Insurance & cost

Sliding scale rehab programs: Affordable treatment options

Published May 1, 2025 · 6 min read · Updated April 2026

Reviewed for accuracy by licensed clinical professionals.

What sliding scale means

Fees are adjusted based on your ability to pay. If your income is low, you pay less. Typically based on the Federal Poverty Level and your household income.

Where to find them

Community health centers (FQHC). State-funded treatment programs. Some private facilities offer sliding scale beds. SAMHSA's treatment locator allows filtering for sliding scale. Our directory includes this information.

How to qualify

Bring proof of income (pay stubs, tax return). Some programs accept self-reported income. Most require residency documentation. Application is typically straightforward.

Other low-cost options

Medicaid (covers full treatment if you qualify). State-funded programs (SAMHSA block grants). Salvation Army (free residential). Faith-based programs. University training clinics.

Authoritative sources

This article references guidelines from: SAMHSA · NIDA · ASAM

Frequently asked questions

Can I get free treatment?

Yes. State-funded programs, Salvation Army, Medicaid, and scholarship programs provide free or very low-cost treatment. Call SAMHSA at 1-800-662-4357.

What if I have no insurance?

Apply for Medicaid, contact state-funded programs, or ask facilities about sliding scale and scholarship options.

Does insurance cover residential rehab?

Most insurance covers residential treatment with pre-authorization. Call your insurance to verify benefits.

Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.