Addiction treatment in South Dakota

South Dakota has 107 listed substance use treatment facilities in 25 cities and towns. 70 accept Medicaid, 7 offer medical detox, 26 provide medication-assisted treatment, and 2 are methadone programs.
Services available statewide
- 7 Detox
- 40 Residential
- 84 Outpatient
- 21 Intensive outpatient
- 26 MAT
- 2 Methadone
- 70 Accepts Medicaid
- 43 Accepts Medicare
- 59 Private insurance
- 32 Sliding scale
- 3 Spanish
- 64 Teens
- 27 Veterans
- 25 Women
- 71 Dual diagnosis
- 9 Sober living
- 16 DUI programs
- 15 Pregnant women
- 56 Telehealth
Cities in South Dakota
- Sioux Falls 34
- Rapid City 23
- Huron 5
- Hot Springs 5
- Madison 4
- Flandreau 4
- Watertown 3
- Fort Meade 3
State help
Every state has a single state agency for substance use services that funds treatment for people without insurance. The SAMHSA Helpline can connect you with it and with Medicaid-enrolled programs in South Dakota.
Last reviewed 2026-10-06. Facility details come from SAMHSA's FindTreatment.gov locator and facility-provided information. Confirm services, availability and payment directly with the facility.