Methadone Treatment Centers in Texas
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 78 methadone clinics across Texas, with the largest concentrations in Houston (11), Dallas (7) and San Antonio (6).
Methadone is a long-acting opioid medication used to treat opioid use disorder by eliminating withdrawal symptoms and cravings without producing a high. It is dispensed through federally certified Opioid Treatment Programs (OTPs) under strict SAMHSA and state regulations.
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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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.
- Cash or self-payment76
- Medicare62
- Medicaid51
- Federal, or any government funding for substance use treatment programs44
- Private health insurance43
- State-financed health insurance plan other than Medicaid26
- Outpatient78
- Outpatient methadone/buprenorphine or naltrexone treatment78
- Regular outpatient treatment47
- Outpatient detoxification34
- Intensive outpatient treatment14
Methadone clinics in Texas
Abilene, TX
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
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.
View detailsCedar Park, TX
Community Medical Services in Cedar Park, TX, provides outpatient services for substance use disorders. Their specialties include methadone, buprenorphine, and naltrexone treatment, along with interventions like brief counseling, cognitive-behavioral therapy, and motivational strategies. The center serves adults and young adults of any gender, offering tailored support for individuals with trauma histories, expectant and new mothers, and those involved with the justice system. Community Medical Services is committed to delivering high-quality, personalized care to aid clients in their recovery process.
View detailsDallas, TX
The VA Medical Center in Dallas, Texas, delivers extensive substance abuse recovery programs for adults and adolescents. This institution features hospital-based inpatient detox and care for various addictions, addressing co-occurring mental health issues as well. They offer distinct tracks for adult males, adult females, and survivors of domestic abuse, guaranteeing personalized support. Employing strategies such as 12-step peer support and emotional regulation techniques, the center emphasizes customized recovery journeys. Committed to high standards of treatment and a nurturing atmosphere, this center is devoted to guiding individuals toward lasting sobriety.
View detailsAustin, TX
Situated in Austin, TX, Community Medical Services provides comprehensive outpatient treatment for substance use issues, featuring options like methadone, buprenorphine, and naltrexone. The facility is known for its expertise in brief interventions, cognitive behavioral therapy, and incentive-based management techniques. Specialized programs are available for those who have faced trauma, as well as forensic clients and women who are pregnant or in the postpartum phase. Catering to both adults and young adults, the center offers personalized care designed for all genders. Community Medical Services is committed to delivering high-quality, evidence-informed treatment to assist individuals in their recovery journey.
View detailsDallas, TX
Cagnollatti and Henderson Inc, located in Dallas, TX, provides outpatient detox and programs for substance use disorders. Their offerings encompass outpatient treatments with methadone, buprenorphine, or naltrexone, as well as regular outpatient services, motivational interviewing, relapse prevention strategies, and counseling for substance use issues. This center is designed to support adult men and women, including those who are pregnant or in the postpartum phase. With a commitment to high-quality, evidence-informed care, Cagnollatti and Henderson Inc creates a nurturing atmosphere for individuals pursuing recovery from addiction.
View detailsAustin, TX
Community Medical Services located in Austin, TX, provides outpatient treatment for substance use disorders, focusing on methadone, buprenorphine, and naltrexone therapies. The center employs research-backed methods such as brief interventions, cognitive behavioral therapy, and motivational incentives to foster recovery. It serves a diverse clientele, including adults and young adults of all gender identities, and features tailored programs for individuals with a history of trauma, those involved with the legal system, and pregnant or postpartum women. Committed to personalized care within a nurturing setting, Community Medical Services aims to support clients in achieving sustainable recovery and enhancing their overall well-being.
View detailsSan Antonio, TX
Situated in San Antonio, TX, Community Medical Services delivers outpatient treatment for substance use, emphasizing methadone, buprenorphine, and naltrexone therapies. This center is dedicated to helping both adults and young adults, utilizing techniques like brief intervention, cognitive behavioral therapy, and motivational incentives alongside contingency management. It features specialized programs designed for individuals who have faced trauma, those involved with the criminal justice system, and pregnant or postpartum women. Offering targeted services for both men and women, this facility ensures that care is customized to meet the unique needs of each client, making it an empathetic option for individuals pursuing effective recovery solutions.
View detailsEl Paso, TX
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.
View detailsAustin, TX
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.
View detailsVictoria, TX
Best Recovery Healthcare Inc, located in Victoria, TX, provides targeted treatment programs for addiction aimed at both adults and young adults. The facility offers various services, including intensive outpatient treatment, outpatient detox programs, and counseling for substance use disorders. Emphasizing care for clients dealing with both mental health challenges and substance use issues, as well as those coping with pain alongside substance use, the center customizes its approach to fit each person's specific situation. Both men and women can access the exceptional care and extensive support from the committed professionals at Best Recovery Healthcare Inc.
View detailsHouston, TX
Best Recovery Healthcare Inc, located in Houston, TX, provides targeted care for substance dependence via its outpatient programs. These programs feature medication-assisted treatment options such as methadone, buprenorphine, or naltrexone. The center employs therapeutic modalities like anger management, cognitive behavioral therapy, and motivational interviewing. Specific services are available for active duty military, adult men, and adult women. Catering to adult and young adult clients of all genders, Best Recovery Healthcare Inc is committed to delivering effective treatment and guidance for those pursuing sobriety and long-term wellness.
View detailsArlington, TX
CDHS Inc, located in Arlington, TX, specializes in a wide range of substance use treatment programs designed for both adults and young adults. The facility offers outpatient options, including treatments with methadone, buprenorphine, or naltrexone, along with standard outpatient care. With an emphasis on cognitive behavioral therapy, relapse prevention strategies, and counseling specific to substance use disorders, CDHS Inc crafts its treatment plans to meet the unique needs of each client. The center is committed to an individualized method, accepting both men and women who are in need of high-quality addiction treatment. If you are seeking tailored and effective rehabilitation support, this center is focused on aiding you in your recovery path.
View detailsCorpus Christi, TX
Situated in Corpus Christi, TX, Counseling and Recovery Services specializes in outpatient treatment for substance use disorders. They feature dedicated programs for expectant and new mothers. Their services include outpatient care with methadone, buprenorphine, or naltrexone, employing methods like anger management, brief intervention, and cognitive behavioral therapy. Catering to adults and young adults of any gender, the center prioritizes effective care customized for each person. This establishment offers a supportive and thorough path to recovery for anyone needing assistance with addiction.
View detailsDallas, TX
Crossroads Recovery Center in Dallas, TX, provides comprehensive outpatient services for individuals battling substance use disorders. Their therapeutic methods encompass anger management, brief intervention strategies, and motivational interviewing, all designed to foster positive change. The center prides itself on crafting bespoke treatment itineraries for adult and young adult patients, ensuring a personalized journey towards healing. Catering to both men and women, Crossroads Recovery Center specializes in outpatient care involving methadone, buprenorphine, or naltrexone. Their core philosophy centers on a personalized approach, guiding clients toward lasting recovery with a blend of empathy and skilled support.
View detailsLaredo, TX
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.
View detailsHouston, TX
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.
View detailsJacksonville, TX
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.
View detailsDallas, TX
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.
View detailsSan Antonio, TX
Brookdale Alliance in San Antonio, TX, provides extensive outpatient care for adults and young adults facing addiction and concurrent mental health challenges. The facility features distinct programs for men, women, and pregnant or postpartum individuals, allowing for personalized treatment plans. Brookdale Alliance offers various treatment modalities, including medically supervised detox, outpatient counseling, and medication-assisted treatment (methadone, buprenorphine, naltrexone). Their therapeutic approach incorporates proven methods like anger management, cognitive-behavioral therapy, and the Matrix Model to foster sustained recovery. Brookdale Alliance's commitment to high-quality, gender-responsive care positions it as a leading option for those desiring individualized and successful rehabilitation.
Longview, TX
Situated in Longview, TX, East Texas Clinic Inc specializes in outpatient detox and rehabilitation services for both adults and young adults. The center features programs designed specifically for adult males, adult females, and individuals who have suffered from sexual trauma. Using treatment methodologies like cognitive-behavioral therapy, the Matrix Model, and motivational interviewing, the center customizes its services to meet the unique requirements of each client. Catering to all genders, East Texas Clinic Inc is committed to providing exceptional addiction treatment within a nurturing atmosphere. If you are looking for thorough outpatient care that is tailored to your specific situation, this facility is focused on supporting your journey towards recovery.
View detailsShowing 21 of 78 methadone clinics in Texas. Browse all centers in Texas
Frequently Asked Questions About Methadone in Texas
Do I have to stop using opioids before starting methadone?
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.
Is take-home methadone included at the same monthly cost?
Yes. Once patients meet SAMHSA take-home criteria, the monthly dispensing fee covers both in-clinic and take-home doses. Patients who advance to 28-day take-home typically save on travel and time, though the treatment fee itself stays consistent.
Does Texas Medicaid cover both the medication and the counseling for methadone?
Yes. Texas Medicaid covers the medication (methadone, buprenorphine, or naltrexone), counseling sessions, group therapy, drug screening, and care coordination as an integrated MAT benefit. Peer-recovery support is also reimbursable in Texas under the state plan.
What happens if my Texas provider bills insurance out-of-network?
You may owe the full charge minus any out-of-network benefit. Ask methadone clinics whether they will file an insurance claim, charge you up-front, or negotiate a single-case agreement with your insurer. No Surprises Act protections may apply — request a Good Faith Estimate.
Are there license caps or certificate-of-need rules for new methadone clinics 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.
What is the shortest effective course of methadone?
Evidence supports a minimum of 6–12 months of continuous MAT for most patients. Courses shorter than 3 months are associated with high relapse and overdose rates. Your Texas clinician will set an individualized duration target after the first month of treatment.
Can I start methadone through telehealth in Texas?
Yes. Buprenorphine induction and follow-up are routinely delivered by telehealth in Texas under permanent federal rules. Naltrexone can be prescribed via telehealth too. Methadone induction requires an in-person OTP visit for the first dose.
Is the first methadone dose stronger or weaker than later doses?
First doses are intentionally cautious — 5–10 mg of buprenorphine or 20–30 mg of methadone — to assess tolerance and avoid over-sedation. Your dose is titrated up over the first 1–2 weeks until cravings and withdrawal are controlled.
Is constipation on methadone a serious problem?
Constipation is one of the most common and persistent methadone 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.
Will CPS or DCF automatically be called if I use methadone during pregnancy in Texas?
Texas has specific protocols: prenatal MAT under medical supervision is typically not grounds for child-welfare action on its own. Hospital social workers may coordinate a Plan of Safe Care as required by CAPTA — this is a supportive plan, not automatic removal.
Can I skip counseling and just take methadone?
Patients prescribed buprenorphine or naltrexone in Texas can technically receive medication without counseling, but outcomes are significantly better with integrated counseling. Methadone patients at OTPs have counseling requirements per federal rule 42 CFR Part 8.
Will I show up on any public registry for taking methadone?
No. There is no public registry of MAT patients. Texas’s prescription drug monitoring program (PDMP) tracks controlled-substance prescriptions but is accessible only to clinicians and law enforcement with a specific investigative basis.
Other Treatment Options in Texas
Methadone Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)