Montgomery sits within the Central Alabama region and is served by a treatment system regulated and funded primarily by the Alabama Department of Mental Health (ADMH). ADMH certifies and contracts with community-based providers across the state to deliver withdrawal management (detoxification), residential, intensive outpatient and outpatient services.
Detox facilities operating in Montgomery must meet ADMH program standards and, for those providing medical or nursing care within their programs, must also comply with requirements set by the Alabama Department of Public Health (ADPH).
Together, these two agencies form the core of Alabama’s licensing and oversight structure for addiction treatment.
One key difference between Montgomery’s treatment system and those in states with larger public-sector footprints is that Alabama has not expanded its Medicaid program. This means a portion of working-age, low-income adults who would qualify for Medicaid in other states remain uninsured here. This makes the ADMH sliding-fee-scale network particularly important locally.
All state-contracted ADMH providers are required to offer services on a sliding scale based on income, resulting in low or no-cost care for people who qualify. Pregnant women also have priority admission to all certified providers and face no admission fees.
When choosing a detox center in Montgomery, confirming whether a facility is ADMH-certified is a good first step toward understanding your payment options.
To combat the problem, the City of Montgomery launched a Comprehensive Opioid Abatement Program using opioid settlement funds to address local overdose trends. The program targets prevention, treatment access and naloxone distribution.
Statewide, Alabama’s Opioid Overdose and Addiction Council, established by Governor Ivey in 2017, continues to coordinate funding and strategy across eight standing committees. Through Act 2023-384, the state directed $8.5 million in settlement funds to ADMH for prevention, treatment and recovery grants, adding eight new certified service providers to the Alabama treatment system between 2023 and 2024.
Conversely, Alabama law does not currently permit syringe services programs, which limits some harm reduction options available elsewhere. However, Fentanyl test strips are legal and being actively distributed in the Montgomery area.
