Colegrove Counseling Center LLC
Columbus, NE
- Outpatient
Substance use treatment · Does not treat opioid addiction · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Private health insurance
Why it's listed:
- Medicaid
Free & Low-Cost Rehab in Nebraska
107 of the 115 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
- 100Takes Nebraska Medicaid. What's covered depends on your plan and the service.
- State-financed insurance
- 65Accepts 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 81 to 100 of 107.
Destiny Counseling Services
Sidney, NE
- IOP
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)
Family Matters Counseling Services LLC
North Platte, NE
- 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)
Family Resources of Greater NE
Grand Island, NE
- Outpatient
Substance use treatment · Does not treat opioid addiction · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Active duty military
Why it's listed:
- Medicaid
Good Life Counseling and Support LLC
Atkinson, NE
- 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)
Good Life Counseling and Support LLC
Norfolk, NE
- 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)
Goodwill Industries of Greater NE Columbus Office
Columbus, NE
- 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)
Great Plains Health Behavioral Health
North Platte, NE
- Detox
- Outpatient
- 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)
Hampton Behavioral Health and Family Services Inc
Oneill, NE
- Outpatient
Substance use treatment · Does not use medication for 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)
Houses of Hope of Nebraska Inc
Lincoln, NE
- Residential
- Sober Living
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid
Why it's listed:
- Medicaid
Human Services Inc
Alliance, NE
- Residential
- IOP
- Sober Living
Substance use treatment · Does not use medication for opioid addiction · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Private health insurance
Why it's listed:
- Medicaid
Lincoln Medical Education Partnership Stepping Stones
Lincoln, NE
- Outpatient
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:
- Medicaid
Link Dual Recovery Program
Norfolk, NE
- Residential
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)
Link Inc
Norfolk, NE
- Residential
- Outpatient
- Sober Living
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)
Lutheran Family Services
North Platte, NE
- IOP
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)
Mental Health Alliance
Alliance, NE
- PHP
- 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)
Mental Health Alliance
Scottsbluff, NE
- Outpatient
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)
Nebraska Mental Health Centers Beatrice
Beatrice, NE
- 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:
- Medicaid
- State-financed insurance (not Medicaid)
Nebraska Mental Health Centers Fremont Office
Fremont, NE
- 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:
- Medicaid
- State-financed insurance (not Medicaid)
Northeast Panhandle Substance Abuse Center
Chadron, NE
- Outpatient
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid
Why it's listed:
- 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:
- 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 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.
- 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 Nebraska Department of Health and Human Services, Division of Behavioral Health, which handles state-funded treatment.
- If you might qualify for Medicaid, apply now rather than waiting. Apply for Nebraska Medicaid.
Nebraska Medicaid and Addiction Treatment
100 of the 115 Nebraska programs in our directory say they accept Medicaid, and 65 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
- 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 Nebraska?
Some programs are. Of the 115 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?
100 of the 115 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.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://dhhs.ne.gov/Pages/behavioral-health.aspx
- 8.State source: https://dhhs.ne.gov/Pages/Addiction-Treatment-and-Recovery.aspx
- 9.State source: https://dhhs.ne.gov/licensure/Pages/Mental-Health-Substance-Use-Treatment-Centers.aspx
- 10.State source: https://www.nebraska.gov/LISSearch/search.cgi
- 11.State source: https://dhhs.ne.gov/Pages/medicaid-and-long-term-care.aspx
- 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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