Find Drug & Alcohol Detox Centers in Montana

Detox Centers in Montana

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Name Address Detox Service Setting Levels Of Care Media

Bullhook Community Health Center Behavioral Health

521 4th Street Havre, MT 59501
Detox Service Setting
Outpatient Detox
Levels Of Care
Outpatient
Bullhook Community Health Center Behavioral Health

Community Medical Services Missoula

2415 South Catlin Street Missoula, MT 59801
Detox Service Setting
Outpatient Detox
Levels Of Care
OutpatientAftercareDual Diagnosis
Community Medical Services Missoula

Helena Valley Addiction Services

833 N Last Chance Gulch Helena, MT 59601
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatient
Helena Valley Addiction Services

Rimrock Foundation

1231 North 29th Street Billings, MT 59101
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatientAftercare+3
Rimrock Foundation

Rocky Mountain Treatment Center

920 4th Avenue North Great Falls, MT 59401
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatientAftercare+1
Rocky Mountain Treatment Center

Alano Club of Kalispell

153 N Meridian Rd Kalispell, MT 59901
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatient

Better Times Recovery Services LLC

1925 Grand Ave Billings, MT 59102
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatient

Crosswinds Recovery — Recovery Housing

2001 S Russell St Missoula, MT 59801
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatient

Montana Chemical Dependency Center

525 East Mercury Street Butte, MT 59701
Detox Service Setting
Hospital DetoxInpatient Detox
Levels Of Care
Inpatient

New Directions Counseling

1643 24th St W Billings, MT 59102
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatient

Petty Creek Ranch

2161 Petty Creek Rd Missoula, MT 59820
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatient

Recovery Center Missoula

1201 Wyoming Street Missoula, MT 59801
Detox Service Setting
Inpatient DetoxMAT
Levels Of Care
InpatientPHPOutpatient+2

Southwest Chemical Dependency Program

430 East Park Street Livingston, MT 59047
Detox Service Setting
Inpatient DetoxOutpatient DetoxMAT
Levels Of Care
InpatientOutpatientPHP+1

Two Rivers Wellness

2911 Wilson St Miles City, MT 59301
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatient

Benjamin Charles Steele VA Clinic

1766 Majestic Lane Billings, MT 59102
Detox Service Setting
Outpatient DetoxMAT
Levels Of Care
Outpatient
Benjamin Charles Steele VA Clinic

Bullhook Community Health Center

521 4th Street Havre, MT 59501
Detox Service Setting
Outpatient DetoxMAT
Levels Of Care
OutpatientInterventionIntensive Outpatient+1
Bullhook Community Health Center

Fort Harrison VA Medical Center

3687 Veterans Drive Fort Harrison, MT 59636
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatientAftercare+1
Fort Harrison VA Medical Center

Indian Family Health Clinic Behavioral Health

1220 Central Avenue Great Falls, MT 59401
Detox Service Setting
Outpatient Detox
Levels Of Care
Outpatient
Indian Family Health Clinic Behavioral Health

Montana VA Health Care System Great Falls VA Clinic

1400 29th Street South Great Falls, MT 59405
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatientAftercare+1
Montana VA Health Care System Great Falls VA Clinic

Montana VA Health Care System Lewistown VA Clinic

629 Northeast Main Street Lewistown, MT 59457
Detox Service Setting
Inpatient DetoxOutpatient Detox
Levels Of Care
InpatientOutpatientAftercare+1
Montana VA Health Care System Lewistown VA Clinic

Drug & Alcohol Detox in Montana

Montana has committed significant new funding to its behavioral health infrastructure. For example, the Behavioral Health System for Future Generations (BHSFG) Commission is investing $300 million to reform the state’s behavioral health and developmental disabilities system. Additionally, the Healing and Ending Addiction through Recovery and Treatment (HEART) Fund continues to expand the continuum of services available to Montanans.

Despite this investment, Montana saw a sharp spike in suspected opioid overdoses in early 2025, with March reports nearly 40 percent above the 2024 monthly average. These overdoses were concentrated along the Interstate 90 and 15 corridors and in counties including Cascade, Flathead, Missoula, Silver Bow, and Yellowstone.

Substance use disorder treatment in Montana is overseen by the Department of Public Health and Human Services (DPHHS), Behavioral Health and Developmental Disabilities Division, whose Treatment Bureau maintains the Medicaid Services Provider Manual. It aligns SUD services with American Society of Addiction Medicine (ASAM) criteria.

Anyone choosing a detox center in Montana can verify a program’s state-approval status with DPHHS before enrolling.

Find The Perfect Detox Center For You

Filter treatment centers in Montana by level of care offered to find the best detox program for you or a loved one.

Paying for Detox in Montana

Detox costs in Montana vary depending on the level of care you need. Because the state is largely rural, most treatment centers are concentrated in more populated communities, so availability and costs can differ from one area to another. Reviewing how insurance covers detox can help clarify what your plan will pay before you commit to a program.

How Much Does Detox Cost in Montana?

Costs in Montana vary by facility and level of care, with the state’s rural geography concentrating treatment capacity in a handful of population centers. Figures are drawn from NCDAS state and national cost estimates; actual costs vary by provider and insurance coverage.

$154,000
Medical Detox
$55,000
Inpatient Rehab
$9,000
Outpatient Rehab
$8,000
Methadone Treatment

Medicare and Medicaid in Montana

Medicare

Medicare covers substance use disorder treatment, including inpatient detox, outpatient care, and counseling. Medicare Part B covers opioid use disorder treatment through enrolled opioid treatment programs, including medications such as methadone, buprenorphine, and naltrexone.

Medicaid

Montana Medicaid covers substance use disorder screenings, outpatient treatment, crisis services, and inpatient care when medically necessary. The state’s HEART Waiver expanded the continuum of Medicaid-covered behavioral health services to include evidence-based stimulant use disorder treatment, tenancy support services, reentry services, and SUD treatment in larger residential facilities. This Medicaid expansion has been a significant driver of increased treatment access, with the federal government covering $9 of every $10 spent on expansion enrollees.

Other Ways to Pay for Detox Treatment

Montanans without insurance have options to help them pay for treatment, including:

HEART Fund

This state fund continues to expand the continuum of behavioral health services available to Montanans, including treatment and recovery support.

Behavioral Health System for Future Generations Commission

This $300 million state investment is reforming Montana’s behavioral health and developmental disabilities system.

Tribal Health Programs

American Indian communities, which face overdose death rates about three times the statewide average, can access Indian Health Service and Tribal health programs for treatment.

Sliding Scale Payment Systems

Many DPHHS state-approved providers offer services on a sliding fee scale for uninsured Montanans.

Montana Regulations and Accreditation for Detox

Detox and treatment programs in Montana are regulated through several state agencies:

Montana DPHHS, Behavioral Health and Developmental Disabilities Division, Treatment Bureau

The Treatment Bureau oversees SUD services for adult and adolescent populations statewide, manages the state approval process for treatment programs, and maintains the BHDD Medicaid Services Provider Manual in alignment with ASAM criteria. See dphhs.mt.gov.

Montana DPHHS, Injury Prevention Program

This program tracks statewide drug overdose deaths and publishes data reports, including the Drug Overdose Deaths in Montana series, informing prevention and harm reduction funding decisions. See dphhs.mt.gov.

Montana Medicaid Fraud Control Unit (MFCU)

The Treatment Bureau collaborates with MFCU to promote program integrity, helping ensure Medicaid-funded SUD services are delivered in accordance with applicable laws and requirements. See dojmt.gov.

Key MAT Medications and Regulatory Status in Montana

Medication-assisted detox has expanded substantially since 2017, when fewer than 20 Montana providers were waivered to prescribe buprenorphine. This increased access to care has been a valuable tool for people experiencing substance use disorders. MAT is regulated at the state and federal levels and includes FDA-approved medications such as buprenorphine, methadone, and naltrexone.

Buprenorphine

The number of Montana providers able to prescribe buprenorphine grew from fewer than 20 in 2017 to 150 within two years, with telehealth further expanding access statewide.

Methadone

Available only through certified Opioid Treatment Programs, which remain limited in number given Montana’s rural geography.

Naltrexone

Available by prescription from any qualified provider without special licensing, and covered under Montana Medicaid.

Overdose Prevention and Harm Reduction in Montana

In response to a crisis increasingly driven by fentanyl and methamphetamine, Montana has significantly scaled up harm reduction infrastructure in recent years, growing the number of safe syringe programs from 2 to 8 and naloxone master trainers from 0 to 530.

These programs are designed to keep Montanans alive long enough to reach detox or treatment when they are ready.

Montana DPHHS Naloxone Program

Free naloxone for eligible community organizations Naloxone master trainer network statewide Public overdose alerts and guidance

DPHHS coordinates naloxone distribution across Montana, and the state’s naloxone master trainer network grew from zero to 530 trainers as part of a multi-year harm reduction expansion.

Open Aid Alliance

Syringe service program and safe disposal Free naloxone distribution and training HIV and Hepatitis C testing and linkage to care

Open Aid Alliance operates harm reduction services in the Flathead Valley and surrounding areas, focusing on needle disposal and connecting people who use drugs to treatment and medical care.

Montana Safe Syringe Programs

Sterile syringe distribution and disposal Overdose prevention education Referrals to substance use treatment

The number of safe syringe programs in Montana quadrupled from 2 to 8 as part of the state’s Substance Use Disorders Task Force strategic plan, expanding harm reduction access beyond the state’s largest cities.

Montana Crisis Lifeline (988)

24/7 call, text, or chat crisis support Referrals to behavioral health and SUD treatment Support during active overdose or mental health crises

Montanans in crisis, including during a substance use emergency, can call, text, or chat 988 at any hour to reach a trained crisis counselor and get connected to local resources.

Detox Statistics in Montana

Montana’s overdose crisis has grown steadily over the past decade, with American Indian communities and rural transportation corridors disproportionately affected.

37% Increase in Overdose Deaths (2014-2023)

Montana’s drug overdose deaths rose 37 percent over the decade from 2014 to 2023, driven primarily by fentanyl and methamphetamine. Source: Montana DPHHS.

Overdose Rate Three Times Higher Among American Indians

American Indian residents in Montana have a drug overdose death rate about three times higher than the statewide rate. Source: Montana DPHHS.

95 Suspected Opioid Overdoses in March 2025

Montana recorded 95 suspected opioid overdoses in March 2025, compared to an average of about 69 per month in 2024, the highest monthly total since August 2023. Source: Montana DPHHS.

FAQs About Detox in Montana

How do I find free or low-cost detox in Montana if I don't have insurance?

Contact DPHHS for a referral to a state-approved SUD provider offering sliding-scale fees, or check eligibility for Montana Medicaid, which covers a broad range of SUD services for eligible residents. The HEART Fund also supports expanded treatment access statewide.

Does Montana Medicaid cover residential treatment?

Yes. Montana’s HEART Waiver expanded Medicaid coverage to include substance use disorder treatment in larger residential facilities, along with stimulant use disorder treatment, tenancy support, and reentry services for eligible beneficiaries.

What is the difference between inpatient and outpatient detox in Montana?

Inpatient detox provides 24-hour medical supervision for higher-risk withdrawal, such as alcohol, which accounts for the majority of Montana’s treatment admissions, while outpatient detox allows a person to continue living at home while attending scheduled appointments. Given Montana’s rural geography, telehealth-based outpatient care has become an important option statewide.

Are safe syringe programs available in Montana?

Yes. The number of safe syringe programs in Montana has grown from 2 to 8 in recent years as part of the state’s harm reduction expansion, though availability is still concentrated in certain communities.

What should I do if someone is overdosing in Montana?

Call 911 immediately and administer naloxone if you have it. Naloxone is available at no charge from select community organizations statewide, and Montana’s naloxone master trainer network can provide training on how to recognize and respond to an overdose.

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