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
How far is treatment in South Dakota?
37% of South Dakota residents (about 341,539 people) live in counties more than 30 miles from the nearest medical detox program. 47 of the state's 66 counties have no listed treatment program at all. The longest trip is from Hughes County, roughly 140 miles. See the county-by-county South Dakota treatment desert report on FindRehabMap.
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.