Free & Low-Cost Rehab in Massachusetts

352 of the 385 Massachusetts programs in our directory don't charge, are government-run, offer reduced fees or accept Medicaid. Call a program to confirm what it charges and whether you qualify.

How Massachusetts 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
10Programs that report they do not charge patients.
Government-run
10Run by a state, county, tribal or federal agency. Some still bill insurance or use a sliding scale. 3 are VA, military or Indian Health Service programs that serve only eligible patients.
Sliding fee scale
121The fee is based on your income and other factors.
Payment assistance
109The program offers some help paying. Ask what it covers.
Accepts Medicaid
322Takes MassHealth. What's covered depends on your plan and the service.
State-financed insurance
305Accepts a state-funded health plan other than Medicaid.

Massachusetts Programs with Free, Reduced-Fee 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 21 to 40 of 352.

  • Agawam Counseling Center

    Feeding Hills, MA

    • Outpatient

    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:

    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Anchor House Inc

    Plymouth, MA

    • Residential
    • Sober Living

    Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy

    Accepts: Cash or self-payment, Medicaid, Sliding fee scale

    Why it's listed:

    • Sliding fee scale
    • Medicaid
  • Arbour Counseling Services Haverhill

    Haverhill, MA

    • PHP
    • Outpatient

    Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy

    Accepts: Medicaid, Medicare, State-financed health insurance plan other than Medicaid

    Why it's listed:

    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Askia Academy at Dimock facility photo

    Askia Academy at Dimock

    Boston, MA

    • Residential
    • 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:

    • Payment assistance
    • Medicaid
  • Bay Cove Human Services Methadone Services facility photo

    Bay Cove Human Services Methadone Services

    Boston, MA

    • Detox
    • Outpatient
    • MAT

    Substance use treatment · All Clients in Opioid Treatment Program · SAMHSA-certified Opioid Treatment Program

    Accepts: Cash or self-payment, Medicaid, Medicare

    Why it's listed:

    • Payment assistance
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Bay State Community Services Inc facility photo

    Bay State Community Services Inc

    Quincy, MA

    • Outpatient
    • 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:

    • Payment assistance
    • Sliding fee scale
    • Medicaid
  • Behavioral Health Network Inc Carlson Recovery Center facility photo

    Behavioral Health Network Inc Carlson Recovery Center

    Springfield, MA

    • Detox
    • MAT

    Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · SAMHSA-certified Opioid Treatment Program

    Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid

    Why it's listed:

    • Payment assistance
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Behavioral Health Network Inc My Sisters House

    Springfield, MA

    • Residential

    Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Substance abuse counseling

    Accepts: Cash or self-payment, Medicaid, Medicare

    Why it's listed:

    • Payment assistance
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Behavioral Health Network Inc Opportunity House facility photo

    Behavioral Health Network Inc Opportunity House

    Springfield, MA

    • Residential
    • Sober Living

    Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy

    Accepts: Medicaid, Medicare, State-financed health insurance plan other than Medicaid

    Why it's listed:

    • Payment assistance
    • Medicaid
    • State-financed insurance (not Medicaid)
  • BestLife facility photo

    BestLife

    Springfield, MA

    • Outpatient

    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:

    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Boston Treatment Center facility photo

    Boston Treatment Center

    Boston, MA

    • Detox
    • MAT

    Substance use treatment · SAMHSA-certified Opioid Treatment Program · Substance abuse counseling

    Accepts: Cash or self-payment, Medicaid, Medicare

    Why it's listed:

    • Payment assistance
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Bridgewell Counseling Servs Lynn

    Lynn, MA

    • Outpatient
    • 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:

    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Brien Center Keenan House facility photo

    Brien Center Keenan House

    Pittsfield, MA

    • Residential
    • Sober Living

    Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Substance abuse counseling

    Accepts: Cash or self-payment, State-financed health insurance plan other than Medicaid, Private health insurance

    Why it's listed:

    • Sliding fee scale
    • State-financed insurance (not Medicaid)
  • Brien Center MH/Subst Abuse Servs/Satellite

    Pittsfield, MA

    • Outpatient

    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:

    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Brockton Addiction Treatment Center facility photo

    Brockton Addiction Treatment Center

    Brockton, MA

    • Detox
    • Residential
    • MAT

    Substance use treatment · SAMHSA-certified Opioid Treatment Program · Cognitive behavioral therapy

    Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid

    Why it's listed:

    • Payment assistance
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)

    Also listed as: High Point Brockton Opioid Treatment Program, High Point Brockton Satellite, Mens Addiction Treatment Center

Need help finding treatment in Massachusetts?

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 Massachusetts, Massachusetts Department of Public Health, Bureau of Substance Addiction Services (BSAS) 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:

  1. Pregnant women who inject drugs
  2. Other pregnant women with a substance use disorder
  3. People who inject drugs
  4. 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 Massachusetts

Massachusetts Department of Public Health, Bureau of Substance Addiction Services (BSAS) is the Massachusetts agency for publicly funded substance use treatment. Visit the Massachusetts Department of Public Health, Bureau of Substance Addiction Services (BSAS) website for help finding treatment.

  1. 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.
  2. Have your ID, proof of income and any insurance or Medicaid card ready. Programs may ask for them at intake.
  3. 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 Massachusetts Department of Public Health, Bureau of Substance Addiction Services (BSAS), which handles state-funded treatment.
  4. If you might qualify for Medicaid, apply now rather than waiting. Apply for MassHealth.

Massachusetts Medicaid and Addiction Treatment

322 of the 385 Massachusetts programs in our directory say they accept Medicaid, and 305 accept a state-financed health plan other than Medicaid. Massachusetts's Medicaid program is MassHealth.

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 Massachusetts's rules and your plan, so check with both the program and your plan. Check eligibility and apply.

In Massachusetts, substance use treatment programs are licensed or certified by Massachusetts DPH Bureau of Substance Addiction Services (BSAS). Check the state's provider list.

Other Free and Low-Cost Options

Frequently Asked Questions

Is rehab free in Massachusetts?

Some programs are. Of the 385 Massachusetts programs in our directory, 10 report that they accept no payment, and 10 are run by a state, county, tribal or federal agency. Of the government-run programs, 3 are run by the VA, the Department of Defense or the Indian Health Service. Those programs serve only eligible veterans, military health system patients or American Indian and Alaska Native patients. Government-run programs can still bill insurance or charge on a sliding scale, so ask about cost when you call. If you have no insurance, SAMHSA's National Helpline (see samhsa.gov) can refer you to Massachusetts Department of Public Health, Bureau of Substance Addiction Services (BSAS), which handles state-funded treatment.

Does Massachusetts Medicaid cover rehab?

322 of the 385 Massachusetts programs in our directory say they accept Medicaid. Massachusetts's Medicaid program is MassHealth. 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 Massachusetts, 121 programs in our directory use a sliding fee scale based on income, and 109 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 Massachusetts Department of Public Health, Bureau of Substance Addiction Services (BSAS).

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. 1.SAMHSA National Helpline: referrals for uninsured callers to state-funded programs: https://www.samhsa.gov/find-help/helplines/national-helpline
  2. 2.45 CFR 96.131, treatment services for pregnant women (admission priorities): https://www.law.cornell.edu/cfr/text/45/96.131
  3. 3.SAMHSA Substance Use Prevention, Treatment, and Recovery Services Block Grant: https://www.samhsa.gov/grants/block-grants/subg
  4. 4.MACPAC: Access to substance use disorder treatment in Medicaid: https://www.macpac.gov/publication/access-to-substance-use-disorder-treatment-in-medicaid/
  5. 5.VA: substance use treatment for veterans: https://www.va.gov/health-care/health-needs-conditions/substance-use-problems/
  6. 6.Indian Health Service: Alcohol and Substance Abuse Branch: https://www.ihs.gov/asab/
  7. 7.State source: https://www.mass.gov/orgs/bureau-of-substance-addiction-services
  8. 8.State source: https://www.mass.gov/info-details/free-and-confidential-helplines-for-treatment-and-recovery-services
  9. 9.State source: https://www.mass.gov/topics/masshealth
  10. 10.State source: https://www.mass.gov/ladc-and-substance-use-disorder-treatment-program-licensing
  11. 11.State source: https://hhsvgapps03.hhs.state.ma.us/elicensing-pubweb/prog/main.htm
  12. 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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