Free & Low-Cost Rehab in South Carolina

94 of the 112 South Carolina 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 South Carolina 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
6Programs that report they do not charge patients.
Government-run
37Run by a state, county, tribal or federal agency. Some still bill insurance or use a sliding scale. 2 are VA, military or Indian Health Service programs that serve only eligible patients.
Sliding fee scale
25The fee is based on your income and other factors.
Payment assistance
41The program offers some help paying. Ask what it covers.
Accepts Medicaid
85Takes Healthy Connections Medicaid. What's covered depends on your plan and the service.
State-financed insurance
54Accepts a state-funded health plan other than Medicaid.

South Carolina 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 94.

  • Home With a Heart facility photo

    Home With a Heart

    Liberty, SC

    • Residential

    Substance use treatment · Does not use medication for opioid addiction · Smoking not permitted

    Accepts: Payment assistance

    Why it's listed:

    • No payment accepted
    • Payment assistance
  • Miracle Hill Overcomers Center

    Greenville, SC

    • Residential
    • Sober Living

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

    Accepts: Payment assistance

    Why it's listed:

    • No payment accepted
    • Payment assistance
  • Miracle Hill Renewal Center

    Greenville, SC

    • Residential

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

    Accepts: Payment assistance

    Why it's listed:

    • No payment accepted
    • Payment assistance
  • Palmetto Center facility photo

    Palmetto Center

    Florence, SC

    • Residential

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

    Accepts: Payment assistance

    Why it's listed:

    • No payment accepted
    • Run by the state government
    • Payment assistance
  • Aiken Center facility photo

    Aiken Center

    Aiken, SC

    • 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:

    • Run by a local or county government
    • Payment assistance
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Anderson/Oconee Behavioral Health Services

    Anderson, SC

    • PHP
    • IOP
    • MAT

    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:

    • Run by the state government
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Anderson/Oconee Behavioral Health Services facility photo

    Anderson/Oconee Behavioral Health Services

    Seneca, SC

    • IOP
    • MAT

    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:

    • Run by the state government
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Beaufort County Alcohol and Drug Abuse Department

    Bluffton, SC

    • PHP
    • IOP
    • MAT

    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:

    • Run by a local or county government
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Charleston Center of Charleston Cnty facility photo

    Charleston Center of Charleston Cnty

    Charleston, SC

    • Detox
    • Residential
    • IOP
    • 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:

    • Run by a local or county government
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Cherokee County Commission on Alcohol and Drug Abuse facility photo

    Cherokee County Commission on Alcohol and Drug Abuse

    Gaffney, SC

    • IOP

    Substance use treatment · Does not use medication for opioid addiction · Accepts clients on opioid medication but prescribed elsewhere

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

    Why it's listed:

    • Run by a local or county government
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Chrysalis Center facility photo

    Chrysalis Center

    Florence, SC

    • Residential
    • MAT

    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:

    • Run by a local or county government
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Clarendon Cty Commission on Alc Trt DBA Clarendon Behavioral Health Servs facility photo

    Clarendon Cty Commission on Alc Trt DBA Clarendon Behavioral Health Servs

    Manning, SC

    • 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:

    • Run by a local or county government
    • Payment assistance
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Colleton Commission on Alcohol and Drug Abuse facility photo

    Colleton Commission on Alcohol and Drug Abuse

    Walterboro, SC

    • 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:

    • Run by a local or county government
    • Payment assistance
    • Sliding fee scale
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Cornerstone Abbeville facility photo

    Cornerstone Abbeville

    Abbeville, SC

    • 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:

    • Run by a local or county government
    • Payment assistance
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Cornerstone Edgefield facility photo

    Cornerstone Edgefield

    Edgefield, SC

    • 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:

    • Run by a local or county government
    • Payment assistance
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Cornerstone Greenwood facility photo

    Cornerstone Greenwood

    Greenwood, SC

    • 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:

    • Run by a local or county government
    • Payment assistance
    • Medicaid
    • State-financed insurance (not Medicaid)
  • Cornerstone McCormick

    Mc Cormick, SC

    • 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:

    • Run by a local or county government
    • Payment assistance
    • Medicaid
    • State-financed insurance (not Medicaid)

Need help finding treatment in South Carolina?

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 South Carolina, South Carolina Department of Behavioral Health and Developmental Disabilities (BHDD), Office of Substance Use Services 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 South Carolina

South Carolina Department of Behavioral Health and Developmental Disabilities (BHDD), Office of Substance Use Services is the South Carolina agency for publicly funded substance use treatment. Visit the South Carolina Department of Behavioral Health and Developmental Disabilities (BHDD), Office of Substance Use Services 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 South Carolina Department of Behavioral Health and Developmental Disabilities (BHDD), Office of Substance Use Services, which handles state-funded treatment.
  4. If you might qualify for Medicaid, apply now rather than waiting. Apply for Healthy Connections Medicaid.

South Carolina Medicaid and Addiction Treatment

85 of the 112 South Carolina programs in our directory say they accept Medicaid, and 54 accept a state-financed health plan other than Medicaid. South Carolina's Medicaid program is Healthy Connections 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 South Carolina's rules and your plan, so check with both the program and your plan. Check eligibility and apply.

In South Carolina, substance use treatment programs are licensed or certified by South Carolina Department of Public Health (DPH), Healthcare Quality. Check the state's provider list.

Other Free and Low-Cost Options

Frequently Asked Questions

Is rehab free in South Carolina?

Some programs are. Of the 112 South Carolina programs in our directory, 6 report that they accept no payment, and 37 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 South Carolina Department of Behavioral Health and Developmental Disabilities (BHDD), Office of Substance Use Services, which handles state-funded treatment.

Does South Carolina Medicaid cover rehab?

85 of the 112 South Carolina programs in our directory say they accept Medicaid. South Carolina's Medicaid program is Healthy Connections 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 South Carolina, 25 programs in our directory use a sliding fee scale based on income, and 41 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 South Carolina Department of Behavioral Health and Developmental Disabilities (BHDD), Office of Substance Use Services.

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://bhdd.sc.gov/office-substance-use-services/services/treatment
  8. 8.State source: https://bhdd.sc.gov/office-substance-use-services
  9. 9.State source: https://bhdd.sc.gov/office-substance-use-services/providers
  10. 10.State source: https://dph.sc.gov/professionals/healthcare-quality/licensed-facilities-professionals/facilities-chemically-dependent
  11. 11.State source: https://dph.sc.gov/public/data-maps-reports/find-health-facility
  12. 12.State source: https://dataviz.dph.sc.gov/Health_Facility/
  13. 13.State source: https://www.scdhhs.gov/members/getting-started
  14. 14.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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