Drug and alcohol detox programs in New Orleans are licensed by the Louisiana Department of Health (LDH) through its Health Standards Section (HSS), which oversees all Behavioral Health Service Providers (BHSPs) under Louisiana Administrative Code Title 48, Chapters 56 and 57.
These rules set the standards for staffing, clinical protocols and patient safety across detox, residential, outpatient and MAT providers in the city.
Additionally, the LDH Office of Behavioral Health (OBH) coordinates statewide behavioral health policy, oversees the Medicaid SUD program and administers the Louisiana State Opioid Treatment Authority.
Any detox or treatment facility operating in New Orleans must hold a current BHSP license from LDH-HSS.
Two important developments are reshaping local access to care. First, in 2024, the City awarded a contract to Tulane University to guide spending of opioid settlement funds; the resulting recommendation centered on a mobile harm reduction and care navigation unit, which was awarded to a team led by CrescentCare in March 2025.
Second, Louisiana Act No. 498 (2024) authorized the establishment of local Overdose Fatality Review panels, and the New Orleans Health Department (NOHD) is co-leading that effort with the Orleans Parish District Attorney’s Office, with formal case reviews beginning in 2025.
Knowing the difference between public safety-net programs and private facilities matters early in the search process, and understanding what level of medical support is right for your situation will help you narrow down your options before you call.
