Top Markleeville Drug and Alcohol Addiction Centers
Markleeville is a county seat of Alpine, the least populated county in the state in Alpine County. This page lists drug and alcohol addiction treatment providers in Markleeville and the surrounding area. Browse below for inpatient rehabs, outpatient and intensive outpatient programs, telehealth providers, counselors and therapists working locally.
Recorded levels of care in Markleeville include outpatient services, across one listed provider. Provision is limited locally, and people often travel further afield for detox or residential care. Each Markleeville listing below has been reviewed against California Department of Health Care Services licensing, federal registration and accreditation with The Joint Commission or CARF International. Alpine County Behavioral Health can also advise on publicly funded options and eligibility.
1 Drug and Alcohol Rehab Treatment Centers in Markleeville, CA
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Drug and Alcohol Rehabs in Markleeville, CA
Markleeville sits in a high valley on the eastern slope of the Sierra, the seat of Alpine County and by far the smallest county seat in California.
Alpine County has around 1,200 residents, fewer than any other county in the state, and no incorporated cities, no hospital and no high school.
The Tamarack Fire burned through the area in July 2021 and forced the evacuation of the entire town. Grover Hot Springs State Park lies just west, and Ebbetts and Monitor passes close through winter.
Highway 89 runs north to South Lake Tahoe in around 45 minutes; that is the only route open year round.
California recorded a drug overdose death rate roughly 6 percent below the national figure in 2024.
Methamphetamine was involved in around 57 percent of California overdose deaths that year, more than any other substance, while fentanyl drives the opioid share.
County rates in 2024 ranged from 11.3 per 100,000 in Napa County to 91.5 in Lake County, both in Northern California.
Alpine County does not participate in the Drug Medi-Cal Organized Delivery System. Medi-Cal members here receive the narrower State Plan Drug Medi-Cal benefit rather than the full ASAM continuum available in the 40 counties that do, which is worth knowing before you start calling. This is the least populated county in California, and the nearest county running the full system is El Dorado to the north.
Which Level of Care Do You Need
The counts below reflect the 1 Markleeville facility listed in this directory.
Medically Supervised Detox
Detox manages withdrawal under clinical observation, usually across several days, and is where treatment begins for anyone physically dependent on alcohol, opioids or benzodiazepines. The Markleeville facility does not offer detox, and there is none in Alpine County. South Lake Tahoe has one around 45 minutes north, which is the nearest.
Inpatient Residential Treatment
Residential care provides a structured live-in setting for weeks or months. The Markleeville facility does not offer it. South Lake Tahoe has one 45 minutes north and Placerville is around two hours west over Echo Summit.
Outpatient, IOP and PHP Treatment
Outpatient care lets you live at home while attending sessions. The Markleeville facility offers outpatient services with telehealth, and it is all that is available locally. It does not offer IOP or PHP. In the least populated county in California, telehealth is not a convenience but the practical basis of continuing care.
Dual Diagnosis and Co-Occurring Disorders Treatment
Dual diagnosis care treats a substance use disorder and a mental health condition together rather than in sequence. The Markleeville facility indicates it treats co-occurring disorders, which given it is the only provision in the county matters considerably.
Sober Living Homes and Transitional Living
Sober living homes provide drug-free housing after formal treatment ends. This directory does not list recovery residences separately. The California Consortium of Addiction Programs and Professionals certifies residences statewide.
Addiction Treatment Cost and Insurance Coverage
The single facility here accepts Medi-Cal and Medicare, though the county is outside DMC-ODS.
How Much Does Addiction Rehab Cost in Markleeville
Outpatient care in Markleeville runs roughly $1,200 to $5,000 a month and is the only level available locally. Detox, residential, IOP and PHP all mean 45 minutes or considerably more, at $7,000 to $24,000, $6,000 to $45,000, $3,000 to $10,000 and $7,500 to $15,000 monthly. The Markleeville facility accepts Medi-Cal and Medicare.
Alpine County sits outside DMC-ODS. Ask about telehealth first: winter closures on Ebbetts and Monitor passes leave Highway 89 as the only route out, and snow regularly makes even that difficult.
| Level of care | Monthly | Daily |
|---|---|---|
| Medical detox (inpatient) | $7,000 – $24,000 | $230 – $800 |
| Residential inpatient | $6,000 – $45,000 | $200 – $1,500 |
| PHP | $7,500 – $15,000 | $250 – $500 |
| IOP | $3,000 – $10,000 | $100 – $330 |
| Outpatient | $1,200 – $5,000 | $40 – $170 |
| Level of care | Monthly | Daily |
|---|---|---|
| Residential inpatient | $30,000 – $90,000+ | $1,000 – $3,000+ |
| PHP | $15,000 – $35,000 | $500 – $1,150 |
| IOP | $9,000 – $24,000 | $300 – $800 |
| Outpatient | $5,000 – $15,000 | $170 – $500 |
Does Insurance Cover Rehab in Markleeville
Yes. Federal parity law requires most health plans to cover substance use treatment on terms comparable to medical care. The Markleeville facility accepts Medi-Cal and Medicare. Anthem Blue Cross and California Health and Wellness are the Medi-Cal managed care plans across Alpine County, which offers the narrower State Plan Drug Medi-Cal benefit.
Medi-Cal carries no premium and no copay for substance use treatment. If you are uninsured, an eligibility check costs nothing.
Free and State-Funded Addiction Rehab in Markleeville, CA
Publicly funded care is available locally, though narrower than in DMC-ODS counties.
The listed facility accepts Medi-Cal, and an eligibility check costs nothing.
The Washoe Tribe of Nevada and California operates health services in the area for eligible tribal members.
Alpine County Behavioral Health administers State Plan Drug Medi-Cal locally and can advise on what is covered.
The California Naloxone Distribution Project supplies naloxone free to community organizations, and Never Use Alone on 800-484-3731 stays on the line with people using alone.
More Help and Recovery Support
Alpine County has no hospital. Barton Memorial in South Lake Tahoe is around 45 minutes north, and serious cases go to Reno or Sacramento. Mountain weather regularly affects both routes and air transport.
Alcoholics Anonymous meets in South Lake Tahoe, which is the nearest regular schedule. Narcotics Anonymous operates through the Northern California region. Given the isolation and local telehealth, online meetings serve a genuine purpose here rather than a supplementary one. Adjacent South Lake Tahoe and Mammoth Lakes carry further options.
Free lines, available now
988 Suicide & Crisis Lifeline — call or text 988, free and confidential, 24 hours a day
CalHOPE Warm Line — 833-317-4673
Never Use Alone — 800-484-3731
SAMHSA National Helpline — 1-800-662-4357
Rehab Seekers is a directory. The information on this page is for general reference and is not medical advice. Decisions about treatment should be made with a licensed clinician who knows your history. If you or someone you care about is in immediate danger, call 911.
References and Citations
California Department of Public Health — Overdose Surveillance Dashboard and opioid overdose death briefs.
Centers for Disease Control and Prevention — drug overdose death rates by state and county, 2024.
California Department of Health Care Services — Drug Medi-Cal Organized Delivery System county participation, January 2025.
Rehab Seekers directory listings, Markleeville, August 2026.
Rehab Seekers market rate research, California standard and luxury programs, 2026. Ranges are indicative and vary by facility, length of stay and coverage.