Kulawik Counseling Services
Sioux City, IA
- Outpatient
Substance use treatment · Does not treat opioid addiction · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid
Why it's listed:
- Medicaid
Low-Cost & State-Funded Rehab in Iowa
172 of the 177 Iowa programs in our directory are government-run, offer reduced fees or accept Medicaid. Call a program to confirm what it charges and whether you qualify.
How Iowa Programs Handle Cost
Each count comes from the payment details programs report in our directory. The counts overlap: a program with a sliding scale that also takes Medicaid appears in both. When one organization lists a site more than once, it counts once.
- No payment accepted
- 0Programs that report they do not charge patients.
- Government-run
- 4Run by a state, county, tribal or federal agency. Some still bill insurance or use a sliding scale. 1 is a VA, military or Indian Health Service program that serves only eligible patients.
- Sliding fee scale
- 109The fee is based on your income and other factors.
- Payment assistance
- 22The program offers some help paying. Ask what it covers.
- Accepts Medicaid
- 169Takes Iowa Medicaid (Iowa Health Link / Iowa Health and Wellness Plan). What's covered depends on your plan and the service.
- State-financed insurance
- 119Accepts a state-funded health plan other than Medicaid.
Iowa Programs with Low-Cost or Medicaid Options
Programs that don't charge, are government-run or offer reduced fees are listed first, followed by programs whose low-cost option is Medicaid. Showing 141 to 160 of 172.
Manning Regional Healthcare Center Recovery Center
Manning, IA
- Detox
- Residential
- PHP
- IOP
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
Mercy Medical Center Sedlacek Treatment Center
Cedar Rapids, IA
- IOP
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
MercyOne Des Moines First Step Recovery
Des Moines, IA
- IOP
- MAT
Substance use treatment · Cognitive behavioral therapy · Dialectical behavior therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
MercyOne Dubuque Medical Center Turning Point Treatment Center
Dubuque, IA
- IOP
- MAT
Substance use treatment · Substance abuse counseling · Trauma-related counseling
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
MercyOne Horizons Family Centered Recovery Program
Waterloo, IA
- Detox
- Residential
- PHP
- IOP
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
Myrtue Medical Behavioral Health
Harlan, IA
- IOP
- MAT
Substance use treatment · Cognitive behavioral therapy · Dialectical behavior therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
New Beginnings Counseling Services
Urbandale, IA
- IOP
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
New Sight Inc
Des Moines, IA
- IOP
Substance use treatment · Does not treat opioid addiction · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid
Why it's listed:
- Medicaid
North Iowa Counseling LLC
Waverly, IA
- Outpatient
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
Northside Service Center Children and Families of Iowa
Des Moines, IA
- Outpatient
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
Orchard Place
Des Moines, IA
- Outpatient
Substance use treatment · Does not treat opioid addiction · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
Orchard Place PACE
Des Moines, IA
- IOP
Substance use treatment · Does not use medication for opioid addiction · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
Plains Area Mental Health
Emmetsburg, IA
- IOP
- MAT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
Plains Area Mental Health
Spirit Lake, IA
- IOP
- MAT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
Plains Area Mental Health Center
Cherokee, IA
- IOP
- MAT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
Plains Area Mental Health Center
Le Mars, IA
- IOP
- MAT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
Plains Area Mental Health Center Carroll
Carroll, IA
- IOP
- MAT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
Plains Area Mental Health Center Denison
Denison, IA
- IOP
- MAT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
Plains Area Mental Health Center Ida Grove
Ida Grove, IA
- IOP
- MAT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare
Why it's listed:
- Medicaid
- State-financed insurance (not Medicaid)
Need help finding treatment in Iowa?
To talk with a treatment representative about programs and costs, call the sponsored hotline. It's available 24/7.
Who Qualifies for Free Treatment
There's no single national rule. Each state runs its own publicly funded treatment system and sets its own eligibility rules. In Iowa, Iowa Department of Health and Human Services (Iowa HHS), Division of Behavioral Health oversees publicly funded substance use services.
Federal rules do set some priorities. Programs that get SAMHSA substance use block grant funds and serve women have to give pregnant women preference for admission. Funded programs that serve people who inject drugs give treatment preference in this order:
- Pregnant women who inject drugs
- Other pregnant women with a substance use disorder
- People who inject drugs
- Everyone else
A program that reports "no payment accepted" doesn't charge patients. Government-run programs may still bill insurance or use a sliding scale, and eligibility can depend on where you live, your income and whether you're insured. Ask before you go.
How to Apply in Iowa
Iowa Department of Health and Human Services (Iowa HHS), Division of Behavioral Health is the Iowa agency for publicly funded substance use treatment. Visit the Iowa Department of Health and Human Services (Iowa HHS), Division of Behavioral Health website for help finding treatment.
- Call a program from the list above. Ask whether it has openings, what it charges and whether you qualify for a reduced or no-cost fee.
- Have your ID, proof of income and any insurance or Medicaid card ready. Programs may ask for them at intake.
- If you don't have insurance, contact SAMHSA's National Helpline. It's free, confidential and open 24/7, and it can refer you to Iowa Department of Health and Human Services (Iowa HHS), Division of Behavioral Health, which handles state-funded treatment.
- If you might qualify for Medicaid, apply now rather than waiting. Apply for Iowa Medicaid (Iowa Health Link / Iowa Health and Wellness Plan).
Iowa Medicaid and Addiction Treatment
169 of the 177 Iowa programs in our directory say they accept Medicaid, and 119 accept a state-financed health plan other than Medicaid. Iowa's Medicaid program is Iowa Medicaid (Iowa Health Link / Iowa Health and Wellness Plan).
State Medicaid programs cover addiction treatment to different degrees. Whether detox, residential care, outpatient programs or medication for opioid use disorder are covered depends on Iowa's rules and your plan, so check with both the program and your plan. Check eligibility and apply.
In Iowa, substance use treatment programs are licensed or certified by Iowa Department of Health and Human Services, Division of Behavioral Health (SUD and problem gambling treatment program licensure, 641 IAC ch. 155). Check the state's provider list.
Other Free and Low-Cost Options
- SAMHSA's National Helpline gives free, confidential treatment referrals and information, 24/7, in English and Spanish. It doesn't provide counseling.
- If you're in crisis or thinking about suicide, call or text 988 to reach the 988 Suicide & Crisis Lifeline.
- FindTreatment.gov, SAMHSA's national treatment locator.
- Veterans can ask the VA about substance use treatment through VA health care.
- American Indian and Alaska Native people can contact the Indian Health Service or a tribal health program.
- Mutual-help groups like Alcoholics Anonymous, Narcotics Anonymous and SMART Recovery are free to attend. Read more about 12-step recovery.
Frequently Asked Questions
Is rehab free in Iowa?
None of the 177 Iowa programs in our directory report that they accept no payment, but 4 are run by a state, county, tribal or federal agency and may be free or low-cost for people who qualify. Of the government-run programs, 1 is run by the VA, the Department of Defense or the Indian Health Service. That program serves only eligible veterans, military health system patients or American Indian and Alaska Native patients. Ask about cost and eligibility when you call. If you have no insurance, SAMHSA's National Helpline (see samhsa.gov) can refer you to Iowa Department of Health and Human Services (Iowa HHS), Division of Behavioral Health, which handles state-funded treatment.
Does Iowa Medicaid cover rehab?
169 of the 177 Iowa programs in our directory say they accept Medicaid. Iowa's Medicaid program is Iowa Medicaid (Iowa Health Link / Iowa Health and Wellness Plan). State Medicaid programs cover addiction treatment to different degrees, so ask the program and your Medicaid plan which services are covered before you start.
How much does rehab cost without insurance?
It depends on the type of care, how long it lasts and the program itself. Outpatient care usually costs less than a residential stay. In Iowa, 109 programs in our directory use a sliding fee scale based on income, and 22 offer payment assistance. Ask for the self-pay rate and whether you qualify for a reduced fee before you're admitted.
Who gets priority for state-funded treatment?
Under federal block grant rules, programs that get block grant funds and serve women must give pregnant women preference for admission. Funded programs that serve people who inject drugs give treatment preference in this order: pregnant women who inject drugs, other pregnant women with a substance use disorder, people who inject drugs, and then everyone else (45 CFR 96.131). Other eligibility rules vary by state, so ask the program or Iowa Department of Health and Human Services (Iowa HHS), Division of Behavioral Health.
What is the difference between a sliding fee scale and payment assistance?
A sliding fee scale sets what you pay based on your income and other factors. Payment assistance varies more: each program decides what help it offers, so ask what's available and what paperwork you'll need.
Are there options for veterans and tribal members?
Yes. Veterans can ask the VA about substance use treatment through VA health care. American Indian and Alaska Native people can contact the Indian Health Service or a tribal health program about alcohol and substance use services.
Sources
- 1.SAMHSA National Helpline: referrals for uninsured callers to state-funded programs: https://www.samhsa.gov/find-help/helplines/national-helpline
- 2.45 CFR 96.131, treatment services for pregnant women (admission priorities): https://www.law.cornell.edu/cfr/text/45/96.131
- 3.SAMHSA Substance Use Prevention, Treatment, and Recovery Services Block Grant: https://www.samhsa.gov/grants/block-grants/subg
- 4.MACPAC: Access to substance use disorder treatment in Medicaid: https://www.macpac.gov/publication/access-to-substance-use-disorder-treatment-in-medicaid/
- 5.VA: substance use treatment for veterans: https://www.va.gov/health-care/health-needs-conditions/substance-use-problems/
- 6.Indian Health Service: Alcohol and Substance Abuse Branch: https://www.ihs.gov/asab/
- 7.State source: https://hhs.iowa.gov/health-prevention/addiction-substance-use-disorders
- 8.State source: https://hhs.iowa.gov/health-prevention/addiction-substance-use-disorders/related-treatment-programs
- 9.State source: https://hhs.iowa.gov/media/17186/download?inline=
- 10.State source: https://yourlifeiowa.org/
- 11.State source: https://hhs.iowa.gov/medicaid
- 12.Program counts: payment and operator details each program reports in the Sober Nation directory (SAMHSA service categories): https://sobernation.com/rehabs/
Program counts: data updated September 2026.
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