Quick overview
Missouri's overdose deaths have fallen for three straight years, and treatment is within reach: MO HealthNet covers substance use care, the state's Division of Behavioral Health funds programs statewide, and cost is based on ability to pay. Here is how the Missouri treatment system works and how to start.
Missouri's overdose crisis is moving in the right direction, and treatment is more accessible than many people realize. MO HealthNet covers substance use care, the Division of Behavioral Health funds programs across the state, and the cost of state-contracted services is based on what you can pay. This page explains how Missouri's treatment system works and how to get started.
How bad is the overdose problem in Missouri?
The CDC reports Missouri's age-adjusted drug overdose death rate fell from 36.9 per 100,000 in 2022 to 33.5 in 2023, and the state's 2024 rate stands at 23.7 per 100,000 in national vital statistics data. Missouri's SUDORS program, which is funded by the CDC, received reports on 1,899 overdose deaths that occurred in the state in 2023.
The Department of Health and Senior Services reports that overdose deaths have now fallen for three consecutive years since 2023, with opioid deaths down 23% in 2025 and accidental drug poisoning deaths down 17.4%. Behind every number is a person and a family. If you are struggling, substance use disorder is treatable, and help in Missouri is real and reachable.
Does Missouri Medicaid cover addiction treatment?
Yes. MO HealthNet, Missouri's Medicaid program, covers medically necessary behavioral health services, and its covered services list includes Comprehensive Substance Treatment and Rehabilitation (CSTAR), Missouri's outpatient substance use disorder program. The state also publishes a CSTAR provider manual that spells out the benefit.
MO HealthNet covers other services that often run alongside treatment: counseling by licensed clinical social workers, professional counselors, and psychologists, plus targeted case management for mental illness. Prior authorization rules apply to some services, and benefits change over time, so it is worth verifying coverage before you enroll anywhere.
What does the state of Missouri provide?
The Division of Behavioral Health inside the Department of Mental Health manages substance use and mental health services statewide. Most prevention and treatment happens through community organizations contracted with the Division, and those programs set the cost of services based on a person's ability to pay.
For substance use treatment, first priority goes to pregnant women, people who use IV drugs, and certain referrals from other state agencies. The Division supports a wide set of programs:
- CSTAR, with tracks for women and children, adolescents ages 12 to 17, the general population, and opioid treatment programs that meet federal guidelines.
- Primary Recovery Plus, a full-continuum program modeled on CSTAR for people who do not have Medicaid coverage.
- Detoxification and residential support services for people who need a safe, substance-free environment.
- The Substance Awareness Traffic Offender Program (SATOP), which is by law a required element of driver license reinstatement after an alcohol or drug traffic offense.
How to find treatment in Missouri
- Use SAMHSA's FindTreatment.gov locator to search by city, ZIP code, or service type and filter by payment option.
- Browse the Division of Behavioral Health's treatment services pages to find contracted providers near you.
- If you are in crisis, call or text 988, the Suicide and Crisis Lifeline, any time of day.
- Ask a primary care provider for an assessment and referral.
If you would rather talk it through with a person, call or text (800) 653-9376 or use the form below.
Will insurance cover treatment?
Many private plans and MO HealthNet cover at least some substance use disorder care. What is covered depends on your plan, your clinical needs, and the provider you choose. We check your benefits before you commit, so you know what you are walking into.
A note on safety
If you drink heavily or take benzodiazepines regularly, do not stop suddenly. Withdrawal from alcohol or benzodiazepines can be dangerous and should be managed with medical supervision. If someone is unresponsive or struggling to breathe, call 911 immediately. Naloxone, the drug that reverses opioid overdoses, is available in Missouri under a statewide standing order, and carrying it is one practical way to protect yourself and the people around you. For a mental health crisis, call or text 988.
You can reach us any time at (800) 653-9376 to learn which level of care might fit your situation.
Treatment Centers by City in Missouri
Explore city-specific treatment resources, local detox centers, outpatient clinics, and Medicaid guidance:
Cape Girardeau
Local detox facilities, outpatient clinics, and Medicaid recovery options in Cape Girardeau, MO.
Columbia
Local detox facilities, outpatient clinics, and Medicaid recovery options in Columbia, MO.
Farmington
Local detox facilities, outpatient clinics, and Medicaid recovery options in Farmington, MO.
Hannibal
Local detox facilities, outpatient clinics, and Medicaid recovery options in Hannibal, MO.
Independence
Local detox facilities, outpatient clinics, and Medicaid recovery options in Independence, MO.
Jefferson City
Local detox facilities, outpatient clinics, and Medicaid recovery options in Jefferson City, MO.
Joplin
Local detox facilities, outpatient clinics, and Medicaid recovery options in Joplin, MO.
Kansas City
Local detox facilities, outpatient clinics, and Medicaid recovery options in Kansas City, MO.
Poplar Bluff
Local detox facilities, outpatient clinics, and Medicaid recovery options in Poplar Bluff, MO.
Rolla
Local detox facilities, outpatient clinics, and Medicaid recovery options in Rolla, MO.
Sedalia
Local detox facilities, outpatient clinics, and Medicaid recovery options in Sedalia, MO.
Sikeston
Local detox facilities, outpatient clinics, and Medicaid recovery options in Sikeston, MO.
Springfield
Local detox facilities, outpatient clinics, and Medicaid recovery options in Springfield, MO.
St Joseph
Local detox facilities, outpatient clinics, and Medicaid recovery options in St Joseph, MO.
St Louis
Local detox facilities, outpatient clinics, and Medicaid recovery options in St Louis, MO.
Treatment by city and substance
- Alcohol Rehab and Detox in Kansas City, MO
- Opioid Treatment and MAT in Kansas City, MO
- Alcohol Rehab and Detox in St. Louis, MO
- Opioid Treatment and MAT in St. Louis, MO
Frequently asked questions
Does MO HealthNet (Missouri Medicaid) cover drug and alcohol treatment?
Yes. MO HealthNet covers behavioral health services including Comprehensive Substance Treatment and Rehabilitation (CSTAR), an outpatient substance use disorder program, along with counseling and case management. Coverage rules change, so confirm your benefits before enrolling.
Can I get treatment in Missouri without insurance?
Often, yes. Programs contracted with the Division of Behavioral Health set the cost of services based on a person's ability to pay, and Primary Recovery Plus offers a full continuum of care for people without Medicaid coverage.
Are overdose deaths going down in Missouri?
Yes. The Missouri Department of Health and Senior Services reports overdose deaths have fallen for three consecutive years since 2023, with opioid overdose deaths down 23% in 2025 and accidental drug poisoning deaths down 17.4%.
What is CSTAR in Missouri?
CSTAR stands for Comprehensive Substance Treatment and Rehabilitation. It is Missouri's outpatient substance use disorder treatment model, with specialized tracks for women and children, adolescents, the general population, and opioid treatment programs.
How do I find a treatment program near me in Missouri?
Search the SAMHSA FindTreatment.gov locator by city or ZIP code, or browse the Division of Behavioral Health's treatment services directory. You can also call or text 988 for crisis support, any time.