Drug and Alcohol Rehab Centers in Richmond, MO
This page brings together drug and alcohol addiction treatment providers in Richmond, including nearby Henrietta, Camden, Rayville, Fleming, and Hardin. Scroll down to browse inpatient rehabs, outpatient programs, virtual treatment providers, counselors, and therapists serving the area.
Treatment centers in Richmond shown here, including those covering Lexington, Orrick, and Wellington, are checked against records held by the Missouri Department of Mental Health, SAMHSA, The Joint Commission, and CARF International. Compare what each program offers and reach out to any provider directly.

1 Drug and Alcohol Rehab Treatment Centers in Richmond, MO
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Drug and Alcohol Rehabs in Richmond, MO
Richmond is the seat of Ray County northeast of Kansas City, and the town calls itself the mushroom capital of the world for the commercial growing operations that ran here.
Bloody Bill Anderson, the Confederate guerrilla, is buried in the town cemetery, and the Battle of Crooked River was fought nearby in 1838 during the Mormon War.
Ray County is farming country in the Missouri River bottoms.
No provisional CDC figure is published for Ray County, withheld under small-number rules, which reflects population size rather than an absence of need.
The treatment picture is thin locally. Two facilities sit within twelve miles of Richmond, one indicating intensive outpatient and both offering medication-assisted treatment.
None indicates detox or residential care within twelve miles, and no detox appears within thirty either.
Widening to thirty miles reaches sixteen facilities including one bed and nine offering maintenance treatment.
Richmond sits around forty-five minutes northeast of the Kansas City metro.
Which Level of Care Do You Need
The figures below use a twelve-mile catchment with wider numbers where they change the picture, covering Richmond, Lexington and Buckner.
Medically Supervised Detox
For anyone physically dependent on alcohol, opioids or benzodiazepines, treatment starts here: withdrawal monitored by clinical staff across several days. Nothing within thirty miles of Richmond indicates detox provision. Stopping alcohol or benzodiazepines abruptly can be medically dangerous, so this step needs arranging through a hospital or a certified provider rather than attempted at home, and it will mean traveling toward Kansas City, where three providers serve the whole metro between them.
Inpatient Residential Treatment
A residential stay means relocating into the program for thirty, sixty or ninety days rather than attending it. Nothing within twelve miles indicates residential provision, and around one does within thirty. Because detox is absent from the whole catchment and usually has to come first, sequencing those two steps is the central practical task here, and out-of-area placement is routine work for certified providers.
Outpatient, IOP and PHP Treatment
Missouri providers use the American Society of Addiction Medicine continuum, which gives you a defined tier to hold a program to rather than a description it has chosen for itself. Around two providers within twelve miles offer outpatient services, one indicates intensive outpatient and both offer medication-assisted treatment, rising to fifteen and five within thirty with nine offering maintenance treatment. Two maintenance providers in a town of 5,700 is a strong ratio and the most useful fact on this page.
Dual Diagnosis and Co-Occurring Disorders Treatment
Co-occurring conditions are common enough that treating only the addiction tends to fail, which is what dual diagnosis care exists to avoid. No facility within twelve miles of Richmond indicates dual diagnosis work, rising to about seven within thirty. If a mental health condition is part of the picture, expect an integrated assessment to mean the drive toward Kansas City.
Sober Living Homes and Transitional Living
Transitional and sober living housing sits outside this directory. Standards in Missouri come through the Missouri Coalition of Recovery Support Providers, the state’s National Alliance for Recovery Residences affiliate. No operator has to certify, which is exactly why the question is worth putting, especially where a house and a program share ownership. Housing costs in Ray County are among the lowest within reach of the Kansas City metro, and anyone leaving a residential stay should settle an address before discharge rather than after.
Addiction Treatment Cost and Insurance Coverage in Richmond, MO
Ray County prices well below the Kansas City metro while sitting within reach of it, and with CSTAR and PR+ both available the publicly funded route carries most of the load here.
How Much Does Addiction Rehab Cost?
Intensive outpatient in Richmond runs roughly $2,700 to $9,200 a month and is available locally, alongside standard outpatient at $1,300 to $5,200 a month and medication-assisted treatment. Residential treatment at $6,200 to $26,000 a month and medical detox at $1,500 to $5,000 a week both mean traveling.
An intensive outpatient program and two maintenance providers inside twelve miles is a real offer for a town of 5,700, so test whether that combination meets the need before agreeing to travel.
| Level of care | Monthly | Daily |
|---|---|---|
| Medical detox (7–14 days) | $1,500 – $5,000 per week | $215 – $715 |
| Residential inpatient | $6,200 – $26,000 | $205 – $865 |
| PHP | $7,200 – $14,000 | $240 – $465 |
| IOP | $2,700 – $9,200 | $90 – $305 |
| Outpatient | $1,300 – $5,200 | $43 – $172 |
| Level of care | Monthly | Daily |
|---|---|---|
| Residential inpatient | $18,000 – $52,000+ | $600 – $1,730 |
| PHP | $14,500 – $33,000 | $485 – $1,100 |
| IOP | $10,000 – $25,000 | $335 – $835 |
| Outpatient | $5,200 – $16,000 | $175 – $535 |
Does Insurance Cover Rehab?
Yes. Addiction treatment sits among the essential health benefits most plans are required to include. What a plan actually pays varies with the employer, the network and the level of care, so two people with the same insurer can face very different bills. Employer plans, Medicare and MO HealthNet are all common here.
Approval is a separate hurdle from coverage. Detox and residential admissions almost always need prior authorization, and your share normally turns on network status. Commercial mushroom growing ran here for decades alongside farming, and much of what remains is irregular work where income varies year to year.
Free and State-Funded Addiction Rehab in Richmond, MO
Missouri funds addiction treatment through CSTAR, the Comprehensive Substance Treatment and Rehabilitation program, which covers a full continuum from outpatient through residential care and includes temporary living arrangements where they are needed. Four specialised versions exist, including one designed for women and their children. If you do not have Medicaid, ask about PR+, which is modelled on CSTAR and built specifically for people without coverage. That distinction is the single most useful thing to know before ringing round programs here.
Missouri also runs one of the largest Certified Community Behavioral Health Clinic networks in the country, with around twenty CCBHCs between them covering all 114 counties and the city of St. Louis. A CCBHC is required to serve anyone who asks regardless of ability to pay or where they live, and Missouri expanded Medicaid in 2021, so a good number of adults who assumed they did not qualify now do.
More Help and Recovery Support
Ray County Memorial Hospital in Richmond serves the county, with the Kansas City hospitals around forty-five minutes southwest for the most complex presentations.
AA runs in Richmond and the towns along the river bottoms, thickening considerably as you move toward the metro. NA covers a large area, and Celebrate Recovery meets in churches locally. Nearby Lexington, Buckner and Independence carry further listings, with more across Missouri.
Free and confidential, available now
Missouri Access Crisis Intervention — 1-800-356-5395 988 Suicide & Crisis Lifeline — call or text 988
References and Citations
- CDC National Center for Health Statistics — VSRR provisional county-level drug overdose death counts, Ray County, twelve months ending December 2021 and December 2025, data as of 5 July 2026.
- Missouri Department of Mental Health, Division of Behavioral Health — CSTAR and PR+ program descriptions and provider certification.
- Missouri Department of Mental Health — Certified Community Behavioral Health Clinic network and county coverage.
- Missouri Senate Bill 63 (2021) — statewide prescription drug monitoring program, activated 13 December 2023.
- Rehab Seekers directory listings, Richmond and Ray County, August 2026, and market rate research, Missouri, 2026. Ranges are indicative and vary by facility, length of stay and coverage.