If you’re looking for a Michigan substance abuse hotline, there’s good news on two fronts. Overdose deaths are projected to have declined for four consecutive years, and Michigan has regional access lines to help residents find treatment. Most people simply don’t know those lines exist.
According to the Michigan Department of Health and Human Services (MDHHS), preliminary data projects a 2025 overdose death rate of 16.4 per 100,000 residents, down 47% from 30.8 in 2021. MDHHS modeling also estimates that naloxone prevented 569 overdose deaths in Michigan in 2024 alone, and our guide on how to administer naloxone walks through the steps. Progress is real, but substance use still affects families in every county. This page explains which Michigan line fits your situation, lists the regional access lines by county and covers free and low-cost treatment options.
Which Michigan Substance Abuse Hotline Should You Call?
Different lines do different jobs. Use this table to find the right starting point.
| Your situation | Who to call | Number |
|---|---|---|
| Someone is unresponsive, overdosing or in immediate danger | Emergency services | 911 |
| You or someone you know is having thoughts of suicide | 988 Suicide & Crisis Lifeline | Call or text 988 |
| You have Medicaid, the Healthy Michigan Plan or no insurance and want treatment | Your regional treatment access line | See the regional table below |
| You want to talk with someone who has lived experience | Michigan Peer Warmline | 888-733-7753 |
| You’re not sure where to start, have private insurance or are calling for a loved one | National Rehab Hotline | 866-210-1303 |
Michigan Addiction Resources
These statewide and national resources are free and confidential:
- National Rehab Hotline. Free, confidential information and referrals to treatment options, including free and low-cost programs, for individuals and families. The hotline is available 24/7. Call 866-210-1303
- SAMHSA National Helpline. Free, confidential treatment referral and information service, available 24/7 in English and Spanish. Call 800-662-HELP (4357). Learn more on our SAMHSA hotline page.
- 988 Suicide & Crisis Lifeline. Free crisis support by call, text or chat, 24/7. Call or text 988
- Michigan Crisis and Access Line (MiCAL). Michigan’s behavioral health crisis and information line, offering crisis support, resource information and referrals to local services. Call 844-446-4225
- Michigan Peer Warmline. Emotional support from certified peer support specialists and peer recovery coaches, daily from 10 a.m. to 2 a.m. Eastern. Call 888-733-7753. If stress is affecting your own mental health, our mental health hotline page has more options.
- Michigan 2-1-1. Free help finding local services such as housing, food, transportation and health care. Call 211
Michigan’s Treatment Access Lines by Region
Michigan manages publicly funded addiction treatment through 10 regional Prepaid Inpatient Health Plans (PIHPs). Each region has an access line that answers questions about alcohol and drug use, screens callers and refers them to a treatment provider. These lines serve people with Medicaid or the Healthy Michigan Plan and those without insurance. MDHHS lists these access lines, and most operate 24/7.
| Region | Counties served | Contact number |
|---|---|---|
| 1: NorthCare Network | All 15 Upper Peninsula counties | 800-305-6564 |
| 2: Northern Michigan Regional Entity | 21 northern Lower Peninsula counties, including Grand Traverse, Alpena, Charlevoix, Emmet and Otsego | 800-834-3393 |
| 3: Lakeshore Regional Entity | Allegan, Kent, Lake, Mason, Muskegon, Oceana and Ottawa |
|
| 4: Southwest Michigan Behavioral Health | Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, St. Joseph and Van Buren | 800-781-0353 |
| 5: Mid-State Health Network | 21 central Michigan counties, including Ingham, Jackson, Saginaw and Bay | 844-405-3095 |
| 6: CMH Partnership of Southeast Michigan | Lenawee, Livingston, Monroe and Washtenaw |
|
| 7: Detroit Wayne Integrated Health Network | Wayne County, including Detroit | 800-241-4949 |
| 8: Oakland Community Health Network | Oakland | 248-464-6363 |
| 9: Macomb County CMH | Macomb | 855-996-2264 (non-emergency treatment access, Monday–Friday, 8 a.m.–8 p.m.) |
| 10: Region 10 PIHP | Genesee, Lapeer, Sanilac and St. Clair |
|
If you call, it helps to know which county you’re in, have any insurance information handy and be ready to describe what’s been happening with substance use. You don’t need to have a diagnosis or know what type of treatment you need.
Free and Low-Cost Rehab in Michigan
Cost keeps many people from seeking help, but Michigan has several paths to treatment that don’t depend on ability to pay.
- Publicly funded treatment through your PIHP. If you have Medicaid or the Healthy Michigan Plan, your regional access line can help you find covered treatment. If you’re uninsured, providers in the public system charge on a sliding scale based on income.
- Certified Community Behavioral Health Clinics (CCBHCs). Michigan participates in the federal CCBHC program. These clinics offer mental health and substance use services and must serve people regardless of their ability to pay.
- Bear River Health. Withdrawal management, residential and outpatient addiction treatment in northern Lower Michigan, with residential campuses in Walloon Lake, Boyne Falls and Gaylord. Accepts Medicaid in participating regions and may offer income-based payment options. 231-535-2822
- FindTreatment.gov. SAMHSA’s free locator lets you search Michigan programs by location, payment options and type of care.
Not sure which option fits? The National Rehab Hotline can help you sort through free, low-cost and insurance-covered programs near you. If you’re calling on behalf of someone else, our family support page can help you prepare.
Get Help Today
If you or someone you love is in immediate danger, call 911. If you or someone you know is having thoughts of suicide, call or text 988. The National Rehab Hotline at 866-210-1303 is for non-emergency information, support and referrals.
When you’re ready to take the next step, call the National Rehab Hotline at 866-210-1303, available 24 hours a day, 7 days a week, 365 days a year. You don’t have to face this alone.
Sources
- Michigan Department of Health and Human Services. (2026, June 9). Michigan overdose death rate declines by 47 percent since 2021. MDHHS Newsroom.
- Michigan Department of Health and Human Services. (2025, September 25). MDHHS study finds harm reduction efforts make significant impacts on overdose deaths, hospitalizations, cases of hepatitis C. MDHHS Newsroom.
- Michigan Department of Health and Human Services. Get Help Now: Behavioral Health. Substance Use, Gambling and Epidemiology.
- Michigan Department of Licensing and Regulatory Affairs. Substance Abuse Disorder Program Coordinating Agency (PIHP) Contact Information.
- Macomb County Community Mental Health. How to Access Non-Emergency Services.
- Region 10 PIHP. How to Access Services.