Find Treatment Centers in South Dakota
53 SAMHSA-verified facilities. 90 annual opioid deaths. Help is available — and it works.
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
New Dawn Enterprises
Vale, SD
New Dawn Center provides hope and healing for adult men overcoming substance use disorders. As an ASAM Level 3.1 facility, it offers transitional care, helping...
Aspirations Sober Living Homes
Sioux Falls, SD
Set in the mid-sized city of Lethbridge, Aspirations Sober Living Homes offers safe and supportive housing for people recovering from substance use. They accept...
MWI Health Sioux Falls
Sioux Falls, SD
MWI – Sioux Falls treats a wide range of mental health and addiction concerns for children, teens, and adults. Their team delivers outpatient and intensive outp...
Sisseton Wahpeton Oyate Dakota Pride Center
Sisseton, SD
The Dakotah Pride Center is committed to delivering holistic care that integrates individualized treatment based on the client’s needs, recognizing that addicti...
First Step Counseling Services, Inc.
Sioux Falls, SD
First Step Counseling Services, fully accredited by the State Board of Addiction and Prevention Professionals and the Department of Social Services, provides co...
ARTS Adult Outpatient Treatment Potomac Street Center
Sioux Falls, SD
In Sioux Falls, a community with a strong sense of support and togetherness, ARTS, or Addiction Research and Treatment Services, operates under the University o...
ARTS Adult Outpatient Treatment Specialized Services
Sioux Falls, SD
In the heart of Sioux Falls, where community ties run deep, ARTS, or Addiction Research and Treatment Services, is a vital part of the University of Colorado’s...
Southern Plains Behavioral Health Services
Winner, SD
Nestled in Winner, South Dakota, Southern Plains Behavioral Health Services (SPBHS) stands as a nonprofit organization devoted to offering top-notch mental heal...
Face It Together-South Dakota
Sioux Falls, SD
In the heart of Sioux Falls, Face It TOGETHER is a nonprofit organization committed to transforming lives impacted by addiction through tailored, data-informed...
Childrens Home Society of SD Sioux Falls Childrens Home
Sioux Falls, SD
The Children’s Home Society of South Dakota - Sioux Falls Children's Home provides individualized residential treatment services for children ages 4-14 who are...
Native Healing Program
Rapid City, SD
The Native Healing Program (NHP) provides treatment for alcohol and drug addiction, focusing on Native American communities in Pennington County and surrounding...
Action for the Betterment of Our Community
Sturgis, SD
Action for the Betterment of Our Community in Sturgis, South Dakota incorporates services for substance use disorders, offering assessments, individual and grou...
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
| Program | Duration | Cost Range | Best For |
|---|---|---|---|
| Medical Detox | 5–10 days | $1,000–$5,000 | Alcohol, opioid, benzo withdrawal |
| Inpatient Rehab | 28–90 days | $6,000–$30,000 | Severe addiction, co-occurring disorders |
| PHP (Partial Hospitalization) | 2–4 weeks | $3,000–$10,000 | Step-down from inpatient, intensive support |
| IOP (Intensive Outpatient) | 2–4 months | $3,000–$10,000 | Work/school compatibility, 9-20 hrs/week |
| Outpatient | 3–12 months | $1,400–$10,000 | Mild-moderate, stable housing |
| MAT | 6–24+ months | $5,000–$15,000/yr | Opioid 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.
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.
Treatment FAQ — South Dakota
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Does Medicaid cover rehab in South Dakota?
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What is the overdose crisis in South Dakota?
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Looking in Nearby States?
Explore treatment options in states neighboring South Dakota.
