How to find rehab in Missouri
Finding detox in Missouri can be difficult. Here's everything you need to know about MO rehab options and how to find local treatment as soon as possible.
Takeaways from this article:
Types of rehab in Missouri
How to pay for detox in Missouri
State-funded-rehab in Missouri
Overdose deaths for 2018 numbered 1,610 in Missouri and the mortality rate was 27.5, according to the Centers for Disease Control and Prevention. To help reverse this trend, American Addiction Centers continues to focus on its mission to help people find treatment regardless of whether or not it is at one of our facilities.
This page is a comprehensive resource of information about addiction treatment in Missouri. We detail the different types of rehab in Missouri, how to pay for private rehab, how to find state-funded resources, and where to look for accreditation information.
Types of Rehab Available in Missouri
There are three different types of treatment for those seeking help with substance abuse: detox, inpatient care, and outpatient care.
People struggling with addiction are vulnerable to the dangers associated with withdrawal. Detox is often the first step before moving to longer-term treatment options. Detox includes medical support and guidance for an individual who is in withdrawal so they can physically stabilize before engaging in long-term, therapy-based treatment.
Inpatient care involves a residential setting where patients receive around-the-clock care. Outpatient care is for those who have already completed inpatient care or for people who may not be able to take time away from work obligations or family responsibilities.
The table below showcases the number of rehab facilities in Missouri that offer each level of care:
|Type of Care, by number and percent|
|Day Treatment/Partial Hospitalization||94||34.43%|
|Methadone/buprenorphine maintenance or naltrexone treatment||114||41.76%|
The majority of care facilities in Missouri (94 percent) are outpatient. Among outpatient facilities, the majority are regular (89 percent), followed by intensive (65 percent) and day treatment facilities (34 percent). Residential facilities outside of a hospital represent 21 percent of facilities; 19 percent are short-term, while 10 percent are long-term, which gives people almost equal options about where is best for them to stay.
Paying for Treatment in Missouri
The expense of paying for individual treatment can be daunting for people seeking enrollment in an addiction treatment program, especially for those who do not have health insurance coverage. Most people in Missouri attending treatment either use private or state insurance plans.
Addiction treatment can be costly. Projections anticipate that healthcare costs will rise to $6 trillion by 2027. The Missouri Department of Mental Health (DMH) said that the annual substance abuse costs for the state total $1.3 billion with an additional $7 billion in societal costs. The average cost to treat a substance-addicted person is $1,346, compared to a $17,300 cost to society not to treat.
How much treatment costs depends on several factors: the type of care required, whether it is inpatient or outpatient, the type of facility, the amenities, and more. Costs also depend on the type of treatment centers you choose, either state-funded or privately-funded.
The Difference Between State-Funded and Private Treatment in Missouri
Private treatment is the best option for people with private insurance coverage through an employer. Those with independent financial security may also choose the private treatment as well.
Among the two options, private treatment is ideal considering the challenges that often arise seeking government-run addiction treatment programs.
The following table breaks down the number of facilities in Missouri by whether they are private non-profit, private for-profit, locally funded, state-funded, or federally funded.
|Facility Operation, by number and percent|
|Private for Profit||61||22.34%|
|Local, county, or community government||0||0.00%|
Three-quarters of facilities in Missouri (74 percent) are private non-profit while more than half (61 percent) are private for-profit. None are operated by local, county, community, or tribal governments. So if you are looking for treatment in Missouri and private treatment is not an option, you may need to consider traveling for treatment.
Treatment in Missouri by Payment Option
While 249 of the total 273 treatment facilities in Missouri accept cash for treatment, 193 also accept private health insurance. About 92 accept Medicare; more than double the facilities (183) accept Medicaid. Missouri is also a good state for those with financial need; 212 facilities accept treatment at a sliding fee while 179, or 65 percent, treat patients at no charge.
About 9 percent of people in Missouri are without health insurance. While not having a private insurance plan might limit your options, always remember that there are several treatment facilities that will serve your needs regardless.
The table below breaks down the typical payment methods used and how many facilities in Missouri accept each payment type.
|Facility Payment Options, by Number and percent|
|Cash or self-payment||249||91.21%|
|Private Health Insurance||193||70.70%|
|State-financed Health insurance||111||40.66%|
|Federal military insurance||147||53.85%|
|No payment accepted (free treatment for all clients)||8||2.93%|
|IHS/Tribal/Union (ITU) funds||7||2.56%|
|Sliding fee scale||212||77.66%|
|Treatment at no charge or minimal payment for clients who can’t pay||179||65.57%|
Treatment is possible in Missouri for those with the least resources. Cash represents the majority (91 percent) of payment options in Missouri followed by private health insurance (71 percent) and Medicaid (67 percent). For clients who struggle with their finances, more than two-thirds of facilities (78 percent) accept patients on a sliding fee scale, and 66 percent provide treatment at no charge or for minimal payment.
Treatment Center Accreditations in Missouri
Now that you understand the types of care available, the differences in facility types, and how to pay for treatment, the last thing you’ll want to consider about a facility is its accreditation.
The State of Missouri does not require certification for non-contracted agencies providing mental health or substance use disorder services unless required for entities providing services eligible for certification and receiving county mental health funds. Any organization contracting with the Division of Behavioral Health (DBH), formerly the Divisions of Alcohol and Drug Abuse and Comprehensive Psychiatric Services, is required to obtain and maintain certification. The Department of Mental Health is mandated to develop certification standards and to certify an organization’s level of service, treatment, or rehabilitation as necessary for the organization to operate, receive funds from the department, or participate in a service network authorized by the department and be eligible for reimbursement for the following Medicaid programs: Comprehensive Substance Treatment and Rehabilitation (CSTAR) and Community Psychiatric Rehabilitation (CPR).
The Commission on Accreditation of Rehabilitation Facilities (CARF) accredits operators worldwide at the request of health and human service providers and can be a good reference point when looking for accredited drug and alcohol treatment facilities. The Joint Commission Accreditation for Addiction Treatment Providers (often referred to simply as the Joint Commission) also provides accreditation to service providers.
Below is a table outlining the typical types of accreditations or licenses so you can understand what number of facilities have these and how common they are.
|Facility Licensing, Certification, or Accreditation, by number and percent|
|Any listed agency/organization||267||97.80%|
|State substance abuse agency||223||81.68%|
|State mental health department||211||77.29%|
|State department of health||56||20.51%|
|Hospital licensing authority||11||4.03%|
|The Joint Commission||42||15.38%|
|Commission on Accreditation of Rehabilitation Facilities (CARF)||180||65.93%|
|National Committee for Quality Assurance (NCQA)||7||2.56%|
|Council on Accreditation (COA)||10||3.66%|
|Healthcare Facilities Accreditation Program (HFAP)||1||0.37%|
|Other national organization or federal, state or local agency||7||2.56%|
The good news is that there are a number of reputable providers with accreditations serving the state of Missouri. Almost all agencies (98 percent) have some kind of accreditation while more than three-fourth (82 percent) are accredited state substance abuse agencies. You can rest assured there are many reputable options available no matter your individual circumstance
 “Drug Overdose Mortality by State,” Centers for Disease Control and Prevention, April 29, 2020. https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm
 Emily Guarnotta, “Drug & Alcohol Withdrawal Information,” Withdrawal.net, https://www.withdrawal.net/treatment/information/.
 “Healthcare Costs For Americans Projected to Grow at an Alarming Rate,” Peter G. Peterson Foundation, May 1, 2019. https://www.pgpf.org/blog/2019/05/healthcare-costs-for-americans-projected-to-grow-at-an-alarmingly-high-rate#:~:text=Healthcare%20Costs%20Continue%20to%20Rise,to%20%246%20trillion%20by%202027.
 Abby Hoover, “Heartland Center For Behavioral Change,” Northeast News, Sept. 30, 2020.
 “Health Insurance Coverage of the Total Population,” 2018, KFF.org, https://www.kff.org/other/state-indicator/total-population/?activeTab=map¤tTimeframe=0&selectedDistributions=uninsured&selectedRows=%7B%22states%22:%7B%22rhode-island%22:%7B%7D%7D%7D&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22desc%22%7D
 “Certification,” Missouri Department of Mental Health, https://dmh.mo.gov/mental-illness/provider/certification.
 “Evolving With Care,” The Joint Commission, https://www.jointcommission.org/.