Free and low-cost rehab in South Dakota
22 treatment facilities in South Dakota are listed in the SAMHSA treatment locator as free and low-cost rehab providers. 1 offer medical detox, 3 offer residential or inpatient care, and 6 offer medication-assisted treatment. Facilities that report offering a sliding fee scale, where what you pay is set by your income rather than a fixed price.
Sliding-scale and grant-funded programmes are the least visible part of the treatment system precisely because they are not commercially marketed.
Free / sliding scale facilities in South Dakota
Balanced 50-State coverage with municipal pin markers across all US regions
Free and low-cost rehab facilities in South Dakota
Listed in the SAMHSA treatment locator
Outpatient
Community Counseling Services - Outreach Program
Flandreau, SD 57028
Community Counseling Services - Outreach Program is a treatment facility in Flandreau, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient · Intensive outpatient treatment · Regular outpatient treatment
Addiction Recovery Centers of the - Black Hills
Hot Springs, SD 57747
Addiction Recovery Centers of the - Black Hills is a treatment facility in Hot Springs, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient
Behavior Management Systems - Satellite Office
Hot Springs, SD 57747
Behavior Management Systems - Satellite Office is a treatment facility in Hot Springs, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient
Community Counseling Services - Outreach Program
Howard, SD 57349
Community Counseling Services - Outreach Program is a treatment facility in Howard, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient
Behavioral Health Medicine and - Administrative Offices
Huron, SD 57350
Behavioral Health Medicine and - Administrative Offices is a treatment facility in Huron, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient · Intensive outpatient treatment · Outpatient methadone/buprenorphine or naltrexone treatment
Community Counseling Services
Huron, SD 57350
Community Counseling Services is a treatment facility in Huron, SD listed in the SAMHSA treatment locator, offering outpatient programs, medication-assisted treatment.
Listed in the SAMHSA treatment locator
Outpatient
Community Counseling Services - Bradfield/Leary Center
Huron, SD 57350
Community Counseling Services - Bradfield/Leary Center is a treatment facility in Huron, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient · Intensive outpatient treatment · Outpatient methadone/buprenorphine or naltrexone treatment
Community Counseling Services - Madison
Madison, SD 57042
Community Counseling Services - Madison is a treatment facility in Madison, SD listed in the SAMHSA treatment locator, offering outpatient programs, medication-assisted treatment.
Listed in the SAMHSA treatment locator
Outpatient · Intensive outpatient treatment · Outpatient methadone/buprenorphine or naltrexone treatment
Capital Area Counseling Services
Pierre, SD 57501
Capital Area Counseling Services is a treatment facility in Pierre, SD listed in the SAMHSA treatment locator, offering outpatient programs, medication-assisted treatment.
Listed in the SAMHSA treatment locator
Outpatient · Intensive outpatient treatment · Regular outpatient treatment
Addiction Recovery Centers of the - Black Hills
Rapid City, SD 57701
Addiction Recovery Centers of the - Black Hills is a treatment facility in Rapid City, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Residential/24-hour residential
Behavior Management Systems - Mainstream Residential
Rapid City, SD 57701
Behavior Management Systems - Mainstream Residential is a treatment facility in Rapid City, SD listed in the SAMHSA treatment locator, offering residential and inpatient care.
Listed in the SAMHSA treatment locator
Outpatient
Lutheran Social Services of SD - Rapid City Area Counseling Center
Rapid City, SD 57702
Lutheran Social Services of SD - Rapid City Area Counseling Center is a treatment facility in Rapid City, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient
West River Mental Health - Mainstream and IMPACT West
Rapid City, SD 57701
West River Mental Health - Mainstream and IMPACT West is a treatment facility in Rapid City, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient · Regular outpatient treatment
Youth and Family Services Inc - Counseling Center
Rapid City, SD 57701
Youth and Family Services Inc - Counseling Center is a treatment facility in Rapid City, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient · Outpatient methadone/buprenorphine or naltrexone treatment · Regular outpatient treatment
BAART Programs Sioux Falls
Sioux Falls, SD 57104
BAART Programs Sioux Falls is a treatment facility in Sioux Falls, SD listed in the SAMHSA treatment locator, offering outpatient programs, medication-assisted treatment.
Listed in the SAMHSA treatment locator
Outpatient · Regular outpatient treatment
Dakota Drug and Alcohol Prevention Inc - Prairie View Prevention Services
Sioux Falls, SD 57105
Dakota Drug and Alcohol Prevention Inc - Prairie View Prevention Services is a treatment facility in Sioux Falls, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient
Lutheran Social Services of SD - Sioux Falls Area Counseling Center
Sioux Falls, SD 57105
Lutheran Social Services of SD - Sioux Falls Area Counseling Center is a treatment facility in Sioux Falls, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient
Southeastern Behavioral Healthcare - Counseling and Childrens Services
Sioux Falls, SD 57105
Southeastern Behavioral Healthcare - Counseling and Childrens Services is a treatment facility in Sioux Falls, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient · Residential/24-hour residential · Intensive outpatient treatment
Volunteers of America Dakotas
Sioux Falls, SD 57105
Volunteers of America Dakotas is a treatment facility in Sioux Falls, SD listed in the SAMHSA treatment locator, offering residential and inpatient care, outpatient programs, medication-assisted treatment.
Listed in the SAMHSA treatment locator
Outpatient
West River Mental Health - Northern Hills
Spearfish, SD 57783
West River Mental Health - Northern Hills is a treatment facility in Spearfish, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Outpatient
Lutheran Social Services of SD - Watertown Area Counseling Center
Watertown, SD 57201
Lutheran Social Services of SD - Watertown Area Counseling Center is a treatment facility in Watertown, SD listed in the SAMHSA treatment locator, offering outpatient programs.
Listed in the SAMHSA treatment locator
Hospital inpatient/24-hour hospital inpatient · Outpatient · Residential/24-hour residential
Lewis and Clark Behavioral Hlth Servs - Alcohol and Drug Program
Yankton, SD 57078
Lewis and Clark Behavioral Hlth Servs - Alcohol and Drug Program is a treatment facility in Yankton, SD listed in the SAMHSA treatment locator, offering medical detoxification, residential and inpatient care, outpatient programs, medication-assisted treatment.
Common questions
- Is there free drug rehab in South Dakota?
- 22 facilities in South Dakota report offering a sliding fee scale, where the cost is based on your income and can fall to little or nothing for those who qualify. Truly free programmes usually mean state-funded or grant-funded beds; ask the facility directly what applies to your situation.
- How do I get treatment in South Dakota without insurance?
- Sliding-scale facilities are the usual route. Bring proof of income when you call. 1 of the facilities listed here provide medical detox. The SAMHSA National Helpline (1-800-662-4357) is free, confidential, and can help find state-funded options.
- What does sliding scale mean for rehab cost?
- It means the facility sets your fee against your income and household size instead of charging a single price. Each facility sets its own scale, so two facilities can quote very different amounts for the same income.
Free and low-cost rehab in other states
Listings reflect what each facility reports to SAMHSA and were retrieved on 2026-08-12. Inclusion is not an endorsement, and reported services can change before the federal registry does. Confirm current programmes, availability, and what you would pay directly with the facility.