Best Drug & Alcohol Rehab Centers in Montana
Montana averages about 150 drug overdose deaths per year. Unlike most states, Montana did not see a significant decline in 2024 while the rest of the country dropped nearly 20%. Fentanyl-related deaths more than tripled to 8.9 per 100,000 in 2023, and methamphetamine deaths reached 8.2 per 100,000. In early 2025, state health officials flagged a spike in overdoses, with 95 suspected opioid overdoses in March alone.
Montana faces significant challenges as one of the most rural states in the country. Treatment options are concentrated along the I-90 corridor (Billings to Missoula) and in Great Falls and Helena. The state expanded Medicaid in 2016, which has improved access to treatment. MCDC in Butte provides state-funded residential care.
Here is what Montana offers for addiction treatment:
- Free and state-funded rehabs: MCDC (Butte) is state-funded. Boyd Andrew (Helena) has SAMHSA grants. Montana Medicaid covers treatment
- Inpatient and outpatient programs: from large residential facilities to rural community providers
- I-90 corridor: Billings (Rimrock, Prairie Hills), Butte (MCDC), Missoula (Recovery Centers outpatient)
- Northern Montana: Havre (Northern MT Health Care)
- Western Montana: Recovery Centers residential in Columbia Falls and Martin City
In this guide, we have reviewed 10 top rehab centers across Montana, covering their treatment methods, costs, and who they serve best.
Addiction in Montana: Key Statistics
Montana recorded about 150 overdose deaths annually (2014-2023 average). Fentanyl deaths tripled to 8.9 per 100,000 in 2023. Meth deaths reached 8.2 per 100,000. Opioid 911 responses dropped 13% in 2024.
- ~150 annual overdose deaths (average)
- 11.3 per 100,000 opioid death rate (2023)
- Fentanyl deaths tripled in recent years
- Meth remains primary stimulant concern
- Rural access is the biggest challenge
- March 2025 spike: 95 suspected opioid overdoses
- 13% decline in opioid 911 calls (2024 vs 2023)
Top Rehab Centers in Montana
Rimrock Foundation (Billings)
Rimrock Foundation in Billings is Montana's largest and most established addiction treatment center. They offer medical detox, adolescent programs, day treatment, family therapy, and sober living. Rimrock also treats gambling disorders and eating disorders alongside substance use. Their Billings location serves the eastern part of the state.
- Billings (eastern Montana)
- Medical detox, residential, day treatment
- Adolescent programs
- Gambling and eating disorder treatment
- Sober living options
Best for: People needing full-service residential treatment with specialty programs in eastern Montana
Rocky Mountain Treatment Center (Great Falls)
Rocky Mountain Treatment Center in Great Falls is accredited and offers medically monitored detox, inpatient therapy, 12-step programs, and family counseling. Their Great Falls location serves north-central Montana. They are one of the few accredited residential programs in the state.
- Great Falls (north-central Montana)
- Accredited facility
- Medical detox and inpatient
- 12-step and family counseling
- Accepts insurance and Medicaid
Best for: North-central Montana residents needing accredited residential treatment
Recovery Centers of Montana (Statewide)
Recovery Centers of Montana operates multiple locations across the western part of the state: The Ranch (Columbia Falls), The Lodge (Martin City), and Willows Haven (Ignatius) for residential, plus outpatient clinics in Missoula, Ronan, and Kalispell. Their network provides the broadest reach of any single provider in western Montana.
- Residential: Columbia Falls, Martin City, Ignatius
- Outpatient: Missoula, Ronan, Kalispell
- Multiple facilities across western MT
- Residential and outpatient options
- Broadest western MT coverage
Best for: Western Montana residents needing local residential or outpatient treatment
Montana Chemical Dependency Center (Butte)
MCDC in Butte is the state's primary publicly funded addiction treatment facility. They provide team-based inpatient treatment with gender-specific services, withdrawal management, and co-occurring disorder care. As a state-funded program, treatment is free or low-cost for qualifying residents.
- Butte (southwest Montana)
- State-funded treatment
- Gender-specific inpatient programs
- Withdrawal management
- Co-occurring disorder care
Best for: Montana residents needing free or low-cost state-funded residential treatment
Boyd Andrew Community Services (Helena)
Boyd Andrew in Helena offers inpatient and IOP programs, partially funded by a SAMHSA grant. Located in the state capital, they provide evidence-based treatment with federal funding support that keeps costs down for patients. They serve the Helena area and central Montana.
- Helena (state capital)
- SAMHSA grant-funded
- Inpatient and IOP
- Evidence-based treatment
- Reduced cost through federal funding
Best for: Helena-area residents needing affordable inpatient or IOP treatment
NEXUS Treatment Center (Lewistown)
NEXUS in Lewistown serves one of the most isolated regions in the state. Located in central Montana, they provide residential treatment in a small-town setting far from urban triggers. They fill a gap for communities that are hours from larger treatment centers.
- Lewistown (central Montana)
- Residential treatment
- Serves isolated rural communities
- Small-town recovery setting
- Hours from nearest major center
Best for: Central Montana rural residents needing local residential treatment
AWARE Inc. (Anaconda)
AWARE in Anaconda provides behavioral health and addiction treatment services in southwest Montana. They offer outpatient counseling, case management, and support services. Their community-based model serves Anaconda and surrounding communities between Butte and Missoula.
- Anaconda (southwest Montana)
- Outpatient counseling
- Case management
- Community-based services
- Serves Butte-Missoula corridor
Best for: Southwest Montana residents needing outpatient counseling and support
Northern Montana Health Care (Havre)
Northern Montana Health Care in Havre serves the Hi-Line corridor along the northern tier of the state. They offer outpatient and IOP services for adults and adolescents. This is one of the northernmost treatment options in Montana, serving communities near the Canadian border.
- Havre (northern Montana/Hi-Line)
- Outpatient and IOP
- Adults and adolescents
- Hospital-affiliated
- Serves northern corridor communities
Best for: Northern Montana Hi-Line residents needing local outpatient treatment
Prairie Hills Recovery Center (Billings)
Prairie Hills in Billings provides residential addiction treatment as a second option in Montana's largest city. They offer structured programming with evidence-based therapies, serving the Billings metro and eastern Montana alongside Rimrock.
- Billings (eastern Montana)
- Residential treatment
- Evidence-based therapies
- Serves eastern MT
- Second major Billings option
Best for: Eastern Montana residents wanting a residential alternative to Rimrock
Northwest Counseling Center (Billings)
Northwest Counseling Center in Billings provides outpatient substance use treatment, counseling, and behavioral health services. They offer a lower-intensity option for Billings-area residents who do not need residential care.
- Billings
- Outpatient treatment
- Counseling and behavioral health
- Lower-intensity option
- Accepts insurance and Medicaid
Best for: Billings residents needing outpatient counseling and treatment
Free Rehab Centers in Montana
Montana's expanded Medicaid and state-funded programs provide free or low-cost treatment for many residents.
Free or Low-Cost Options:
- MCDC (Butte) - State-funded residential treatment
- Boyd Andrew (Helena) - SAMHSA grant-funded inpatient/IOP
- Montana Medicaid - Covers all levels of treatment
- Tribal programs - Free treatment for eligible Native Americans
How to qualify for free treatment in Montana:
- Montana Medicaid: Expanded in 2016, covers substance use treatment
- 988 crisis line: Call or text 988 for immediate crisis support
- SAMHSA helpline: Call 1-800-662-4357 for free referrals, available 24/7
For a full guide, see our rehab costs and insurance guide.
Types of Rehab Programs in Montana
Inpatient Residential Treatment
Montana has residential options in Billings (Rimrock, Prairie Hills), Great Falls (Rocky Mountain), Butte (MCDC), Columbia Falls/Martin City (Recovery Centers), and Lewistown (NEXUS).
- 24/7 medical and clinical support
- Typical stay: 28-90 days
Outpatient and IOP Programs
Outpatient is available in most Montana population centers. Recovery Centers of Montana has the broadest outpatient network in the west.
- Flexible scheduling
- IOP: 3-5 sessions per week
Medical Detox
Rimrock and Rocky Mountain Treatment Center provide clinical detox. MCDC handles withdrawal management.
- 24/7 medical monitoring
- Typically 5-10 days
Cost of Rehab in Montana
| Program Type | Typical Duration | Average Cost |
|---|---|---|
| Outpatient | 8-16 weeks | $1,500 - $8,000 |
| Intensive Outpatient (IOP) | 8-12 weeks | $3,000 - $10,000 |
| Inpatient Residential | 28-90 days | $5,000 - $25,000 |
| Medical Detox | 5-10 days | $2,000 - $5,000 |
| MCDC (State-funded) | Varies | Free/Low-Cost |
Payment options:
- Montana Medicaid: Expanded, covers all levels of treatment
- MCDC: State-funded (free/low-cost)
- Private insurance: Most plans cover treatment
- Tribal programs: Free for eligible Native Americans
How to Choose the Right Rehab in Montana
- Budget: MCDC is state-funded. Boyd Andrew has SAMHSA grants. Montana Medicaid covers treatment.
- Location: Billings (Rimrock, Prairie Hills, Northwest). Great Falls (Rocky Mountain). Butte (MCDC). Helena (Boyd Andrew). Western MT (Recovery Centers). Central MT (NEXUS Lewistown). Northern MT (Havre).
- Residential: Rimrock (Billings), Rocky Mountain (Great Falls), MCDC (Butte), Recovery Centers (western MT).
- Adolescents: Rimrock has adolescent programs. Northern MT Health Care serves adolescents.
- Aftercare: Look for programs with relapse prevention planning and connections to support groups.
Frequently Asked Questions
Are there free rehab centers in Montana?
Yes. Montana Chemical Dependency Center (MCDC) in Butte provides state-funded residential treatment. Boyd Andrew Community Services in Helena operates with SAMHSA grant funding. Montana Medicaid covers substance use treatment. Many tribal programs offer free treatment to Native American residents. Call SAMHSA at 1-800-662-4357 for referrals.
Does Montana Medicaid cover rehab?
Yes. Montana expanded Medicaid under the ACA in 2016. Montana Medicaid covers detox, residential, outpatient, IOP, and MAT. Coverage applies to substance use disorder treatment across the state. Check eligibility at dphhs.mt.gov or call (800) 362-8312.
How long is rehab in Montana?
Medical detox lasts 5-10 days. Residential runs 28-90 days. MCDC offers structured inpatient stays. Rocky Mountain Treatment Center provides 28+ day programs. Outpatient and IOP typically last 8-16 weeks.
How much does rehab cost in Montana?
Outpatient runs $1,500 to $8,000. Inpatient runs $5,000 to $25,000. Medical detox costs $2,000 to $5,000. MCDC is state-funded (free/low-cost). Montana Medicaid and most private insurance cover treatment.
Are overdose deaths declining in Montana?
Montana has been largely flat while the national average declined ~20%. The state averages about 150 overdose deaths per year. Fentanyl deaths more than tripled to 8.9 per 100,000 in 2023. There was a 13% decrease in opioid-related 911 responses in 2024. However, a spike occurred in early 2025.
Is methamphetamine a major issue in Montana?
Yes. Stimulant drug overdose deaths (largely methamphetamine) reached 8.2 per 100,000 in 2023. Meth remains a primary substance of concern alongside rising fentanyl prevalence. Many of the treatment centers listed here address both stimulant and opioid use disorders.
Is rural treatment access a problem in Montana?
Yes. Montana is one of the most rural states in the country. Treatment options are concentrated along the I-90 corridor (Billings, Butte, Missoula) and in Great Falls and Helena. Communities in the northern and eastern parts of the state have very limited options. Telehealth and MAT are expanding access.
Are there treatment options for Native Americans?
Yes. Several tribal programs provide culturally specific treatment. Montana Medicaid covers treatment for eligible tribal members. The Indian Health Service provides some addiction services. Contact local tribal health departments or call SAMHSA for referrals.
Medical Disclaimer: This article is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making changes to your treatment plan. If you are experiencing a medical emergency, call 911 immediately. For substance use support, call SAMHSA at 1-800-662-4357 (free, confidential, 24/7).
Get Help for Addiction in Montana
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