116 of the 119 Montana 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.
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.
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 101 to 116 of 116.
Helena, MT
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:
Great Falls, MT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Private health insurance
Why it's listed:
Havre, MT
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:
Kalispell, MT
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:
Glendive, MT
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:
Sidney, MT
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:
Missoula, MT
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:
Billings, MT
Substance use treatment · Cognitive behavioral therapy · Dialectical behavior therapy
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
Great Falls, MT
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:
Billings, MT
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:
Sidney, MT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Private health insurance
Why it's listed:
Missoula, MT
Substance use treatment · Does not treat opioid addiction · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Active duty military
Why it's listed:
Billings, MT
Substance use treatment · Cognitive behavioral therapy · Substance abuse counseling
Accepts: Cash or self-payment, Medicaid, State-financed health insurance plan other than Medicaid
Why it's listed:
Dillon, MT
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:
Lewistown, MT
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:
Livingston, MT
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:
To talk with a treatment representative about programs and costs, call the sponsored hotline. It's available 24/7.
There's no single national rule. Each state runs its own publicly funded treatment system and sets its own eligibility rules. In Montana, Montana Department of Public Health and Human Services (DPHHS), Behavioral Health and Developmental Disabilities Division (BHDD) 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:
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.
Montana Department of Public Health and Human Services (DPHHS), Behavioral Health and Developmental Disabilities Division (BHDD) is the Montana agency for publicly funded substance use treatment. Visit the Montana Department of Public Health and Human Services (DPHHS), Behavioral Health and Developmental Disabilities Division (BHDD) website for help finding treatment.
114 of the 119 Montana programs in our directory say they accept Medicaid, and 99 accept a state-financed health plan other than Medicaid.
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 Montana's rules and your plan, so check with both the program and your plan. Check eligibility and apply.
In Montana, substance use treatment programs are licensed or certified by DPHHS BHDD Treatment Bureau (state approval of SUD programs under Title 53, ch. 24, part 2, MCA), with the DPHHS Office of Inspector General Licensing Bureau. Check the state's provider list.
Some programs are. Of the 119 Montana programs in our directory, 1 reports that it accepts no payment, and 10 are run by a state, county, tribal or federal agency. Of the government-run programs, 2 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 Montana Department of Public Health and Human Services (DPHHS), Behavioral Health and Developmental Disabilities Division (BHDD), which handles state-funded treatment.
114 of the 119 Montana programs in our directory say they accept Medicaid. State Medicaid programs cover addiction treatment to different degrees, so ask the program and your Medicaid plan which services are covered before you start.
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 Montana, 72 programs in our directory use a sliding fee scale based on income, and 39 offer payment assistance. Ask for the self-pay rate and whether you qualify for a reduced fee before you're admitted.
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 Montana Department of Public Health and Human Services (DPHHS), Behavioral Health and Developmental Disabilities Division (BHDD).
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.
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.
Program counts: data updated September 2026.
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