Drug and Alcohol Rehab in Texas

Treatment Facilities by City in Texas

The Texas cities with the most SAMHSA-listed substance use treatment facilities. All 144 cities are listed below the table. Each city page lists its facilities with services, payment and phone numbers.

State Treatment Agency

Texas Health and Human Services Commission (HHSC), Mental Health and Substance Use services oversees substance use treatment in Texas.

• Texas Health and Human Services Commission , Mental Health and Substance Use services website
• Get treatment help from the Texas agency

Texas Treatment Helpline

Outreach, Screening, Assessment and Referral (OSAR) through 2-1-1 Texas: 877-541-7905.

Call 877-541-7905

• About Outreach, Screening, Assessment and Referral (OSAR) through 2-1-1 Texas

Treatment if You Don't Have Insurance

HHSC-funded treatment is open to Texas adults diagnosed with a substance use disorder, with eligibility for state financial support based on income, expenses and other resources; some people pay part of the cost. Your regional OSAR program is the starting point, and its only requirement is that you live in Texas.

• Texas state-funded treatment

Medicaid Coverage for Addiction Treatment in Texas

Texas has not expanded Medicaid, so adult eligibility is narrower. Covered services listed by the state include: Assessment and evaluation; Individual and group counseling; Residential treatment; Withdrawal management; Medication-assisted treatment (methadone, buprenorphine); Screening, Brief Intervention and Referral to Treatment (age 10+).

• Texas Medicaid substance use coverage
• Section 1115 waiver details (Medicaid.gov)
• Texas Medicaid eligibility

Check a Program's License

Before you choose a program, confirm it is licensed using the HHSC Chemical Dependency Treatment Facilities directory.

• HHSC Chemical Dependency Treatment Facilities directory

Sober Living Homes in Texas

Texas's recovery residence program: HHSC Voluntary Recovery Housing Accreditation (26 TAC Chapter 571; Health and Safety Code Chapter 469) (certification is voluntary). The state's NARR affiliate is Texas Recovery Oriented Housing Network.

• Texas recovery residence program

Naloxone (Narcan)

Texas HHS says you do not need a prescription for naloxone and points Texans to NaloxoneTexas.com and to a naloxone standing order request through the Texas Opioid Training Initiative. Naloxone nasal spray is also sold over the counter nationwide.

• Texas naloxone information

Good Samaritan Overdose Law

If you are the first person to call for emergency help for someone's possible overdose and stay and cooperate, or you are the person who overdosed, you have a defense to prosecution for low-level drug possession; it can't be used if you had a prior drug conviction or used the defense in the past 18 months. (Tex. Health & Safety Code 481.115(g) and parallel subsections in 481.1151-481.125 (H.B. 1694, 2021))

• Texas Good Samaritan law

Involuntary Treatment and Protective Custody

Texas Health and Safety Code Chapter 462, Treatment of Persons with Chemical Dependencies: A county or district attorney or another adult can file a sworn application for court-ordered treatment of a person with a chemical dependency, and if a court finds the criteria met by clear and convincing evidence it can commit the person to an approved facility for 30 to 90 days.

• Texas Health and Safety Code Chapter 462, Treatment of Persons with Chemical Dependencies

Guides for Your Next Step

Learn what detox, inpatient rehab and outpatient rehab involve, how medication for opioid use disorder works, and how to find rehab that takes Medicaid or free and low-cost rehab. Before you commit, read how to choose a rehab you can trust.

Frequently Asked Questions