063	Detox Service Setting Inpatient Detox	Levels Of Care InpatientAftercareDual Diagnosis
BAART Programs San Mateo	795 Willow Road Menlo Park, CA 94025	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientAftercare+1
VA Palo Alto Healthcare System Menlo Park	795 Willow Road Menlo Park, CA 94025	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientPHPOutpatient+2
Our Common Ground	2560 Pulgas Avenue Palo Alto, CA 94303	Detox Service Setting Inpatient Detox	Levels Of Care InpatientAftercareDual Diagnosis+1
Kaiser Permanente Union City Medical Offices	3555 Whipple Road Union City, CA 94587	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientDual Diagnosis
SFGH.OTOP	1001 Potrero Avenue San Francisco, CA 94110	Detox Service Setting Outpatient DetoxMAT	Levels Of Care Outpatient
Cherry Hill Detox	2035 Fairmont Drive San Leandro, CA 94578	Detox Service Setting Inpatient Detox	Levels Of Care InpatientAftercareDual Diagnosis
Life House Recovery Homes	22280 Main Street Hayward, CA 94541	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientSober Living
Harm Reduction Therapy Center	21 Merlin Street San Francisco, CA 94107	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientDual Diagnosis

Drug & Alcohol Detox in San Mateo, CA

Detox in San Mateo operates within a well-regulated county system that pairs state oversight with strong local infrastructure. At the state level, the California Department of Health Care Services (DHCS) is the sole authority for licensing residential substance use disorder facilities and certifying outpatient detox and treatment programs, and as of January 2025, outpatient programs must hold DHCS certification under AB 118. San Mateo County received a clean FY 2024-25 compliance review from DHCS with zero deficiencies, a sign of a county system that consistently meets state and federal standards.

Locally, San Mateo County’s Behavioral Health and Recovery Services (BHRS) manages substance use disorder care through the Drug Medi-Cal Organized Delivery System, contracting with community-based providers for outpatient care, detoxification, residential treatment, and medication-assisted treatment. Services are available to all county residents on a sliding fee scale, and no one is turned away for inability to pay. The BHRS Access Call Center is the first point of contact and can help navigate both public and private options.

Two recent developments are widening access. San Mateo County is receiving roughly $49 million in opioid settlement funds from the Purdue Pharma and Sackler litigation, money that has already expanded treatment capacity at San Mateo Medical Center. And California’s SB 855 enforcement regulations, finalized in 2025, now require private insurers to cover all medically necessary treatment consistent with clinical standards. When choosing a detox center in San Mateo County, understanding both county-funded and private options is the best starting point.

Paying for Detox in San Mateo

San Mateo County offers multiple ways to fund detox, from county-administered public programs to a range of commercial insurance options, and costs vary with the level of care required. Paying with health insurance typically reduces out-of-pocket expenses substantially, and state parity law requires insurers to treat substance use benefits comparably to physical health coverage.

How Much Does Detox Cost in San Mateo?

San Mateo sits in the Bay Area, one of California’s highest-cost regions for healthcare, and detox prices reflect that. The level of medical supervision, length of stay, and substance being treated are the primary cost drivers. The figures below are full cash-pay (self-pay) totals before insurance, Medi-Cal, Medicare, or other assistance; most people with coverage pay significantly less out of pocket.

$140,000

Medical Detox

$50,000

Inpatient Rehab

$8,000

Outpatient Rehab

$7,000

Methadone Treatment

Medicare and Medicaid in San Mateo

Medicare

Medicare covers medically necessary inpatient and outpatient detox in San Mateo, along with Opioid Treatment Program services such as methadone and buprenorphine under Part B, with coverage details depending on the setting and plan.

Medicaid

Drug Medi-Cal, administered locally through the Health Plan of San Mateo, covers the full continuum of substance use services, including detoxification, residential treatment, outpatient programs, and MAT, at little to no cost for eligible residents. BHRS operates on a sliding fee scale and turns no one away for inability to pay.

Other Ways to Pay for Detox Treatment

If you are uninsured or underinsured, several options help you access detox and treatment in San Mateo County:

County ACE Program

The Access to Care for Everyone program provides health benefits for uninsured San Mateo County residents age 19 and older, regardless of immigration status, employment, or pre-existing conditions. It charges a $360 annual enrollment fee (waivable based on income) and most services carry a $15 copay that can also be waived.

Sliding-Scale Nonprofit Providers

BHRS contracts with community-based nonprofits that provide services on a sliding fee scale based on income. Organizations like Horizon Treatment Services and The Latino Commission operate DHCS-licensed programs, and The Latino Commission offers Drug Medi-Cal-certified residential recovery homes with 24/7 treatment.

Opioid Settlement-Funded Services

The county’s roughly $49 million in opioid settlement funds have expanded treatment capacity at San Mateo Medical Center and strengthened addiction services at the Maguire Correctional Facility.

Veterans Programs

San Mateo County veterans can access substance use treatment through the VA Palo Alto Health Care System, including outpatient MAT, residential rehabilitation, and mental health services, free for eligible veterans.

San Mateo, California Regulations and Accreditation for Detox

California Department of Health Care Services (DHCS)

Holds sole authority in California to license residential nonmedical SUD facilities and certify outpatient alcohol and drug programs, including detox and MAT. As of January 2025, all outpatient programs must hold active DHCS certification under AB 118. DHCS also oversees the Drug Medi-Cal Organized Delivery System waiver under which San Mateo County operates. See dhcs.ca.gov.

San Mateo County Behavioral Health and Recovery Services (BHRS)

The county’s lead local authority for substance use disorder services, administering prevention and treatment funds from federal, state, and local sources. As the county’s DMC-ODS plan, BHRS oversees a contracted network of community-based providers and runs the Integrated Medication Assisted Treatment program. See smchealth.org.

Health Plan of San Mateo (HPSM)

The county-organized health plan that manages Medi-Cal and other coverage for San Mateo County residents. HPSM oversees managed care delivery of behavioral health services, including substance use treatment covered under Drug Medi-Cal, and must meet DHCS network adequacy standards. See hpsm.org.

California Department of Managed Health Care (DMHC)

Regulates state-licensed commercial health plans and enforces mental health and substance use parity, including California’s SB 855 requirement that insurers cover all medically necessary substance use treatment consistent with clinical standards. See dmhc.ca.gov.

Key MAT Medications and Regulatory Status in San Mateo

San Mateo County’s BHRS operates an Integrated Medication Assisted Treatment (IMAT) program providing medication-assisted detox for opioid and alcohol use disorders alongside counseling. DHCS licenses narcotic treatment programs in California, which must also comply with federal rules under 42 CFR Part 8 and DEA controlled-substance regulations.

Buprenorphine

Available at BHRS-contracted outpatient clinics and through prescribers across San Mateo County. Telehealth prescribing remains available following the permanent removal of the federal in-person visit requirement, expanding access in underserved areas. Drug Medi-Cal covers buprenorphine at no cost for eligible residents.

Methadone

Available only through federally certified Opioid Treatment Programs operating under DHCS and DEA oversight. Daily clinic attendance for dosing is required initially, with take-home doses available after demonstrated stability. Drug Medi-Cal covers methadone maintenance through the Narcotic Treatment Program fee schedule.

Naltrexone

Naltrexone blocks the euphoric and sedating effects of opioids and is used to prevent relapse in both opioid and alcohol use disorder. It is available as a daily oral tablet or monthly injectable (Vivitrol), requires no special facility licensing, and is non-addictive. Drug Medi-Cal and most commercial insurers in California cover it.

Overdose Prevention and Harm Reduction in San Mateo

Harm reduction in San Mateo County is organized around a county-led coalition and a growing network of community organizations working to prevent overdose deaths and connect people to treatment. With fentanyl present throughout the local drug supply, understanding overdose risk is an important part of staying safe while seeking care.

San Mateo County Overdose Prevention Coalition

https://www.smchealth.org

Free naloxone distribution and Naloxone Stand Box program Fentanyl test strip distribution Overdose prevention education and training

Organized by BHRS, the coalition brings together community organizations, first responders, and transit authorities. In early 2026 it placed its first Naloxone Stand Box at the Allcove San Mateo youth wellness center and expanded the self-service program countywide. Funded in part by opioid settlements, it is one of the county’s most visible harm reduction efforts.

Voices of Recovery San Mateo County (VORSMC)

https://www.vorsmc.org/

Peer-led recovery support and WRAP Naloxone and fentanyl test strip distribution Recovery coaching and family support

A nonprofit peer-led organization operating since 2010 out of Redwood City, VORSMC reaches more than 3,500 people annually through peer support groups, health fairs, and community partnerships. Staff have lived experience in recovery and are certified Wellness Recovery Action Planning facilitators.

H.O.P.E. Foundation

https://www.smfcedfund.org/hopeuniforms

Naloxone and fentanyl test strip distribution Outreach at public transit locations Support for people experiencing homelessness

A San Mateo County organization that partners with the Overdose Prevention Coalition on naloxone and fentanyl test strip distribution at public transit locations, focusing outreach on at-risk populations, including people experiencing homelessness and those with active substance use disorders.

Maguire Correctional Facility Narcan Vending Machine

https://www.smcgov.org/

Free Narcan nasal spray 24/7 via lobby vending machine Accessible to the public, not just those with a jail connection Two-dose boxes at no cost

The Maguire Correctional Facility in Redwood City has a publicly accessible Narcan vending machine in its lobby, funded by opioid settlement proceeds. Anyone can use it, not just those with a corrections-related connection, and it was installed as part of the county’s 2023 opioid response strategy.

Detox Statistics in San Mateo, California

San Mateo County has made measurable progress reducing overdose deaths from a 2021 peak, though opioid-related harm remains a significant public health concern. The figures below reflect the county’s most recent available data.

54 Opioid-Related Overdose Deaths in 2024

San Mateo County recorded 54 opioid-related overdose deaths in 2024, down sharply from 120 in 2021, the county’s worst year on record. Source: San Mateo County.

121 Opioid-Related Emergency Department Visits

Opioid-related emergency department visits totaled 121 in 2024, reflecting the acute-care burden of non-fatal overdoses across the county. Source: San Mateo County BHRS.

$49 Million in Opioid Settlement Funds

San Mateo County is set to receive roughly $49 million in opioid settlement funds from the Purdue Pharma and Sackler litigation, directed toward prevention, treatment, harm reduction, and recovery. Source: County of San Mateo.

FAQs About Detox in San Mateo, CA

How do I access publicly funded detox in San Mateo if I have no insurance or income?

Call the BHRS Access Call Center as the first step. BHRS contracts with community-based providers across the county, and services are available on a sliding fee scale to all county residents, with no one turned away for inability to pay. The team can assess your needs and connect you with the right level of care, including detoxification, residential, or outpatient services.

Does Medi-Cal cover detox in San Mateo County?

Yes. San Mateo County is part of the Drug Medi-Cal Organized Delivery System, which covers medically supervised detox, outpatient programs, residential treatment, and medication-assisted treatment for eligible Medi-Cal members. Coverage is administered through the Health Plan of San Mateo, and people who qualify typically pay little to nothing out of pocket.

What is the difference between inpatient and outpatient detox, and which is right for me?

Inpatient detox provides 24/7 medical supervision and is recommended for people withdrawing from alcohol, benzodiazepines, or high-dose opioids, where withdrawal can be medically serious. Outpatient detox involves scheduled clinic visits and suits people with lower withdrawal risk, stable housing, and a supportive home. A physician or BHRS intake clinician can help determine the right level of care.

Can I get MAT for opioid withdrawal at a San Mateo County program?

Yes. BHRS operates the Integrated Medication Assisted Treatment (IMAT) program, which provides buprenorphine and methadone for opioid use disorder and medication for alcohol use disorder, combined with counseling. Drug Medi-Cal covers MAT at no cost for eligible residents, and most commercial insurers in California are required to cover it under SB 855.

Where can I get free naloxone in San Mateo County?

Free naloxone is available without a prescription through the San Mateo County Overdose Prevention Coalition, including its Naloxone Stand Box units at transit stations and community centers, and through the publicly accessible Narcan vending machine in the lobby of the Maguire Correctional Facility in Redwood City. Local pharmacies also stock naloxone without a prescription under California law.

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