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Directory · South Dakota SAMHSA-verified · Updated September 2026

Rehab Centers in South Dakota

53 SAMHSA-verified addiction treatment facilities across 8+ cities in the Midwest region. Sioux Falls alone lists 30 centers. Filter by insurance carrier, level of care, or substance — then call the program directly or our free helpline if you want help narrowing down.

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Q

Quick answer — rehab in South Dakota

South Dakota has 53 licensed addiction treatment centers sourced from the SAMHSA federal registry. Medicaid is expanded here, covering detox, residential, IOP, and MAT programs for eligible residents. Top treatment hubs: Sioux Falls (30 centers), Huron (8 centers), Winner (2 centers), Watertown (2 centers). Filter by insurance carrier, level of care, or substance, or call (833) 567-5838 for a free placement consultation.

Top cities for treatment in South Dakota

Three to eight metros concentrate most South Dakota addiction treatment capacity. Pick a city to see its full facility list with insurance filters.

South Dakota treatment centers

All 74 verified South Dakota listings. Showing 25–48 below; use the button on the right to filter by insurance, level of care, or substance.

Filter all 74 →
Avera St. Luke's Hospital Behavioral Health Center - Aberdeen — Aberdeen, SD
Verified

Avera St. Luke's Hospital Behavioral Health Center - Aberdeen

Aberdeen, SD · JCAHO
Outpatient IOP MAT

Avera St. Luke's Hospital Behavioral Health Center - Aberdeen provides residential rehab and co-occurring mental health care in Aberdeen, SD, supporting individuals and families working toward lasting…

Medicaid Private insurance +1 more
All SD → View details →
First Step Counseling Services, Inc. — Sioux Falls, SD
Verified

First Step Counseling Services, Inc.

Sioux Falls, SD · Est. 1983
Outpatient IOP

First Step Counseling Services, Inc. is a treatment provider in Sioux Falls, SD, delivering outpatient care with an individualized, evidence-informed approach. Care here features levels of care includ…

Self-pay
All SD → View details →
Community Counseling Services Flandreau — Flandreau, SD
Verified

Community Counseling Services Flandreau

Flandreau, SD
Outpatient

Located in Flandreau, SD, Community Counseling Services Flandreau offers outpatient care for people seeking help with substance use and related challenges. The program offers levels of care including …

Medicare Medicaid +3 more
All SD → View details →
Monument Health Behavioral Health Center — Rapid City, SD
Verified

Monument Health Behavioral Health Center

Rapid City, SD · Est. 1973

Monument Health Behavioral Health Center provides residential rehab and co-occurring mental health care in Rapid City, SD, supporting individuals and families working toward lasting recovery. Care her…

All SD → View details →
Community Counseling Services Madison — Madison, SD
Verified

Community Counseling Services Madison

Madison, SD
Outpatient

Community Counseling Services Madison provides outpatient care in Madison, SD, supporting individuals and families working toward lasting recovery. The facility provides levels of care including outpa…

Medicare Medicaid +3 more
All SD → View details →
West River Mental Health - Spearfish — Spearfish, SD
Verified

West River Mental Health - Spearfish

Spearfish, SD

West River Mental Health - Spearfish is a treatment provider in Spearfish, SD, delivering co-occurring mental health and outpatient care with an individualized, evidence-informed approach. The facilit…

All SD → View details →
New Dawn Enterprises — Vale, SD
Verified

New Dawn Enterprises

Vale, SD · Est. 1992
Residential

Serving the Vale, SD area, New Dawn Enterprises offers residential rehab and co-occurring mental health care designed around each client's needs and stage of recovery. Care here features levels of car…

Medicaid Self-pay
All SD → View details →
Southeastern Directions for Life Adult Services — Sioux Falls, SD
Verified

Southeastern Directions for Life Adult Services

Sioux Falls, SD · Est. 1952

Serving the Sioux Falls, SD area, Southeastern Directions for Life Adult Services offers outpatient care designed around each client's needs and stage of recovery. The facility provides levels of care…

All SD → View details →
West River Mental Health - Hot Springs Outpatient — Hot Springs, SD
Verified

West River Mental Health - Hot Springs Outpatient

Hot Springs, SD · Est. 1948

Located in Hot Springs, SD, West River Mental Health - Hot Springs Outpatient offers outpatient care for people seeking help with substance use and related challenges. The program offers levels of car…

All SD → View details →
Addiction Recovery Centers of the Black Hills — Hot Springs, SD
Verified

Addiction Recovery Centers of the Black Hills

Hot Springs, SD · JCAHO
Outpatient PHP

Addiction Recovery Centers of the Black Hills provides outpatient care in Hot Springs, SD, supporting individuals and families working toward lasting recovery. Care here features levels of care includ…

Medicaid Private insurance +1 more
All SD → View details →
Carroll Institute - The Arch — Sioux Falls, SD
Verified

Carroll Institute - The Arch

Sioux Falls, SD · Est. 1971

Serving the Sioux Falls, SD area, Carroll Institute - The Arch offers residential rehab care designed around each client's needs and stage of recovery. The facility provides levels of care including r…

All SD → View details →
Avera Behavioral Health Hospital — Sioux Falls, SD
Verified

Avera Behavioral Health Hospital

Sioux Falls, SD · Est. 1968
Inpatient Outpatient PHP

Avera Behavioral Health Hospital provides residential rehab and outpatient care in Sioux Falls, SD, supporting individuals and families working toward lasting recovery. The facility provides levels of…

Medicare Medicaid +2 more
All SD → View details →
Avera Medical Group Behavioral Health — Sioux Falls, SD
Verified

Avera Medical Group Behavioral Health

Sioux Falls, SD · JCAHO

Serving the Sioux Falls, SD area, Avera Medical Group Behavioral Health offers outpatient care designed around each client's needs and stage of recovery. Care here features levels of care including ou…

All SD → View details →
Youth and Family Services Counseling Center — Rapid City, SD
Verified

Youth and Family Services Counseling Center

Rapid City, SD · Est. 1965
Outpatient

Serving the Rapid City, SD area, Youth and Family Services Counseling Center offers addiction and behavioral health care designed around each client's needs and stage of recovery. The facility provide…

Medicare Medicaid +3 more
All SD → View details →
West River Mental Health - Mainstream Campus — Rapid City, SD
Verified

West River Mental Health - Mainstream Campus

Rapid City, SD · Est. 1948

West River Mental Health - Mainstream Campus provides outpatient care in Rapid City, SD, supporting individuals and families working toward lasting recovery. The facility provides levels of care inclu…

All SD → View details →
MWI Health - Downtown Sioux Falls — Sioux Falls, SD
Verified

MWI Health - Downtown Sioux Falls

Sioux Falls, SD · Est. 2012

Serving the Sioux Falls, SD area, MWI Health - Downtown Sioux Falls offers outpatient care designed around each client's needs and stage of recovery. Care here features levels of care including outpat…

All SD → View details →
MWI Health - Rapid City — Rapid City, SD
Verified

MWI Health - Rapid City

Rapid City, SD · Est. 2012

Located in Rapid City, SD, MWI Health - Rapid City offers outpatient care for people seeking help with substance use and related challenges. The program offers levels of care including outpatient and …

All SD → View details →
Capital Area Counseling Services — Pierre, SD
Verified

Capital Area Counseling Services

Pierre, SD · Est. 1968
Outpatient

Serving the Pierre, SD area, Capital Area Counseling Services offers outpatient care designed around each client's needs and stage of recovery. The facility provides levels of care including outpatien…

Medicare Medicaid +2 more
All SD → View details →
VA Black Hills Healthcare Fort Meade — Fort Meade, SD
Verified

VA Black Hills Healthcare Fort Meade

Fort Meade, SD
Outpatient PHP

VA Black Hills Healthcare Fort Meade is a treatment provider in Fort Meade, SD, delivering residential rehab and outpatient care with an individualized, evidence-informed approach. The program offers …

Medicaid Private insurance +1 more
All SD → View details →
MWI Health Sioux Falls — Sioux Falls, SD
Verified

MWI Health Sioux Falls

Sioux Falls, SD · Est. 2012

Located in Sioux Falls, SD, MWI Health Sioux Falls offers outpatient care for people seeking help with substance use and related challenges. The facility provides levels of care including outpatient a…

All SD → View details →
Childrens Home Society of South Dakota Black Hills Childrens Home — Rapid City, SD
Verified

Childrens Home Society of South Dakota Black Hills Childrens Home

Rapid City, SD
Outpatient PHP

Childrens Home Society of South Dakota Black Hills Childrens Home is a treatment provider in Rapid City, SD, delivering residential rehab care with an individualized, evidence-informed approach. Care …

Medicaid Private insurance +1 more
All SD → View details →
BAART Programs Sioux Falls — Sioux Falls, SD
Verified

BAART Programs Sioux Falls

Sioux Falls, SD · Est. 1977
Outpatient MAT

Serving the Sioux Falls, SD area, BAART Programs Sioux Falls offers outpatient care designed around each client's needs and stage of recovery. The facility provides levels of care including outpatient…

Medicare Medicaid +2 more
All SD → View details →
Addiction Recovery Centers of the Black Hills — Rapid City, SD
Verified

Addiction Recovery Centers of the Black Hills

Rapid City, SD · JCAHO
Outpatient PHP

Addiction Recovery Centers of the Black Hills provides outpatient care in Rapid City, SD, supporting individuals and families working toward lasting recovery. The program offers levels of care includi…

Medicaid Private insurance +1 more
All SD → View details →
VA Black Hills Rapid City — Rapid City, SD
Verified

VA Black Hills Rapid City

Rapid City, SD · Est. 2014
Outpatient PHP

VA Black Hills Rapid City provides outpatient care in Rapid City, SD, supporting individuals and families working toward lasting recovery. The program offers levels of care including outpatient and ty…

Medicaid Private insurance +1 more
All SD → View details →
MHPAEA parity insurance coverage
Under MHPAEA, most commercial plans in South Dakota cover addiction treatment at parity with medical care.

Insurance coverage in South Dakota

Medicaid Expanded under ACA

Under the Mental Health Parity and Addiction Equity Act (MHPAEA), commercial insurers in South Dakota must cover addiction treatment at parity with medical care. Because South Dakota expanded Medicaid under the ACA, residents at or below 138% of the federal poverty line have broad coverage for detox, residential, outpatient, and MAT programs.

Filter centers by specific carrier to see in-network options:

Typical costs without insurance

Five self-pay ranges map to the ASAM care levels — from $1,000/month outpatient to $80,000/month luxury residential. South Dakota programs cluster toward the upper end in major metros and the lower end in rural areas. Sliding-scale options are available in roughly 15% of listings.

Level of care Typical range
Outpatient$1,000–$3,000/month
IOP / PHP$3,500–$10,000/month
30-day residential$5,000–$20,000
90-day inpatient$12,000–$60,000
Luxury residential$30,000–$80,000/mo

South Dakota policy & overdose data

Four public-health indicators that directly affect treatment access and overdose risk in South Dakota: overdose rate, substance use prevalence, naloxone availability, and Good Samaritan legal protection. Reviewed September 2026; overdose figures reflect the most recent finalized state data.

Overdose rate
12.8 /100K

Rank #50 of 50. 90 opioid deaths in 2022.

SUD prevalence
5.4%

Adults with substance use disorder (NSDUH 2023).

Naloxone access
pharmacist prescribing

Free from pharmacies, health departments, and harm-reduction orgs.

Good Samaritan Law
Yes

Legal protection when calling 911 during overdose.

In crisis? Help is immediate.

Immediate danger: call 911. Suicide or mental-health emergency: dial or text 988. Free SAMHSA treatment referrals 24/7: 1-800-662-HELP (4357). Placement help: (833) 567-5838.

Support at every stage of treatment in South Dakota

Getting into a program is one step of a longer arc. These guides cover what happens before admission, how families can help, and what keeps recovery going after discharge.

Admission & what to expect

Intake assessment, medical screening, the first 72 hours, phone rules, and a typical day in treatment — knowing the sequence lowers the fear of starting.

Family resources

If your loved one in South Dakota refuses help, evidence-based approaches like CRAFT engage 64–74% of treatment-refusing people — far more than confrontation.

Aftercare & staying sober

The transition home is the highest-relapse window. Aftercare planning, sober living, and knowing the relapse warning signs measurably improve long-term outcomes.

How to get started in South Dakota

Three steps separate "I need help" from "I’m in a program." Most placements finish step three within 24–72 hours — faster with our helpline.

1

Identify the right level of care

Two questions sort it: can you stop safely for 24 hours without medical help (if no, start with medical detox), and is home stable (if no, residential; if yes, outpatient or IOP).

2

Verify your insurance coverage

Under MHPAEA, commercial plans cover addiction care at parity with medical. Use the form below for a 5-minute confidential benefits check, or call us directly.

3

Contact a center & admit

Pick a facility from the listing above or let a placement specialist narrow down 53 options by your insurance, location, and preferred level of care — free, confidential.

Free insurance benefits check

A licensed placement specialist will verify in-network options in South Dakota, typical out-of-pocket costs, and level-of-care eligibility. Results in under 10 minutes.

No email collected. Your answers help the specialist shortlist centers faster — they’re not stored or shared.

Finding treatment in South Dakota

All 53 facilities listed above are pulled from the federal SAMHSA Behavioral Health Treatment Services Locator, which every licensed addiction and mental-health program must report to. We sync the roster monthly, cross-check contact numbers quarterly, and drop facilities that close, disconnect, or leave the SAMHSA registry within a single sync cycle. Each listing carries the same three baseline checks: the center is active in SAMHSA, its phone number answered on our last call, and its level-of-care and insurance tags mirror what the facility self-reports federally.

The right level of care depends on two clinical variables placement specialists assess first: withdrawal severity and home-environment stability. If alcohol, benzodiazepines, or opioids have been used daily in the past month, medical detox is usually required before any other step — withdrawal from those three classes can be dangerous without supervision. If the home environment is supportive, outpatient or IOP usually covers it. If home is chaotic or actively triggering, residential makes the rest of treatment possible by removing the immediate access problem.

How South Dakota Medicaid handles rehab

Because South Dakota expanded Medicaid under the Affordable Care Act, adults earning at or below 138% of the federal poverty line qualify automatically. Coverage includes detox, residential, PHP/IOP, standard outpatient, and MAT (methadone, buprenorphine, naltrexone). Filter the directory by Medicaid to see centers in the South Dakota provider network, or call (833) 567-5838 for a free, zero-commitment benefits check.

What to check on any South Dakota facility

Three questions separate legitimate programs from pay-to-play marketers. First, is the center accredited by JCAHO or CARF? Both are national bodies that audit clinical protocols, medication handling, and patient outcomes — accreditation is not required by law but is the strongest non-government quality signal. Second, does the center employ licensed clinicians (LCSW, LMFT, LPC, LADC, MD) rather than only "recovery coaches"? Third, does the center disclose outcomes data — completion rates, 30/90/365-day sobriety rates, readmission rates? For independent benchmarks by treatment type, review NIDA’s research-based principles.

Sources & methodology

  1. SAMHSA — Behavioral Health Treatment Services Locator. findtreatment.gov. Primary source for facility records (accessed September 2026).
  2. SAMHSA — 2023 National Survey on Drug Use and Health (NSDUH). Overdose rates, SUD prevalence.
  3. CDC — WONDER database. Opioid death counts.
  4. Kaiser Family Foundation — Medicaid expansion tracker, state-by-state policy data.
  5. Mental Health Parity and Addiction Equity Act (MHPAEA) — 42 U.S.C. § 300gg-26. U.S. Department of Labor summary.

Last verified September 2026. Directory sync: monthly. This page is informational and not a substitute for professional medical advice. Always call 911 in an emergency.

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RehabFlow catalog data

What our directory data shows

These figures come from our own catalog of 21,568 U.S. treatment facilities across 54 states and territories and 4,542 cities — counted directly from the listings on this site, not quoted from another source.

21,568
facilities in the catalog, each with its own listing page
4,836
list Joint Commission accreditation (22% of the catalog)
54
states & territories covered, 4,542 cities

Levels of care available in this state

Of the 74 facilities we list here across 24 cities:

28
Residential Rehab
22
Co-Occurring Mental Health
52
Outpatient
3
Sober Living
5
Detox

How we counted — and what we do not publish

Method: counts are computed directly from the 21,568 facility listings in the RehabFlow catalog, which are built from SAMHSA-sourced facility records plus each program’s own published service list. A facility is counted once per category regardless of how many locations it operates. Figures are recalculated daily, so they move as the catalog is updated. State counts reflect the facilities we list in this state and are recalculated as listings are added or updated.

What we deliberately do not publish: we do not report percentages of facilities by insurance carrier. Carrier fields in bulk facility records are self-reported and frequently list every major insurer, which would make any “X% accept this plan” figure misleading. Insurance acceptance changes contract by contract, so it has to be verified per facility — call the program or (833) 567-5838 and we will check it for you.

FAQ — rehab in South Dakota

How many rehab centers are in South Dakota?
South Dakota has 53 licensed treatment facilities serving a population of 919,000. That is approximately 5.8 facilities per 100,000 residents. Every listing is sourced monthly from the SAMHSA Behavioral Health Treatment Services Locator and re-verified quarterly.
Does South Dakota Medicaid cover rehab?
South Dakota expanded Medicaid under the Affordable Care Act. Residents at or below 138% of the federal poverty line have broad coverage for detox, residential, IOP, outpatient, and MAT programs. Filter by Medicaid in our directory to find in-network centers, or call (833) 567-5838 for a free benefits check.
What is the overdose rate in South Dakota?
South Dakota has an overdose rate of 12.8 deaths per 100,000 residents, ranking #50 of 50 states. In 2022, the state reported 90 opioid-related deaths. Substance use disorder prevalence among adults is 5.4% (NSDUH 2023). Fentanyl now accounts for the majority of opioid deaths nationwide. Carry naloxone — it is available in most pharmacies without prescription.
What are the top cities for rehab in South Dakota?
The top cities for addiction treatment in South Dakota by facility count are Sioux Falls (30 centers), Huron (8 centers), Winner (2 centers), Watertown (2 centers). Each city page includes the full facility listing with insurance filters and level-of-care options. Click any city above or call (833) 567-5838 for a shortlist tailored to your location.
Does South Dakota have a Good Samaritan Law?
Yes — South Dakota has enacted a Good Samaritan Law that shields bystanders from prosecution for minor drug-possession offenses when they call 911 during an overdose. Keep naloxone (Narcan) on hand if someone close is using. Call (833) 567-5838 if you need help finding treatment now.
How to find free rehab in South Dakota?
Free and low-cost treatment in South Dakota: state-funded programs, SAMHSA grant-funded centers, expanded Medicaid coverage, sliding-scale nonprofits, and tribal health programs. Call the SAMHSA National Helpline (1-800-662-HELP) for free referrals, or (833) 567-5838 for a personalized shortlist.
How much does rehab cost in South Dakota without insurance?
Typical self-pay in South Dakota: outpatient $1,000–$3,000/month, 30-day residential $5,000–$20,000, 90-day inpatient $12,000–$60,000, luxury residential $30,000–$80,000/month. Sliding-scale options are available in roughly 15% of listings. Call (833) 567-5838 for cost guidance specific to your situation.

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RehabFlow Placement Helpline

Need help narrowing down South Dakota options?

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Published by RehabFlow
SAMHSA-sourced directory · September 2026

Listings are sourced from the SAMHSA Behavioral Health Treatment Services Locator and cross-checked against public CDC and NIDA data. This page is informational, not medical advice — see our editorial policy for how we verify and update facts.

SAMHSA-verified data
Clinically reviewed
Updated September 2026
Editorial Policy ›
21,568 SAMHSA-verified centers · updated monthly