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
Community Counseling Services Madison
Huron, SD
Community Counseling Services Madison provides outpatient care for depression, anxiety, and addiction. They offer specialized programs for adults and children,...
ARTS Adolescent Outpatient Treatment Synergy
Sioux Falls, SD
ARTS’s Synergy program, based in Denver, provides substance use treatment specifically tailored to adolescents aged 12 to 21. They emphasize evidence-based care...
Community Counseling Services Flandreau
Huron, SD
Community Counseling Services Flandreau provides outpatient care for depression, anxiety, and addiction. They offer specialized programs for adults and children...
Gaudenzia RAP Outpatient SUD Treatment
Sioux Falls, SD
RAP Outpatient SUD Treatment Center in Washington, D.C., helps people dealing with substance use disorders by offering assessments, intensive outpatient program...
Treatment Trends Allentown Outpatient (TTI)
Sioux Falls, SD
Located near downtown Allentown, helps men, women, and adolescents who struggle with drug and alcohol addiction. The center offers different levels of care, inc...
Community Counseling Services Howard
Huron, SD
Community Counseling Services Howard provides outpatient care for depression, anxiety, and addiction. They offer specialized programs for adults and children, e...
Counseling Resources
Sioux Falls, SD
Counseling Resources in Sioux Falls specializes in treating substance use, mental health, and co-occurring disorders. Established in 1992, the center has helped...
CaringWorks Outpatient Treatment
Sioux Falls, SD
CaringWorks seeks to meet individuals where they are at and provides mental and behavioral health services at their outpatient behavioral health facility, in pa...
Brookside Sober Living Homes
Sioux Falls, SD
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...
Khiron Clinics - Outpatient Treatment
Sioux Falls, SD
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...
MFI Hemet Outpatient Treatment Center
Sioux Falls, SD
MFI Recovery Hemet Outpatient Treatment Center offers treatment for men, women, and teens with substance use and co-occurring mental health concerns. The Hemet...
Felton Institute Deaf Community Counseling Services
Huron, SD
An integrative mental health center providing therapy, medication management, housing services, and support for all ages.
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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Looking in Nearby States?
Explore treatment options in states neighboring South Dakota.
