Find Treatment Centers in South Dakota

53 SAMHSA-verified facilities. 90 annual opioid deaths.

✓ Medicaid Expanded Naloxone: pharmacist prescribing ✓ Good Samaritan Law
53
Centers
12.8
OD Rate/100k
90
Opioid Deaths/yr
#50
National Rank

Quick Answer: Rehab in South Dakota

Yes — South Dakota has 53 SAMHSA-verified treatment centers offering detox, inpatient, outpatient, and medication-assisted programs. Most major insurance plans cover treatment under the Mental Health Parity Act. Medicaid covers treatment in all South Dakota facilities that accept it.

Call (833) 546-3513 for free insurance verification and same-day placement assistance.

(833) 546-3513 Free · Confidential · 24/7

Key Treatment Concepts

ASAM Criteria

The American Society of Addiction Medicine's six-dimension assessment framework used to determine appropriate level of care placement for each patient.

Sliding Scale Fees

Income-based payment adjustment offered by many South Dakota facilities. Patients pay based on ability, making treatment accessible regardless of financial situation.

Evidence-Based Practices (EBP)

Treatment approaches validated by peer-reviewed research, including CBT, DBT, motivational interviewing, contingency management, and medication-assisted treatment.

Continuum of Care

Progressive treatment model starting with the most intensive services (detox, residential) and stepping down through PHP, IOP, outpatient, and aftercare as recovery strengthens.

Quick answer: South Dakota has 53 verified treatment centers. Medicaid is expanded — many programs are free or low-cost for eligible residents. The overdose rate is 12.8/100k (#50 nationally, below the national average of 33.1). Top cities: Sioux Falls, Huron, Winner. Need help? Call (833) 546-3513.

Treatment Centers in South Dakota

53 facilities found

All Cities
Sioux Falls (30)
Huron (8)
Winner (2)
Watertown (2)
Rapid City (2)
Mitchell (2)
Vale (1)
Sturgis (1)
All Types
Co-Occurring Mental Health
Detox
Outpatient
Residential Rehab
Sober Living
All Insurance
Aetna
Anthem
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CareFirst
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Cigna
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GuideWell
HealthNet
HealthPartners
Highmark
Humana
ITU Funds
Intermountain Healthcare
Kaiser Permanente
MHN
Medicaid
Medicare
Optum
Oscar
Tricare
Tufts Health
United Healthcare
Anpetu Luta Otipi/Kyle Campus Comprehensive Substance Abuse Program
SD
4

Anpetu Luta Otipi/Kyle Campus Comprehensive Substance Abuse Program

Kyle, SD

Residential Rehab Outpatient Detox Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Anpetu Luta Otipi is a leading addiction treatment center serving the Oglala Sioux Tribe. They provide comprehensive services to address alcohol, commercial tob...

Alcohol Drug Addiction Opioids ITU Funds
Evidence-Based Holistic Men Men and Women
View Profile → (833) 546-3513
MFI Riverside Outpatient Treatment Center
SD
4

MFI Riverside Outpatient Treatment Center

Sioux Falls, SD

Co-Occurring Mental Health Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

MFI Recovery Riverside Outpatient Treatment Center offers treatment for men, women, and teens with substance use and co-occurring mental health concerns. It als...

Alcohol Drug Addiction Family Therapy Gender-Specific
Evidence-Based Holistic Men Women
View Profile → (833) 546-3513
MFI Banning Outpatient Treatment Center
SD
4

MFI Banning Outpatient Treatment Center

Sioux Falls, SD

Co-Occurring Mental Health Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

MFI Recovery Banning Outpatient Treatment Center offers treatment for men, women, and teens with substance use and co-occurring mental health concerns. The Bann...

Alcohol Co-Occurring Disorders Drug Addiction Adolescents
Evidence-Based Holistic Men Men and Women
View Profile → (833) 546-3513
ARTS Adult Outpatient Treatment Parkside Clinic
SD
4

ARTS Adult Outpatient Treatment Parkside Clinic

Sioux Falls, SD

Co-Occurring Mental Health Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Sioux Falls, a community rich in resilience, is home to ARTS, or Addiction Research and Treatment Services, which operates under the University of Colorado’s De...

Alcohol Co-Occurring Disorders Drug Addiction Medication-Assisted Treatment
Evidence-Based Individual Treatment Men Men and Women
View Profile → (833) 546-3513
Volunteers of America Dakotas
SD
4

Volunteers of America Dakotas

Sioux Falls, SD

Residential Rehab Co-Occurring Mental Health Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

The Volunteers of America Dakotas program offers counseling, trauma-focused treatment, substance use evaluations, and aftercare for children, adolescents and ad...

Alcohol Drug Addiction Trauma Adolescents
Evidence-Based Individual Treatment Men Men and Women
View Profile → (833) 546-3513
BAART Programs Sioux Falls
SD
4

BAART Programs Sioux Falls

Sioux Falls, SD

Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

BAART Programs in Sioux Falls Treatment Center provides outpatient treatment for addiction to opioids like fentanyl, heroin, and prescription pain medication. T...

Drug Addiction Medication-Assisted Treatment Opioids
Evidence-Based Personalized Treatment Men Men and Women
View Profile → (833) 546-3513
Capital Area Counseling Services
SD
4

Capital Area Counseling Services

Pierre, SD

Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Capital Area Counseling Services (CACS) helps people struggling with mental health challenges, substance use disorders, and co-occurring conditions. They offer...

Co-Occurring Disorders Trauma Adolescents Suicidality
Evidence-Based Personalized Treatment Men Women
View Profile → (833) 546-3513
Tallgrass Recovery and Sober Living
SD
3

Tallgrass Recovery and Sober Living

Sioux Falls, SD

Residential Rehab Co-Occurring Mental Health Sober Living Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Tallgrass Recovery and Sober Living empowers individuals who are struggling with alcohol and drug addiction. They integrate a 12-Step, spiritually based program...

Alcohol Drug Addiction Sober Living Family Involvement
Evidence-Based Individual Treatment Men Men and Women
View Profile → (833) 546-3513
Glory House of Sioux Falls
SD
4

Glory House of Sioux Falls

Sioux Falls, SD

Residential Rehab Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Glory House empowers clients with addiction, mental health concerns, and lack of life skills through Christian compassion. The center provides both residential...

Alcohol Drug Addiction Christian Pregnant Women
Evidence-Based Individual Treatment Men Men and Women
View Profile → (833) 546-3513
Keystone Treatment Center
SD
4

Keystone Treatment Center

Sioux Falls, SD

Residential Rehab Co-Occurring Mental Health Detox Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Keystone Treatment Center has been helping clients with addiction and co-occurring mental health disorders find recovery for over 40 years. They offer multiple...

Alcohol Anxiety Depression Opioids
Evidence-Based Individual Treatment Men Women
View Profile → (833) 546-3513
Southern Plains Behavioral Health Services
SD
3

Southern Plains Behavioral Health Services

Winner, SD

Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

In the heart of Winner, South Dakota, Southern Plains Behavioral Health Services (SPBHS) is a nonprofit entity committed to delivering exceptional mental health...

Anxiety Trauma Post Traumatic Stress Disorder Personality Disorders
Evidence-Based Individual Treatment Men Men and Women
View Profile → (833) 546-3513
Carroll Institute - The Arch
SD
4

Carroll Institute - The Arch

Sioux Falls, SD

Residential Rehab Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Set in Sioux Falls, SD, The Carroll Institute helps adults, adolescents, children, couples, and families with mental health and substance use disorders. In addi...

First Responders Program Family Program Couples Counseling Justice Involved
Evidence-Based Individual Treatment Men Men and Women
View Profile → (833) 546-3513

Addiction Treatment in South Dakota: What You Need to Know

South Dakota has 53 SAMHSA-verified treatment facilities serving a population of 919,000. That's approximately 5.8 facilities per 100,000 residents. The state's drug overdose death rate of 12.8 per 100,000 is below the national average of 33.1 — ranking #50 nationally. With 90 opioid-related deaths reported annually, access to evidence-based treatment programs remains critical.

Insurance & Medicaid Coverage in South Dakota

South Dakota has expanded Medicaid under the ACA, significantly broadening access to addiction treatment for low-income adults earning up to 138% of the federal poverty level (~$20,783/year for an individual). Covered services typically include medical detox, inpatient/residential rehab, outpatient counseling, and medication-assisted treatment (MAT). In addition to Medicaid, most private insurance plans — including Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, and Humana — are required by the Mental Health Parity Act to cover substance use disorder treatment at parity with medical care.

The Overdose Crisis in South Dakota

South Dakota reports 90 opioid-related deaths annually with an overdose rate of 12.8/100k (below the 33.1 national average by 61%). Substance use disorder affects approximately 5.4% of adults in the state (national average: 7.2%). South Dakota has enacted a Good Samaritan law that protects individuals who call 911 during an overdose emergency from certain criminal charges — encouraging bystanders to seek help. Naloxone (Narcan), the opioid overdose reversal medication, is available via pharmacist prescribing in South Dakota, making it accessible without an individual prescription.

Types of Treatment Available

ProgramDurationCost RangeBest For
Medical Detox5–10 days$1,000–$5,000Alcohol, opioid, benzo withdrawal
Inpatient Rehab28–90 days$6,000–$30,000Severe addiction, co-occurring disorders
PHP (Partial Hospitalization)2–4 weeks$3,000–$10,000Step-down from inpatient, intensive support
IOP (Intensive Outpatient)2–4 months$3,000–$10,000Work/school compatibility, 9-20 hrs/week
Outpatient3–12 months$1,400–$10,000Mild-moderate, stable housing
MAT6–24+ months$5,000–$15,000/yrOpioid use disorder, relapse prevention

Medicaid covers most programs for eligible residents. Call (833) 546-3513 for free insurance verification.

Where to Find Help in South Dakota

Treatment facilities in South Dakota are concentrated in urban areas, with Sioux Falls leading with 30 centers, followed by Huron (8) and Winner (2). For residents in rural areas, telehealth addiction counseling and out-of-area programs provide alternatives. Browse our full South Dakota directory to filter by city, treatment type, and insurance accepted.

Medical Disclaimer: This page provides educational information and is not a substitute for professional medical advice. If experiencing a medical emergency, call 911. For immediate treatment guidance, contact SAMHSA's National Helpline at 1-800-662-4357 (free, confidential, 24/7, English/Spanish).

Last updated: March 2026 · Written by the RehabHive Editorial Team · Sources: SAMHSA, CDC WONDER, KFF

Check Your Insurance Coverage in South Dakota

Medicaid expanded — most plans cover treatment. Verify your benefits — free and confidential.

Verify Now

Understanding Treatment Options in South Dakota

Effective addiction treatment requires at least 90 days in a structured program, according to NIDA research. In South Dakota, treatment centers offer multiple levels of care along a continuum — from medically supervised detoxification (3-10 days) through residential inpatient programs (30-90 days), partial hospitalization (PHP), intensive outpatient (IOP), and standard outpatient counseling.

Medication-assisted treatment (MAT) with buprenorphine, methadone, or naltrexone reduces opioid overdose deaths by 50% (CDC data). Many South Dakota facilities now integrate MAT with behavioral therapies including cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and motivational interviewing for comprehensive dual-diagnosis care.

Treatment centers that match program intensity to individual patient needs achieve the strongest long-term recovery outcomes, according to NIH research. Most insurance plans cover substance abuse treatment under federal parity law. under the Mental Health Parity and Addiction Equity Act, most commercial plans and Medicaid must cover substance abuse treatment at parity with medical care.

Sources: NIDA Principles of Drug Addiction Treatment (4th Ed.), CDC MMWR Vol. 72, NIH National Institute on Alcohol Abuse and Alcoholism

Verified Treatment Centers 53
Overdose Death Rate N/A per 100,000 (#N/A nationally)
Annual Opioid Deaths 90
Medicaid Expansion ✓ Expanded — low-cost treatment available
Naloxone Access Available
24/7 Helpline (833) 546-3513 — free verification

Treatment FAQ — South Dakota

How many rehab centers are in South Dakota?
South Dakota has 53 SAMHSA-verified treatment facilities, including inpatient, outpatient, detox, and MAT programs. The largest concentration is in Sioux Falls with 30 centers.
How much does rehab cost in South Dakota?
Outpatient: $5,000–$10,000. IOP: $3,000–$10,000. Residential: $10,000–$30,000+ for 30 days. South Dakota expanded Medicaid covers most costs for eligible residents. Call (833) 546-3513 for free insurance verification.
Does Medicaid cover rehab in South Dakota?
Yes. South Dakota expanded Medicaid under the ACA, covering detox, inpatient, outpatient, and MAT for adults under 138% FPL (~$20,783/year).
What types of treatment are available in South Dakota?
Programs include: medical detox (5–10 days), inpatient/residential (28–90 days), PHP (6+ hours daily), IOP (9–20 hours/week), standard outpatient (1–2 sessions/week), and MAT (buprenorphine, methadone, naltrexone).
Are there free rehab centers in South Dakota?
Yes. Medicaid covers treatment for eligible residents. SAMHSA-funded facilities provide sliding-scale services. State behavioral health programs serve uninsured residents. Some nonprofit/faith-based programs offer free treatment. Call (833) 546-3513 for help.
What is the overdose crisis in South Dakota?
South Dakota ranks #50 nationally with 12.8/100k overdose deaths (national avg: 33.1). Approximately 90 opioid deaths/year. Good Samaritan law protects callers. Naloxone: pharmacist prescribing.
Can I travel to South Dakota for rehab?
Yes. South Dakota (Midwest region) welcomes out-of-state patients. Many insurance plans cover out-of-network treatment. Distance from triggers can benefit recovery. Call (833) 546-3513 to verify coverage.
How do I choose the right rehab in South Dakota?
Look for: (1) CARF/Joint Commission accreditation, (2) evidence-based therapies (CBT, DBT, MI), (3) insurance acceptance, (4) specializations (dual diagnosis, gender-specific), (5) aftercare planning. Call (833) 546-3513 for personalized guidance.
How much does rehab cost in South Dakota without insurance?
Without insurance, rehab costs approximately $1,000-$3,000/month for outpatient, $5,000-$20,000 for 30-day residential, and $12,000-$60,000 for 90-day inpatient. South Dakota expanded Medicaid — many residents qualify for free or low-cost treatment. Sliding-scale fee programs are also available. Call (833) 546-3513 for options.
Does South Dakota Medicaid cover residential rehab?
Yes. South Dakota expanded Medicaid under the ACA, covering residential rehab, detox, outpatient, and MAT for eligible residents. Call (833) 546-3513 for help.
What are the best-rated rehab centers in South Dakota?
South Dakota has 53 SAMHSA-verified centers. Quality depends on JCAHO/CARF accreditation, patient outcomes, and staff credentials. Browse our directory or call (833) 546-3513 for personalized recommendations.
Get Help Now — (833) 546-3513
RehabHive Editorial Team
Clinical Content Review Board

Our content is written by health information specialists and fact-checked against SAMHSA public data, CDC reports, and NIDA research. Every page is reviewed for clinical accuracy before publication and updated regularly to reflect current treatment practices.

Fact-checked against SAMHSA data
Clinically reviewed for accuracy
Updated April 2026
Editorial Policy
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