Free & Low-Cost Rehab in Nebraska

108 of the 116 Nebraska 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 Nebraska 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
3Programs that report they do not charge patients.
Government-run
16Run by a state, county, tribal or federal agency. Some still bill insurance or use a sliding scale. 4 are VA, military or Indian Health Service programs that serve only eligible patients.
Sliding fee scale
53The fee is based on your income and other factors.
Payment assistance
26The program offers some help paying. Ask what it covers.
Accepts Medicaid
101Takes Nebraska Medicaid. What's covered depends on your plan and the service.
State-financed insurance
66Accepts a state-funded health plan other than Medicaid.

Nebraska 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 1 to 20 of 108.

  • Open Door Missions Lydia House facility photo

    Open Door Missions Lydia House

    Omaha, NE

    • Residential
    • Sober Living

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

    Accepts: Payment assistance

    Why it's listed:

    • No payment accepted
    • Payment assistance
  • Ponca Tribe of Nebraska Lincoln Office facility photo

    Ponca Tribe of Nebraska Lincoln Office

    Lincoln, NE

    • Outpatient

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

    Accepts: Sliding fee scale, Payment assistance, Active duty military

    Why it's listed:

    • No payment accepted
    • Run by a tribal government
    • Payment assistance
    • Sliding fee scale
  • Siena Francis House Miracles Treatment facility photo

    Siena Francis House Miracles Treatment

    Omaha, NE

    • Residential
    • Sober Living

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

    Accepts: Payment assistance

    Why it's listed:

    • No payment accepted
    • Payment assistance
  • Chee Woy Na Zhee Halfway House

    Winnebago, NE

    • Residential
    • Sober Living

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

    Accepts: Cash or self-payment, Payment assistance

    Why it's listed:

    • Run by a tribal government
    • Payment assistance
  • Douglas County Mental Health Center facility photo

    Douglas County Mental Health Center

    Omaha, NE

    • Detox
    • Residential

    Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy · Dialectical behavior therapy

    Accepts: Cash or self-payment, Medicaid, Medicare

    Why it's listed:

    • Run by a local or county government
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • East Central District Health Dept

    Columbus, NE

    • Outpatient

    Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · All Clients in Opioid Treatment Program

    Accepts: Cash or self-payment, Medicaid, Medicare

    Why it's listed:

    • Run by a local or county government
    • Payment assistance
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Nebraska Urban Indian Health Coalition Intertribal Treatment Center facility photo

    Nebraska Urban Indian Health Coalition Intertribal Treatment Center

    Omaha, NE

    • Residential
    • Outpatient
    • 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:

    • Run by the Indian Health Service (for American Indian and Alaska Native patients)
    • Payment assistance
    • Medicaid
    • State-financed insurance (not Medicaid)
  • NWIHCS/Lincoln VA Substance Use Disorders Program

    Lincoln, NE

    • PHP
    • IOP
    • MAT

    Substance use treatment · Cognitive behavioral therapy · Dialectical behavior therapy

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

    Why it's listed:

    • Run by the VA (for eligible veterans)
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Ponca Health and Wellness Center

    Omaha, NE

    • Outpatient

    Substance use treatment · Does not use medication for opioid addiction · Cognitive behavioral therapy

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

    Why it's listed:

    • Run by a tribal government
    • Payment assistance
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Ponca Tribe of Nebraska facility photo

    Ponca Tribe of Nebraska

    Norfolk, NE

    • Outpatient

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

    Why it's listed:

    • Run by a tribal government
  • Region II Human Services

    Lexington, NE

    • Outpatient

    Substance use treatment · Does not treat opioid addiction · Cognitive behavioral therapy

    Accepts: Cash or self-payment, Medicaid, Medicare

    Why it's listed:

    • Run by a local or county government
    • Payment assistance
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Region II Human Services

    Mc Cook, NE

    • Outpatient

    Substance use treatment · Does not treat opioid addiction · Cognitive behavioral therapy

    Accepts: Cash or self-payment, Medicaid, Medicare

    Why it's listed:

    • Run by a local or county government
    • Payment assistance
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Region II Human Services

    Ogallala, NE

    • Outpatient

    Substance use treatment · Does not treat opioid addiction · Cognitive behavioral therapy

    Accepts: Cash or self-payment, Medicaid, Medicare

    Why it's listed:

    • Run by a local or county government
    • Payment assistance
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Veterans Affairs Medical Center Substance Abuse Treatment facility photo

    Veterans Affairs Medical Center Substance Abuse Treatment

    Grand Island, NE

    • Residential
    • MAT
    • Sober Living

    Substance use treatment · Cognitive behavioral therapy · Dialectical behavior therapy

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

    Why it's listed:

    • Run by the VA (for eligible veterans)
    • Medicaid
    • State-financed insurance (not Medicaid)
  • ARCH Inc

    Omaha, NE

    • 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:

    • Payment assistance
    • Sliding fee scale
    • Medicaid
  • ARCH Inc OHanlon House

    Omaha, NE

    • 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:

    • Payment assistance
    • Sliding fee scale
    • Medicaid

Need help finding treatment in Nebraska?

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 Nebraska, Nebraska Department of Health and Human Services, 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:

  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 Nebraska

Nebraska Department of Health and Human Services, Division of Behavioral Health is the Nebraska agency for publicly funded substance use treatment. Visit the Nebraska Department of Health and Human Services, Division of Behavioral Health 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 Nebraska Department of Health and Human Services, Division of Behavioral Health, which handles state-funded treatment.
  4. If you might qualify for Medicaid, apply now rather than waiting. Apply for Nebraska Medicaid.

Nebraska Medicaid and Addiction Treatment

101 of the 116 Nebraska programs in our directory say they accept Medicaid, and 66 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 Nebraska's rules and your plan, so check with both the program and your plan. Check eligibility and apply.

In Nebraska, substance use treatment programs are licensed or certified by Nebraska DHHS Division of Public Health, Licensure Unit (Office of Developmental Disabilities & Behavioral Health Facilities). Check the state's provider list.

Other Free and Low-Cost Options

Frequently Asked Questions

Is rehab free in Nebraska?

Some programs are. Of the 116 Nebraska programs in our directory, 3 report that they accept no payment, and 16 are run by a state, county, tribal or federal agency. Of the government-run programs, 4 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 Nebraska Department of Health and Human Services, Division of Behavioral Health, which handles state-funded treatment.

Does Nebraska Medicaid cover rehab?

101 of the 116 Nebraska 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.

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 Nebraska, 53 programs in our directory use a sliding fee scale based on income, and 26 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 Nebraska Department of Health and Human Services, 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. 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://dhhs.ne.gov/Pages/behavioral-health.aspx
  8. 8.State source: https://dhhs.ne.gov/Pages/Addiction-Treatment-and-Recovery.aspx
  9. 9.State source: https://dhhs.ne.gov/licensure/Pages/Mental-Health-Substance-Use-Treatment-Centers.aspx
  10. 10.State source: https://www.nebraska.gov/LISSearch/search.cgi
  11. 11.State source: https://dhhs.ne.gov/Pages/medicaid-and-long-term-care.aspx
  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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