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Medically Reviewed Content
Updated: April 2026
Sources: SAMHSA, NIDA

Medication-Assisted Treatment (MAT) Centers in Texas

Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026

Our directory lists 235 MAT programs across Texas, with the largest concentrations in Houston (29), Dallas (18) and Austin (14).

Medication-Assisted Treatment (MAT) combines FDA-approved medications — methadone, buprenorphine, and naltrexone — with counseling and behavioral therapies for comprehensive addiction care. MAT is the evidence-based gold standard for opioid and alcohol use disorders.

Treatment landscape in Texas:

  • Texas Medicaid covers substance abuse services
  • Extensive treatment options across major cities
  • Diverse cultural and linguistic program offerings
  • Growing number of luxury treatment centers
  • Specialized programs for veterans and first responders

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Coverage & Regulations in Texas

Texas Medicaid

Texas Medicaid covers buprenorphine and naltrexone for eligible adults; methadone for OUD is reimbursed at licensed Narcotic Treatment Programs.

State regulations

Texas Health and Human Services Commission licenses NTPs under 25 TAC §229; the state operates a grant-funded Targeted Opioid Response (TOR) network.

SAMHSA National Helpline: 1-800-662-4357Crisis: 988
Top Cities for Medication-Assisted Treatment in Texas
Houston
29 centers
Dallas
18 centers
Austin
14 centers
San Antonio
12 centers
El Paso
9 centers
Fort Worth
7 centers
Tyler
7 centers
Abilene
5 centers
Commonly Accepted Insurance
  • Cash or self-payment213
  • Private health insurance182
  • Medicaid158
  • Federal, or any government funding for substance use treatment programs132
  • Medicare118
  • Federal military insurance (e.g., TRICARE)108
Available Settings
  • Outpatient209
  • Regular outpatient treatment165
  • Outpatient methadone/buprenorphine or naltrexone treatment163
  • Intensive outpatient treatment109
  • Outpatient detoxification57

MAT programs in Texas

Abilene, TX

325-400-8586

Abilene Absolute Recovery Solutions, situated in Abilene, TX, provides extensive outpatient programs for adults battling substance use disorders. This includes specialized support for individuals affected by intimate partner violence. The center's core offerings involve medication-assisted treatment with methadone, buprenorphine, or naltrexone. Their therapeutic approach integrates proven methods like 12-step facilitation, cognitive behavioral therapy, and contingency management, also known as motivational incentives. Dedicated to personalized, high-quality care, the facility assists adults and young adults, fostering a nurturing space for their journey toward recovery and well-being.

Tyler, TX

903-596-0606

Nestled in Tyler, TX, Addiction Alternatives for Opioid provides targeted outpatient care for those aiming for opioid detox and recovery. Their services include outpatient detox, medication-assisted treatment with methadone, buprenorphine, or naltrexone, and utilizes proven methods like brief intervention, CBT, and motivational interviewing. Tailored programs are available for adult men, adult women, and individuals affected by domestic violence. Catering to adults and young adults of all genders, the center is dedicated to personalized support and comprehensive healing.

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San Angelo, TX

325-224-3481

The Alcohol and Drug Awareness Center, situated in San Angelo, TX, is a facility dedicated to providing thorough addiction recovery programs. Their expertise encompasses safe detoxification and extensive substance use disorder treatment, offering extended stays in a residential setting with constant professional oversight. The treatment regimen incorporates proven methodologies such as 12-step program integration, cognitive behavioral techniques, and motivational interviewing. The center provides specialized tracks for adult men, adult women, and individuals involved with the legal system, ensuring each client receives care suited to their unique circumstances. Open to adults and young adults of any gender, this center is committed to delivering high-caliber treatment and customized recovery strategies aimed at achieving sustained sobriety.

Georgetown, TX

866-568-9936 x1

Arbor Behavioral Healthcare, located in Georgetown, TX, specializes in the treatment of substance use disorders alongside co-occurring mental health issues for both adults and children. The center features various programs, including inpatient care, around-the-clock hospital supervision, and long-term residential options designed to meet the unique needs of each individual. Utilizing methods such as 12-step programs, anger management techniques, and brief interventions, Arbor Behavioral Healthcare emphasizes a holistic approach to treatment. The facility has specific programs for adult men, women, and those facing both mental health and addiction challenges. Catering to both adults and younger clients, this center is committed to delivering high-quality, personalized care to support enduring recovery.

Jourdanton, TX

830-266-7730

Situated in Jourdanton, Texas, the Atascosa SUD Outpatient Clinic delivers a wide array of services for addiction recovery. This center focuses on detox and treatment for substance use, providing various levels of care, including intensive outpatient programs, general outpatient services, and partial hospitalization options. The clinic employs proven methodologies like the Matrix Model, strategies for relapse prevention, and counseling directed at substance use disorders. It supports a diverse population, including active duty military personnel, adolescents, and adult males. Committed to serving individuals of all ages and genders, the Atascosa SUD Outpatient Clinic is dedicated to offering customized and high-quality care, making it a premier option for those in need of effective addiction recovery solutions.

Houston, TX

713-426-0027

Avenue 360 Health and Wellness, situated in Houston, TX, delivers a thorough program for addressing substance use challenges. Their services encompass intensive outpatient care, general outpatient support, and specialized medication-assisted treatment options like methadone, buprenorphine, or naltrexone. Employing proven therapeutic methods such as brief intervention, the Matrix Model, and motivational interviewing, this establishment serves adults and older adults, regardless of gender. Avenue 360 Health and Wellness has particular expertise in assisting individuals with a history of trauma, those living with HIV or AIDS, and members of the LGBTQ+ population. Their commitment to high-quality, personalized treatment plans aims to support individuals in attaining sustained recovery.

Waelder, TX

800-547-4615

At its Waelder, TX location, Banyan Texas LLC provides extensive support for adults and young adults facing addiction and co-occurring mental health issues. They offer a spectrum of care, including intensive outpatient, extended residential, and outpatient programs. Their therapeutic methods are rooted in proven strategies like 12-step integration, anger control, and brief intervention. Banyan Texas LLC distinguishes itself with tailored programs designed for active military service members, adult men, and adult women, addressing the unique needs of various groups. Prioritizing personalized attention and high-standard care, Banyan Texas LLC is a premier destination for those pursuing successful and empathetic recovery.

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Dickinson, TX

281-337-1343

Situated in Dickinson, TX, the Bay Area Recovery Center delivers thorough detox and substance use rehabilitation primarily for women. It features tailored programs catering to various age groups, including seniors and young adults, and utilizes methods like 12-step facilitation, anger management, and cognitive behavioral therapy within a nurturing atmosphere. The center provides hospital inpatient detox services, ongoing treatment, and continuous care, guaranteeing support at all hours for individuals in distress. Emphasizing high-quality care and individualized strategies, this center represents a source of inspiration for those pursuing impactful and customized recovery solutions.

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Abilene, TX

325-690-5100

Abilene Betty Hardwick, located in Abilene, TX, delivers a full spectrum of recovery support for adults and older adults. They feature intensive outpatient, general outpatient, and outpatient detox options. This center excels in addressing addiction and co-occurring psychological challenges, employing proven methods like cognitive behavioral therapy, motivational interviewing, and techniques to prevent relapse. Prioritizing personalized attention, Abilene Betty Hardwick crafts treatment paths suited to each individual's specific circumstances. Both men and women are served with distinguished, gender-attuned care at this esteemed recovery establishment.

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El Paso, TX

915-779-4527 x1109

Aliviane Inc, located in El Paso, TX, provides extensive addiction treatment services, specializing in intensive outpatient, outpatient, and medication-assisted treatment options including methadone, buprenorphine, and naltrexone. Utilizing scientifically proven methods such as anger management, cognitive behavioral therapy, and motivational interviewing, this establishment delivers customized support to adults, youth, and young adults regardless of gender. A key distinction of Aliviane Inc is its creation of unique treatment itineraries, guaranteeing customized assistance for every individual. With an unwavering dedication to superior care, Aliviane Inc is committed to guiding people toward a life free from addiction.

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Houston, TX

713-705-3490

Alliance Risk Group LLC, located in Houston, TX, specializes in holistic recovery solutions for adults and adolescents navigating addiction alongside mental health complexities. The facility distinguishes itself with its tiered treatment offerings, encompassing acute hospital care, round-the-clock residential support, and robust outpatient services. Their therapeutic framework is grounded in evidence-based modalities such as structured 12-step engagement, effective anger management strategies, and concise intervention techniques. Alliance Risk Group LLC is equipped to serve diverse populations, including adult men, adult women, and individuals managing the intertwined challenges of chronic pain and substance dependence. A cornerstone of their philosophy is the delivery of highly personalized care, guaranteeing a tailored and effective path to wellness for every male and female patient striving for freedom from addiction and co-occurring psychological concerns.

Austin, TX

737-222-5155

Bee Cave Recovery, situated in Austin, TX, specializes in extensive substance abuse treatment for adults, as well as addressing co-occurring mental health issues in both children and adults. The center features intensive outpatient and outpatient treatment options that emphasize 12-step methods, cognitive behavioral therapy, and anger management. Catering to a variety of needs, Bee Cave Recovery has tailored programs for active duty military members and specific groups such as adult men and women. This facility is committed to providing high-quality care and personalized treatment strategies to foster enduring recovery for individuals of all genders, including children and adolescents.

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Austin, TX

512-444-5092

Aeschbach and Associates Inc. in Austin, TX offers thorough outpatient care for those needing detox and help with substance use. They have expertise with dual diagnoses and provide outpatient detox and medication-assisted treatment options. Their programs include anger management, brief counseling, and cognitive behavioral therapy, specifically designed for adult women who have experienced intimate partner violence, domestic abuse, or sexual assault. They welcome adults and younger individuals of any gender, delivering personalized, evidence-based support for their recovery journey.

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San Antonio, TX

210-735-3822

Alpha Home Inc, situated in San Antonio, TX, delivers a wide array of long-term residential treatment solutions designed specifically for adults dealing with substance use disorders and co-occurring severe mental health conditions, as well as children facing significant emotional challenges. The center specializes in support for women, including those affected by intimate partner violence, domestic abuse, and sexual assault. By emphasizing 12-step facilitation, anger management, and brief intervention techniques, Alpha Home Inc is dedicated to providing exceptional care and assistance tailored to female clients across various age groups, from young women to seniors.

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Tyler, TX

903-597-1351

Situated in Tyler, TX, Andrews Center Behavioral Healthcare delivers outpatient treatment for substance use disorders and also addresses co-occurring mental health conditions in adults, as well as emotional challenges in children. Emphasizing techniques such as anger management, brief interventions, and cognitive behavioral therapy, the center designs personalized programs for active military members, teenagers, and adult males. Catering to individuals of all genders, Andrews Center Behavioral Healthcare is committed to providing effective and gender-sensitive care for both adults and children/adolescents. If you're looking for thorough and customized treatment in a nurturing setting, this facility is devoted to guiding you on your recovery journey.

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Laredo, TX

956-728-0440

Situated in Laredo, TX, AAMA Inc specializes in outpatient treatment for substance use disorders with an emphasis on detox and the administration of methadone/buprenorphine or naltrexone therapies. The center delivers consistent outpatient services through methods like anger management, brief intervention, and cognitive behavioral therapy. AAMA Inc serves adult men and women, including individuals who've encountered intimate partner or domestic violence. Aimed at both adults and young adults, the facility provides tailored care for both genders. With an emphasis on personalized support and high-quality services, AAMA Inc is a well-rounded rehabilitation center that addresses diverse addiction challenges.

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Houston, TX

713-541-4422

Adult Rehabilitation Services Inc. in Houston, TX delivers complete addiction care for adults and young adults. Their services include outpatient treatment with methadone, buprenorphine, or naltrexone, standard outpatient programs, and brief intervention. Utilizing cognitive behavioral therapy and motivational incentives, the program is personalized. They focus on pregnant and postpartum women and serve both male and female patients. Adult Rehabilitation Services Inc. provides high-quality, supportive, and empathetic recovery assistance in a comfortable setting.

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Tyler, TX

845-769-8758

Affect Therapeutics Inc, situated in Tyler, TX, delivers targeted outpatient care for individuals struggling with substance use disorders. Their services encompass various levels of outpatient care, including medication-assisted treatment options such as methadone, buprenorphine, and naltrexone, as well as standard outpatient programs. By employing proven therapeutic techniques like contingency management, motivational interviewing, and the Matrix Model, the center prioritizes tailored recovery plans. Affect Therapeutics Inc welcomes both male and female patients, fostering an environment conducive to recovery.

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San Antonio, TX

210-541-8400

Alamo City Treatment Services, located in San Antonio, TX, delivers thorough care for individuals struggling with substance dependency, serving both adults and younger people. They offer various levels of care, including intensive outpatient programs, standard outpatient services, and day treatment (partial hospitalization). Their therapeutic approach incorporates 12-step integration, techniques for managing anger, and short-term intervention strategies, making them well-equipped to assist those dealing with both mental health and substance use challenges. The center distinguishes itself with customized programs designed specifically for adult men, adult women, and individuals of all gender identities, ensuring each person receives tailored support. This dedication to high-quality, specialized, and gender-affirming treatment solidifies Alamo City Treatment Services as a significant provider of successful recovery services within the San Antonio community.

Jacksonville, TX

903-284-6802

Situated in Jacksonville, TX, the "Alternative Opiate Treatment Program" provides outpatient services for individuals dealing with substance use issues, targeting both adults and young adults. This center offers various treatment options, including outpatient sessions with methadone, buprenorphine, or naltrexone, alongside standard outpatient care and dedicated programs for men, women, and members of the LGBTQ community. Emphasizing brief intervention techniques, cognitive behavioral therapy, and motivational interviewing, the facility is designed to support clients of all genders. Its personalized treatment strategies are aimed at delivering high-quality care for those pursuing thorough and effective recovery solutions in a welcoming setting.

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Dallas, TX

469-291-5288

Situated in Dallas, TX, Anchor of Hope provides extensive treatment for substance use disorders, featuring outpatient care as well as programs utilizing methadone, buprenorphine, and naltrexone. This center is dedicated to offering specialized services for active military members, adult men and women, as well as young adults. Emphasizing 12-step support, anger management techniques, and brief interventions, Anchor of Hope customizes its treatment strategies to meet the distinct needs of each client. Their commitment to quality care and personalized strategies positions them as a vital resource for individuals on their journey to recovery. Clients of all genders can access programs specifically crafted to tackle their particular obstacles at Anchor of Hope.

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Showing 21 of 235 MAT programs in Texas. Browse all centers in Texas

Frequently Asked Questions About MAT in Texas

Do I have to stop using opioids before starting mat?

For methadone and buprenorphine, continued opioid use during induction is common and expected; the medication itself helps stop use. For naltrexone, however, you must complete a 7–14 day opioid-free period first. Your Texas clinician will tailor the induction based on your medication.

What is the cheapest way to get mat in Texas?

For most Texas residents, Texas Medicaid is the lowest-cost option — co-pays are usually $0–$3. Without Medicaid, federally qualified health centers with sliding-scale fees are next cheapest, followed by State Opioid Response–funded clinics.

Can I keep the same mat provider when I switch Texas Medicaid plans?

Usually yes, if your provider is in-network with the new plan. Texas MAT clinics typically contract with all major Texas Medicaid managed-care organizations. Verify the provider’s network status before the effective date of your new plan to avoid interruption.

Will my private insurance cover mat treatment in Texas?

Yes — under the Mental Health Parity and Addiction Equity Act and the Affordable Care Act, marketplace and employer health plans must cover MAT for OUD, including mat. Specific cost-sharing (copay, coinsurance, deductible) depends on your plan tier.

Are there license caps or certificate-of-need rules for new MAT programs in Texas?

Texas applies state-specific licensure review for new OTPs; some states also require a certificate-of-need demonstrating unmet demand. Existing buprenorphine prescribers do not face these caps — only methadone OTPs are subject to location-specific licensure review.

Can I go back on mat after stopping?

Yes. Returning to mat after a gap in care is common and safe; your Texas clinic will re-induct using the same protocols as first-time patients. The federal 1-year waiting period sometimes referenced for methadone does not apply to re-admission.

What if I’m in withdrawal right now — where do I go in Texas?

Go to the nearest emergency department; Texas hospitals are equipped to initiate buprenorphine and connect you to outpatient MAT. You can also call 988 for a live counselor to locate an open bridge clinic or mobile MAT unit.

Is the first mat visit confidential?

Yes. Records are protected by 42 CFR Part 2, which is stricter than HIPAA. Your employer, family, or law enforcement cannot access your records without your specific written consent or a narrowly tailored court order. Confidentiality applies from the first visit onward.

Is constipation on mat a serious problem?

Constipation is one of the most common and persistent mat side effects. Daily fluids, fiber, stool softeners, and an over-the-counter laxative like polyethylene glycol are first-line. If severe, your Texas clinician may prescribe a peripherally acting opioid-receptor antagonist.

Does Texas have perinatal-MAT programs?

Yes. Most Texas regions have perinatal-addiction programs coordinating OB care, MAT, and social support. Call 988 or SAMHSA 1-800-662-4357 for Texas-specific referral. Houston-area hospitals typically have dedicated perinatal-addiction coordinators.

Do I have to attend 12-step meetings along with mat?

No. Attending 12-step programs is optional; SMART Recovery, Women for Sobriety, Refuge Recovery, and secular support groups are all acceptable alternatives. Texas MAT clinicians can help you match with a peer group aligned to your values.

Can I use a pseudonym for my mat treatment in Texas?

No — medical records must use your legal name for billing, insurance, and DEA compliance. However, 42 CFR Part 2 confidentiality means that legal name is protected from disclosure. Pseudonymous treatment is not available in MAT.

Other Treatment Options in Texas

Medication-Assisted Treatment in Other States

Medically ReviewedUpdated: April 2026
Sources:SAMHSANIDACDC

Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)