First Step Home Inc
2203 Fulton Avenue, Cincinnati
Payment: Medicaid
Accredited (CARF), reported to SAMHSA
Care types
DetoxInpatient & residential rehabOutpatient, IOP & PHPMedication-assisted treatment (MAT)Dual diagnosis treatmentAlcohol rehabDrug rehabPrograms for specific groupsSober living and transitional housingPaying for rehabUpdated November 5, 2026 · SAMHSA data
Residential programs give you a bed, round-the-clock staff and structure, usually for 28 to 30 days or longer. SAMHSA lists 133 programs in Ohio that offer this.
Have the insurance card and ZIP code ready, yours or a loved one's. Paid referral line, answered by a partner, not by a program listed here.

12 of 122 listings, as reported to SAMHSA FindTreatment.gov, November 5, 2026. Order: programs reporting the most services to SAMHSA first, then A–Z. Programs don't pay to be listed; our referral line is paid by a partner. How we list.
Not sure where to start? Call (220) 237-1782 Paid referral line, answered by a partner, not by a program listed here.
2203 Fulton Avenue, Cincinnati
Payment: Medicaid
Accredited (CARF), reported to SAMHSA
732 Main Street, Toledo
Payment: Medicaid · Medicare · Private insurance
Accredited (CARF), reported to SAMHSA
430 North Broadway Street, Green Springs
Payment: Medicaid · Private insurance · TRICARE
Accredited (Joint Commission), reported to SAMHSA
643A State Route 821, Marietta
Payment: Medicaid · Medicare · Private insurance
7593 Tylers Place Boulevard, West Chester
Payment: Medicaid · Private insurance
Accredited (Joint Commission), reported to SAMHSA
3 locations in Painesville
Payment: Medicaid · Medicare · Private insurance
Accredited (CARF), reported to SAMHSA
1 Elizabeth Place, Dayton
Payment: Medicaid
Accredited (CARF), reported to SAMHSA
1050 Kingsmill Parkway, Columbus
Payment: Medicaid · Medicare · Private insurance
Accredited (CARF), reported to SAMHSA
2711 Donohoe Drive, Ashtabula
Payment: Medicaid · Private insurance · TRICARE
Accredited (CARF), reported to SAMHSA
145 Morris Road, Circleville
Payment: Medicaid · Medicare · Private insurance
Accredited (CARF), reported to SAMHSA
830 Ezzard Charles Drive, Cincinnati
Payment: Medicaid · Sliding fee
Accredited (Joint Commission), reported to SAMHSA
9600 Old State Road, Chardon
Payment: Private insurance
Accredited (Joint Commission), reported to SAMHSA
Facility data from public agencies, not advertisers
SAMHSA lists 133 facilities in Ohio that offer inpatient and residential rehab (November 5, 2026)[1]; the most are in Cleveland (11), Columbus (11) and Cincinnati (9). 93% accept Medicaid and 48 use a sliding fee scale.
Key takeaways
| City | Offering this | All facilities |
|---|---|---|
| Cleveland | 11 | 43 |
| Columbus | 11 | 68 |
| Cincinnati | 9 | 42 |
| Dayton | 8 | 43 |
| Youngstown | 7 | 23 |
| Akron | 5 | 23 |
| Massillon | 4 | 7 |
| Waverly | 4 | 7 |
| Chardon | 3 | 7 |
| Painesville | 3 | 5 |
| Toledo | 3 | 19 |
| Warren | 3 | 11 |
| Athens | 2 | 7 |
| Chillicothe | 2 | 12 |
| Circleville | 2 | 4 |
Programs use ASAM criteria: withdrawal risk, medical and mental health needs, readiness, relapse risk and home environment. Of the 133 residential programs listed in Ohio, 124 accept Medicaid and 97 accept private insurance.
Not sure where to start?
Not sure which program fits? You can also call the referral line below, or contact any listed program directly.
Paid referral line, answered by a partner, not by a program listed here.
Of the 133 facilities, 22 accept children and teens, 42 list programs for veterans and 5 offer services in Spanish.
The most common: Young Adults (128 of 133), Adults (127 of 133) and Seniors (127 of 133).
The most common: Clients with co-occurring mental and substance use disorders (106 of 133), Clients who have experienced trauma (84 of 133) and Criminal justice (other than DUI/DWI)/Forensic clients (60 of 133).
The most common: Sign language services for the deaf and hard of hearing (39 of 133), Spanish (5 of 133) and Other languages (excluding Spanish) (1 of 133).
Programs report the settings they run and the support they give after discharge.
The most common: Residential/24-hour residential (115 of 133), Outpatient (84 of 133) and Long-term residential (47 of 133).
The most common: Mentoring/peer support (91 of 133), Housing services (84 of 133) and Assistance with obtaining social services (68 of 133).
The most common: Buprenorphine used in Treatment (58 of 133), Naltrexone used in Treatment (58 of 133) and Methadone used in Treatment (3 of 133).
The most common: Cognitive behavioral therapy (125 of 133), Telemedicine/telehealth therapy (97 of 133) and Substance use disorder counseling (70 of 133).
We measured the straight-line distance from the center of each of Ohio's 88 counties to the nearest listed facility offering inpatient and residential rehab. Median: 12.3 miles; 2 counties are more than 30 miles away.
| County | Miles to nearest |
|---|---|
| Marion County | 33.4 |
| Darke County | 31.0 |
| Logan County | 29.4 |
| Belmont County | 28.4 |
| Guernsey County | 28.1 |
| Shelby County | 27.5 |
| Monroe County | 26.6 |
| Adams County | 24.6 |
Of the 133 facilities, 124 accept Medicaid, 97 private insurance and 48 use a sliding fee scale. To see what you would pay, put a program's quote into the cost calculator.
How do I pick a program?
SAMHSA names five signs of quality treatment. Here is how many Ohio inpatient and residential rehab programs report each, as listed with SAMHSA:
58 of the 133 Ohio inpatient and residential rehab listings report CARF or Joint Commission accreditation. Ask for its state license too; Ohio DBH licenses programs.
61 of 133 list medication for opioid or alcohol use, such as buprenorphine, naltrexone or methadone.
127 of 133 list cognitive behavioral therapy, motivational interviewing or contingency management.
32 of 133 list couples or family therapy.
111 of 133 list recovery support after discharge, such as peer support or housing help.
Facility data snapshot November 5, 2026. We update listings when SAMHSA does.
Last checked November 5, 2026 by the Ohio Rehab editorial team against the sources above. How we work.
About inpatient and residential rehab in Ohio
SAMHSA's FindTreatment.gov locator lists 133 of the 747 addiction treatment facilities in Ohio as offering inpatient and residential rehab, as of November 5, 2026. They are spread over 61 cities and 43 counties; the table on this page shows the top 15 cities.
Cleveland has the most, with 11, followed by Columbus (11), Cincinnati (9) and Dayton (8).
By county, Franklin County leads with 13. 56 more cities have at least one; the directory of all 747 centers lists them all.
Usually. 124 of the 133 facilities accept Ohio Medicaid, 79 take Medicare and 97 private insurance.
Without coverage, 48 of them price by income. Ask each program about your plan, or call the referral line (a paid line, answered by a partner).
Listings do not show openings, so ask each program directly. 122 of the 122 listings here link to a program website; every listing gives the address. If you are unsure where to start, you can call the referral line (a paid line, answered by a partner).
Residential programs give you a bed, round-the-clock staff and structure, usually for 28 to 30 days or longer. Compare it with detox and outpatient, iop & php; 133 of these 133 also offer residential care and 84 outpatient care.
Still deciding on inpatient and residential rehab? Call (220) 237-1782 Paid referral line, answered by a partner, not by a program listed here.
Inpatient & residential rehab near you