Treatment guide

Finding treatment near you, step by step

How to search the directory, what to look for in a program before you call, and how to navigate insurance and payment without surprises.

17,974
Facilities
5,096
Cities
47%
Offer MAT
84%
Accept Medicaid

Informational use only

This content is for informational purposes only. If you or someone you know needs help, call SAMHSA's National Helpline at 1-800-662-4357 - free, confidential, 24 hours a day, 7 days a week.

What you're searching

A national directory of 17,974 treatment facilities, filterable by location, level of care, and payment, narrowed to a shortlist you verify by phone.

17,974
facilities across 55 states & territories
47%
report medication-assisted treatment
81%
report telehealth options
3–5
facilities to shortlist, then call

Step 1: Identify what you need

Before searching, it helps to clarify two things: the type of care you need and the location you can reach. These filters narrow the 17,974-facility directory to a manageable shortlist.

Type of care: Do you need detox first? Residential treatment with 24/7 structure? Outpatient programs that fit around work or family? Medication for opioid or alcohol use disorder? Co-occurring mental health treatment? If you are unsure, SAMHSA's National Helpline (1-800-662-4357) can help assess your needs and refer you to the right level of care at no cost.

Special needs: Some populations benefit from specialized programs, veterans, adolescents, pregnant women, people with criminal justice involvement, or LGBTQ+ individuals. PlainRecovery lists these filters so you can find programs designed for your situation.

Step 2: Use PlainRecovery to build a shortlist

PlainRecovery organizes SAMHSA's full treatment record so you can:

  • Search by location - find facilities near a city, ZIP code, or anywhere in a state
  • Filter by care type, outpatient, residential, inpatient, or detox
  • Filter by service - MAT, telehealth, mental health, or substance use focus
  • Filter by payment, Medicaid, Medicare, sliding scale, or free care
  • Browse by state if you are flexible about location

Aim for a shortlist of 3-5 facilities. The SAMHSA data reflects what facilities offer in general, not their current availability or your specific insurance coverage. Verification requires a phone call.

Step 3: Evaluate programs before you call

When reviewing a facility profile, look for signs of a quality program:

  • State licensure: All legitimate treatment facilities must be licensed by their state behavioral health agency. The SAMHSA listing includes licensed facilities, but confirm current licensure status with your state agency.
  • Accreditation: Voluntary accreditation from CARF International or The Joint Commission indicates the facility meets higher quality standards. Not all quality facilities are accredited, but accreditation is a positive signal.
  • Individualized treatment planning: Good programs assess each person's needs and create personalized treatment plans rather than applying a single protocol to everyone.
  • Continuum of care: Facilities that help you step down to lower levels of care (e.g., from residential to IOP to outpatient) and support transition planning reduce the risk of relapse after discharge.
  • Family involvement: Programs that include family therapy and education are associated with better long-term outcomes.

Step 4: Call and verify

The SAMHSA data is comprehensive but not real-time. Before committing to a facility, call and ask:

  • Do you have current availability? What is the wait time?
  • Do you accept my insurance? What will my out-of-pocket cost be?
  • What specific substances or mental health conditions do you treat?
  • Do you offer MAT if I need medication?
  • What does a typical day or week of programming look like?
  • What happens after I complete the program? What aftercare do you offer?

Document the answers. Comparing two or three facilities across the same questions makes the decision clearer.

Insurance and payment

Treatment costs vary enormously, from free (publicly funded programs) to thousands of dollars per day (luxury residential). Understanding your payment options before starting reduces stress and avoids billing surprises. In this directory, 15,045 facilities (84%) report accepting Medicaid.

  • Private insurance: Most plans cover substance use treatment under the Mental Health Parity and Addiction Equity Act. Call your insurer to get a list of in-network facilities and your specific benefits (copays, deductibles, number of covered days). In-network treatment is substantially cheaper than out-of-network.
  • Medicaid: Covers a full range of substance use and mental health treatment. Eligibility and specific covered services vary by state. PlainRecovery lets you filter by Medicaid acceptance.
  • Medicare: Covers detox, inpatient, and outpatient substance use treatment. Methadone for opioid use disorder is covered under Medicare Part B at certified opioid treatment programs; buprenorphine and naltrexone are also covered.
  • Sliding scale / free programs: State block-grant funding supports free or low-cost treatment at community behavioral health centers. SAMHSA's helpline can refer you to funded programs in your area.

Never let cost be the reason someone doesn't seek care, publicly funded options exist in every state.

If it's an emergency

If someone is in immediate danger, overdose, suicidal crisis, or severe psychiatric emergency, call 911 or go to the nearest emergency room. For less acute crises, call or text 988 (Suicide and Crisis Lifeline) or the SAMHSA National Helpline at 1-800-662-4357. These lines operate 24 hours a day, 365 days a year, and are confidential and free.

Frequently asked questions

How do I start searching for treatment facilities?

Start by identifying two things: your location (city, ZIP code, or state) and the type of care you're looking for (outpatient, residential, detox, MAT, mental health). Use PlainRecovery's search to filter by location and service type. Make a short list of 3-5 facilities, then call each directly to verify they have availability, accept your insurance, and serve your specific needs. SAMHSA's National Helpline (1-800-662-4357) can also provide personalized referrals at no cost.

What should I ask when I call a treatment facility?

Ask about current availability and wait times; whether they accept your specific insurance plan and what your out-of-pocket cost would be; what specific substances or conditions they treat; what a typical week of programming looks like; whether they offer MAT if you need it; whether they have programs for your specific demographic (veterans, adolescents, women-only, LGBTQ+); and what aftercare and alumni support looks like after you complete treatment.

Does insurance have to cover substance use treatment?

Under the Mental Health Parity and Addiction Equity Act (MHPAEA) and the Affordable Care Act (ACA), most insurance plans are required to cover substance use disorder treatment at the same level as medical or surgical benefits. Medicaid must cover substance use treatment in all states. Medicare covers inpatient and outpatient substance use treatment. However, specific covered services, copays, and in-network providers vary widely, always verify your benefits with your insurer before enrolling.

What if I can't afford treatment?

Many options exist for people without insurance or with limited finances. Medicaid covers treatment for eligible low-income individuals, eligibility expanded significantly under the ACA. SAMHSA grants fund free or sliding-scale community-based programs. Many facilities offer sliding-scale fees based on income. State-funded treatment programs (paid for by block grants) provide free or low-cost care to residents. The SAMHSA National Helpline (1-800-662-4357) can connect you with free local options.

Is it better to go to a facility close to home or far away?

This depends on your situation. Staying close to home allows for family support and continuity of employment, which can aid recovery. Going out of your immediate area removes you from people, places, and triggers associated with substance use, which some people find helpful. Experts generally recommend making the choice based on the quality and fit of the specific program rather than proximity alone. Family support is a significant recovery asset, if a facility is far, find out what family programming they offer.

How do I know if a treatment program is legitimate?

Look for state licensure (required for all treatment facilities), voluntary accreditation from CARF International or The Joint Commission (a sign of higher quality standards), staff credentials (licensed counselors, certified addiction specialists, licensed clinical social workers), and clear information about their treatment approach. Avoid programs that guarantee cures, charge upfront without providing information, or lack licensed clinical staff. Your state behavioral health agency maintains a registry of licensed providers.

Sources

  • SAMHSA, Behavioral Health Treatment Services Locator (findtreatment.gov)
  • SAMHSA, National Helpline: 1-800-662-4357
  • Mental Health Parity and Addiction Equity Act (MHPAEA)
  • CARF International, Behavioral Health Accreditation
  • The Joint Commission, Behavioral Health Care and Human Services

Related guides

This content is for informational purposes only. If you or someone you know needs help, call SAMHSA's National Helpline at 1-800-662-4357. Facility figures are computed live from the SAMHSA N-SUMHSS record powering this directory.

The facility counts here are drawn from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA). According to its National Substance Use and Mental Health Services Survey (N-SUMHSS), the federal record catalogs more than 17,000 substance-use and mental-health treatment facilities nationwide. This directory was last rebuilt from that survey in May 2026, see our methodology for how the data is collected and updated. Always confirm details directly with a facility before relying on them.

Every figure on PlainRecovery is rendered directly from SAMHSA's published N-SUMHSS facility data, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these facility listings, or report a data error. Data current as of 2024 N-SUMHSS release.