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
BlueCross BlueShield
Bright Health
CareFirst
Carelon Behavioral Health
Cigna
ComPsych
GuideWell
HealthNet
HealthPartners
Highmark
Humana
ITU Funds
Intermountain Healthcare
Kaiser Permanente
MHN
Medicaid
Medicare
Optum
Oscar
Tricare
Tufts Health
United Healthcare
Community Counseling Services Madison
SD

Community Counseling Services Madison

Huron, SD

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

Community Counseling Services Madison provides outpatient care for depression, anxiety, and addiction. They offer specialized programs for adults and children,...

Co-Occurring Disorders Depression Post Traumatic Stress Disorder Adolescents
Evidence-Based Individual Treatment Men Men and Women
View Profile → (833) 546-3513
ARTS Adolescent Outpatient Treatment Synergy
SD

ARTS Adolescent Outpatient Treatment Synergy

Sioux Falls, SD

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

ARTS’s Synergy program, based in Denver, provides substance use treatment specifically tailored to adolescents aged 12 to 21. They emphasize evidence-based care...

Co-Occurring Disorders Drug Addiction Adolescents
Evidence-Based Individual Treatment Adolescents Young Adults
View Profile → (833) 546-3513
Community Counseling Services Flandreau
SD

Community Counseling Services Flandreau

Huron, SD

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

Community Counseling Services Flandreau provides outpatient care for depression, anxiety, and addiction. They offer specialized programs for adults and children...

Co-Occurring Disorders Depression Post Traumatic Stress Disorder Adolescents
Evidence-Based Individual Treatment Men Men and Women
View Profile → (833) 546-3513
Gaudenzia RAP Outpatient SUD Treatment
SD

Gaudenzia RAP Outpatient SUD Treatment

Sioux Falls, SD

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

RAP Outpatient SUD Treatment Center in Washington, D.C., helps people dealing with substance use disorders by offering assessments, intensive outpatient program...

Alcohol Co-Occurring Disorders Drug Addiction Medication-Assisted Treatment
Evidence-Based Individual Treatment Men Men and Women
View Profile → (833) 546-3513
Treatment Trends Allentown Outpatient (TTI)
SD

Treatment Trends Allentown Outpatient (TTI)

Sioux Falls, SD

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

Located near downtown Allentown, helps men, women, and adolescents who struggle with drug and alcohol addiction. The center offers different levels of care, inc...

Alcohol Drug Addiction Opioids Prescription Drugs
Individual Treatment Men Men and Women
View Profile → (833) 546-3513
Community Counseling Services Howard
SD

Community Counseling Services Howard

Huron, SD

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

Community Counseling Services Howard provides outpatient care for depression, anxiety, and addiction. They offer specialized programs for adults and children, e...

Co-Occurring Disorders Depression Post Traumatic Stress Disorder Adolescents
Evidence-Based Individual Treatment Men Men and Women
View Profile → (833) 546-3513
Counseling Resources
SD

Counseling Resources

Sioux Falls, SD

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

Counseling Resources in Sioux Falls specializes in treating substance use, mental health, and co-occurring disorders. Established in 1992, the center has helped...

Drug Addiction Professionals
Personalized Treatment Individual Treatment Men Men and Women
View Profile → (833) 546-3513
CaringWorks Outpatient Treatment
SD

CaringWorks Outpatient Treatment

Sioux Falls, SD

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

CaringWorks seeks to meet individuals where they are at and provides mental and behavioral health services at their outpatient behavioral health facility, in pa...

Virtual In-Home
Evidence-Based Individual Treatment Men Women
View Profile → (833) 546-3513
Brookside Sober Living Homes
SD
4

Brookside Sober Living Homes

Sioux Falls, SD

Sober Living Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Brookside Sober Living Homes is a recovery-focused residential program located in Candler, North Carolina. Their mission is rooted in the principle of "one addi...

Alcohol Drug Addiction Sober Living Twelve Step
Holistic Twelve Step Men Men and Women
View Profile → (833) 546-3513
Khiron Clinics - Outpatient Treatment
SD

Khiron Clinics - Outpatient Treatment

Sioux Falls, SD

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

Khiron Clinics helps clients make sense of what is behind their mental and physical health issues, and together they find a path to heal their root causes, prom...

Anxiety Depression Bipolar Trauma
Evidence-Based Holistic Men Men and Women
View Profile → (833) 546-3513
MFI Hemet Outpatient Treatment Center
SD

MFI Hemet Outpatient Treatment Center

Sioux Falls, SD

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

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

Alcohol Drug Addiction Family Therapy Gender-Specific
Evidence-Based Holistic Men Men and Women
View Profile → (833) 546-3513
SD

Felton Institute Deaf Community Counseling Services

Huron, SD

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

An integrative mental health center providing therapy, medication management, housing services, and support for all ages.

Men 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
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