NWVCIL Logo
Medically Reviewed Content
Updated: April 2026
Sources: SAMHSA, NIDA

12-Step Programs in Montana

Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026

Our directory lists 35 12-step programs across Montana, with the largest concentrations in Billings (5), Helena (3) and Great Falls (2).

12-Step Programs like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) provide peer support, structured recovery framework, and proven principles for lasting sobriety. Many treatment centers integrate 12-step facilitation into their programs.

Treatment landscape in Montana:

  • Montana Medicaid covers addiction services
  • Outdoor and adventure therapy programs
  • Small, personalized treatment communities

Need Help Finding the Right Treatment Center?

Speak with a compassionate specialist now - 100% free & confidential

Call +1 (833) 244-3031
Available 24/7
All 50 States

12-step programs in Montana

Filters:

Billings · 5 centers

Community Medical Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Billings Urban Indian Health and - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
New Day Inc - Facility Image

New Day Inc

Billings, MT

Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Helena · 3 centers

Instar Community Servs - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home
Florence Crittenton Home and Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
YWCA Helena - Facility Image

YWCA Helena

Helena, MT

Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Great Falls · 2 centers

RMTC LLC - Facility Image

RMTC LLC

Great Falls, MT

Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Indian Family Health Clinic - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Baker · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Belgrade · 1 center

Community Medical Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Big Timber · 1 center

South Central Montana Regional MHC - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Box Elder · 1 center

Rocky Boy Health Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Butte · 1 center

Montana Chemical Dependency Ctr - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Dillon · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Dodson · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Ennis · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Glendive · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Harlem · 1 center

Fort Belknap Chemical Dependency Prog - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Hays · 1 center

Fort Belknap Chemical Dependency Prog - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Lewistown · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Missoula · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Red Lodge · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Sidney · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Superior · 1 center

Choices for Change Counseling - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Troy · 1 center

Turning Winds - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

White Sulphur Springs · 1 center

Placeholder image

Southwest Chemical Dependency Program

White Sulphur Springs, MT

Insurance Accepted$$

Services:

Substance use treatment

Whitefish · 1 center

Big Sky Recovery - Facility Image

Big Sky Recovery

Whitefish, MT

Insurance Accepted$$

Services:

Substance use treatment

Showing 29 of 35 12-step programs in Montana. Browse all centers in Montana

Coverage & Regulations in Montana

Montana Medicaid (HELP Plan)

Montana Medicaid covers buprenorphine and naltrexone statewide; methadone is covered at the state’s small network of OTPs.

State regulations

Montana licenses OTPs through the Department of Public Health and Human Services Addictive and Mental Disorders Division.

SAMHSA National Helpline: 1-800-662-4357Crisis: 988
Commonly Accepted Insurance
  • Cash or self-payment28
  • Medicaid26
  • Private health insurance26
  • Federal, or any government funding for substance use treatment programs20
  • Federal military insurance (e.g., TRICARE)18
  • State-financed health insurance plan other than Medicaid16
Available Settings
  • Outpatient26
  • Regular outpatient treatment26
  • Intensive outpatient treatment10
  • Residential/24-hour residential7
  • Outpatient methadone/buprenorphine or naltrexone treatment6

Frequently Asked Questions About 12-Step in Montana

Are 12-step meetings court-approved in Montana?

Yes. Montana criminal and family courts accept 12-step attendance as part of many probation and treatment-court plans. Meetings sign court attendance slips on request; check with your supervising officer about exact requirements.

How often should I attend 12-step meetings?

Newcomers are often advised "90 meetings in 90 days" to build momentum. In the long run, attendance frequency depends on personal need. Many long-term members attend 1–3 meetings per week; in Montana major metros like Billings meetings run 7 days a week.

How often should I call my sponsor?

Many newcomers are advised to check in with their sponsor daily during the first weeks or months. Frequency tapers as recovery stabilizes. Montana sponsors typically prefer brief regular contact over long occasional calls; text check-ins are increasingly common too.

Has research studied 12-step for fentanyl or newer opioid problems?

Yes — NA meetings include many members recovering from fentanyl and other potent opioids. Research consistently shows that peer support combined with medication-assisted treatment provides the strongest outcomes for opioid use disorder, including fentanyl.

What alternatives to 12-step exist in Montana?

Non-12-step alternatives include SMART Recovery, Women for Sobriety, Refuge Recovery, Secular Organizations for Sobriety (SOS), and LifeRing. Most are available in Montana both in-person and online; SMART Recovery has the widest Montana footprint after AA and NA.

Are 12-step meetings recorded in Montana?

No. Video, audio, or photo recording of meetings is prohibited by tradition — including on online meetings, where members use display names and typically keep cameras off. Montana meetings strictly enforce this; recording violates the anonymity principle.

Do I need to stop MAT to work the 12 steps fully?

No. 12-step literature explicitly affirms medication adherence. Working the steps is a personal spiritual process compatible with ongoing medical treatment. Montana members working 12-step alongside MAT are common and fully integrated into fellowship life.

Are there 12-step conferences or events I can pay to attend?

Yes. AA and NA hold regional and national conferences with registration fees (typically $40–$150) that cover venue, speakers, and materials. These are separate from free weekly meetings. Montana hosts area conferences annually in larger cities.

Are online 12-step meetings as effective as in-person?

Research since 2020 suggests online meetings provide comparable recovery outcomes to in-person meetings for most members. Some find online formats more accessible; others prefer the community of in-person fellowship. Mixing both is common among Montana members.

What should I bring to my first 12-step meeting in Montana?

Just yourself. No paperwork, ID, or fees are needed. Comfortable clothing, a notebook if you want to take notes, and a pen for contact information of sponsors or members willing to help. Arrive 10 minutes early to meet members.

Other Treatment Options in Montana

12-Step Programs in Other States

Medically Reviewed Updated April 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)