Selecting a Treatment Provider in Texas

Selecting a Treatment Provider in Texas

In 2018 the Centers for Disease Control and Prevention reported that 3,005 Texans died from a drug overdose—a mortality rate of 10.4 per 100,000 people. [1] As drug addiction and overdose rates continue to be a problem in the U.S.[2] American Addiction Centers is committed to reducing this trend by helping people get treatment and support.

The goal of this page is to help the many residents of Texas who are struggling with substance abuse addiction find affordable treatment. Below is a comprehensive resource for information on how to find state-funded resources, how to find accreditation information for facilities and specialists, how to pay for private rehabilitation, and the different types of rehab options available in Texas.

Types of Rehab Available in Texas

There are three types of treatment programs for substance abuse: detox, inpatient care, and outpatient care.

Detox is the first step in long-term substance abuse treatment. It can also be the riskiest step due to the acute and potentially dangerous physiological effects of suddenly stopping the use of the addictive substance. [3] However, medically supported detox provides guidance to help stabilize the patient before moving into a long care treatment plan. Detoxification alone does not address the psychological, social, and behavioral problems associated with addiction and will not produce behavioral necessary for recovery. [4] In order for a patient to fully recover from an addiction, they must also receive inpatient and/or outpatient care.

Inpatient care is administered in a residential facility with around-the-clock supervision from medical staff. Outpatient care follows inpatient care and does not require the patient to stay in a facility. Outpatient care is also an option for those who do not have the flexibility to time away from work or family responsibilities.

The table below provides the number of rehab facilities in Texas that offer each level of care:

Type of Care, by number and percent
Facilities
No. %
Outpatient 420 83.67%
Regular 335 66.73%
Intensive 256 51.00%
Day Treatment/Partial Hospitalization 83 16.53%
Detoxification 61 12.15%
Methadone/buprenorphine maintenance or naltrexone treatment 126 25.10%
Residential (non-hospital) 124 24.70%
Short Term 91 18.13%
Long Term 102 20.32%
Detoxification 49 9.76%
Hospital Inpatient 52 10.36%
Treatment 47 9.36%
Detoxification 50 9.96%
Total 502 100.00%

Paying for Treatment in Texas

According to a 2013 survey conducted by the Substance Abuse and Mental Health Agency (SAMHSA), the inability to afford rehab is the number one reason why those suffering from addiction did not seek treatment at a specialty facility. [5] Most people in Texas either use private or state insurance plans when seeking rehab treatment. For those without health insurance, substance abuse rehabilitation seems out of reach.

Treatment for substance addiction can be expensive. According to Help.org, the average cost for outpatient treatment ranges from $3,000 to $10,000 for 90 days and inpatient care can range from $5,000 to $20,000 for 30 days.[6] The final cost is determined by the type of care, whether it’s a private or state-run facility, and the type of amenities offered by the rehab facility.

Most rehab facilities and detox centers are either state-funded or privately-funded. State-funded rehab centers receive their funding from the government. This makes treatment affordable but can have limited treatment options. Private rehab centers offer a greater variety of therapies and programs but will cost more. Ultimately, the type of facility and treatment chosen will determine the final cost of treatment.

The Difference Between State-Funded & Private Treatment in Texas

For most people with health insurance or those with independent financial security, private treatment is the best course for treatment. Texans without employer-based or private health insurance may have the option to receive treatment in a state-funded facility. Both options offer accredited treatment plans but will vary on the diversity of treatment options.

Many private insurance plans cover a large percentage of the cost of treatment and offer a greater diversity of therapies and programs, such as more amenities and a better staff-to-patient ratio. [7] These programs offer the best flexibility and fewer obstacles and challenges that can arise with government-run addiction treatment programs

State-funded programs provide treatment to individuals who are not able to afford rehab services. Many of these programs are free or low-cost and may include detox, inpatient or outpatient treatment, and supportive services [7]. Therefore, these programs are a good resource for patients that do not have the option to receive treatment in a private facility. However, many of these facilities run on government allocated funding, including federal grants, state grants, or Medicaid reimbursement.[8] For this option, the patient must qualify for treatment, and the length of the program, treatment options, and client to staff ratio may be limited. Many state-funded programs have a lengthy waiting list for prospective clients, only admitting severe cases first.

The table below lists the number of facilities in Texas by private non-profit, private for-profit, locally funded, state-funded, or federally funded.

Facility Payment Options, by Number and percent
No. %
Cash or self-payment 448 89.24%
Private Health Insurance 320 63.75%
Medicare 101 20.12%
Medicaid 289 57.57%
State-financed Health insurance 187 37.25%
Federal military insurance 135 26.89%
No payment accepted (free treatment for all clients) 11 2.19%
IHS/Tribal/Union (ITU) funds 35 6.97%
Other payments 4 0.80%
Sliding fee scale 249 49.60%
Treatment at no charge or minimal payment for clients who can’t pay 224 44.62%
Total 502 100.00%

Treatment in Texas by Payment Option

There are 502 treatment facilities, both private and state-funded, in Texas. Of the 502 facilities, 320 accept private insurance and 448 also accept cash or self-payment. At least 187 of the 502 accept state-financed health insurance and 135 accept federal military insurance plans.

Nearly 18 percent of the population of Texas do not have health insurance of any type—that’s more than double the national average of 8 percent. [9] Although not having an insurance plan can limit your treatment options, there are many treatment facilities that will work with your financial situation in order for you to get proper treatment.

The table below lists the typical payment methods used and how many facilities in Texas accept each payment type.

Facility Payment Options, by Number and percent
No. %
Cash or self-payment 448 89.24%
Private Health Insurance 320 63.75%
Medicare 101 20.12%
Medicaid 289 57.57%
State-financed Health insurance 187 37.25%
Federal military insurance 135 26.89%
No payment accepted (free treatment for all clients) 11 2.19%
IHS/Tribal/Union (ITU) funds 35 6.97%
Other payments 4 0.80%
Sliding fee scale 249 49.60%
Treatment at no charge or minimal payment for clients who can’t pay 224 44.62%
Total 502 100.00%

Nearly 64 percent of treatment facilities in Texas accept private insurance, 20 percent accept Medicare and 58 percent accept Medicaid payments. For clients with lower income, nearly 50 percent of the facilities use a sliding fee scale based on income and 45 percent provide treatment at no charge or a minimal amount.
Treatment Center Accreditations in Texas

Treatment Center Accreditations in Texas

Once you understand the types of substance abuse treatment available, the difference between private- and state-funded facilities, and the myriad of options available to pay for treatment, there’s still one thing to consider—accreditation.

An accredited facility will use research-based practices that meet nationally recognized standards and best practices in addiction medicine. Reviewing the accreditation of a facility is an important part of selecting a treatment provider. The 2018 Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act addresses the nation’s opioid overdose epidemic and includes provisions to strengthen the behavioral health workforce. The act guides accredited facilities by standardizing the delivery of addiction medicine, expanding access to high-quality, evidence-based care, and facilitate the delivery of coordinated and comprehensive treatment.[10]

Clients may also refer to the Commission on Accreditation of Rehabilitation Facilities (CARF) to find accredited professionals and facilities. Additionally, the Joint Commission Accreditation for Addiction Treatment Providers, commonly referred to as the Joint Commission, provides accreditation to service providers.[11]

The table below lists the typical types of accreditations or licenses to help you understand how many facilities have these and how common they are.

Facility Licensing, Certification, or Accreditation, by number and percent
No. %
Any listed agency/organization 483 96.22%
State substance abuse agency 375 74.70%
State mental health department 123 24.50%
State department of health 346 68.92%
Hospital licensing authority 38 7.57%
The Joint Commission 155 30.88%
Commission on Accreditation of Rehabilitation Facilities (CARF) 126 25.10%
National Committee for Quality Assurance (NCQA) 9 1.79%
Council on Accreditation (COA) 11 2.19%
Healthcare Facilities Accreditation Program (HFAP) 3 0.60%
Other national organization or federal, state or local agency 17 3.39%
Total 502 100.00%

There are a number of reputable providers with accreditations serving the state of Texas. Over 96 percent of all facilities have some kind of accreditation and nearly 75 percent are accredited state substance abuse agencies.

Are You Looking for Detox or Rehab in Texas?

Struggling with Withdrawal can be the most difficult part of achieving sobriety. It can also be the most dangerous. At American Addiction Centers, our mission is to help people achieve sobriety safely and effectively. As a leading provider of addiction treatment, we operate facilities all across the nation.

If you are looking for help and aren’t sure where to start, give our confidential helpline a call. You’ll speak with one of our admissions navigators. Their purpose is to answer your questions and help you find treatment either at one of our facilities or educate you on where you may be able to find treatment if we are not a fit.

[1] “Drug Overdose Mortality by State,” Centers for Disease Control and Prevention, April 2020. https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm
[2] “Opioid Basics” Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, March 2020 https://www.cdc.gov/drugoverdose/epidemic/index.html
[3] “Detox Treatment for Withdrawal” American Addiction Centers, October 2020. https://www.withdrawal.net/detox/
[4]”Types of Treatment Programs” National Institutes of Health, January 2018. https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states/types-treatment-programs
[5]https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabsPDFWHTML2013/Web/PDFW/NSDUH-DetTabsSect5seTabs54to56-2013.pdf
[6] “How Much Does Rehab Cost?” Help.org, August 2019. https://www.help.org/rehab-cost/
[7] “How to Pay for Detox and Rehab” American Addiction Centers, November 2020. https://www.withdrawal.net/guides/payment-options/
[8] Meredith Watkins, “How to Find a State-Funded Rehabilitation Center,” American Addiction Centers, May 18, 2020, https://americanaddictioncenters.org/rehab-guide/state-funded.
[9] Edward R. Berchick, Jessica C. Barnett, and Rachel D. Upton, “Health Insurance Coverage in the United States: 2018” US Census Bureau, November 2019, https://www.census.gov/content/dam/Census/library/publications/2019/demo/p60-267.pdf
[10] “Federal Laws Related to SAMHSA” SAMSA, April 2020, https://www.samhsa.gov/about-us/who-we-are/laws-regulations
[11] “Evolving With Care,” The Joint Commission, https://www.jointcommission.org/.