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will find information and resources related to evidence-based treatment models, counseling and
therapy and payment and insurance options.
Treatment for addiction takes many forms and depends on the needs of the
individual. In accordance with the American Society of Addiction Medicine, we offer
information on outcome-oriented treatment that adheres to an established continuum of
care. In this section, you will find information and resources related to evidence-based
treatment models, counseling and therapy and payment and insurance options.
The recovery process doesn't end after 90 days of treatment. The transition back to
life outside of rehab is fraught with the potential for relapse. Aftercare resources such as
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community understands the struggle and provides guidance born of personal experience.
We run three campuses in Texas. Promises Brazos Valley in College Station, Promises Dallas-Fort Worth in Lewisville, and The Right Step Houston in east Houston. All three publish medical detox and residential care, and each carries several steps down from it.
Say the gap first, because it is the one most Texans will care about: we run nothing in Austin and nothing in San Antonio. For either city the campus to ask about is Promises Brazos Valley in College Station, and admissions will tell you the real drive from your address rather than a figure we have estimated. What the three campuses do cover well is the Houston region, the Dallas-Fort Worth Metroplex and the Brazos Valley. This page sets out what each campus offers, which levels of care exist and who each suits, who actually needs medical detox before anything else, how Blue Cross and Blue Shield of Texas, Texas Medicaid and TRICARE tend to work, where Texas health data comes from, what travel within the state involves, and what happens on the first call. For the wider list of options across the state, start at our nationwide directory of rehab facilities.
Drug and alcohol rehab in Texas: what we run and where
Three campuses, three regions. College Station sits in Brazos County, roughly between Austin and Houston. Lewisville is in Denton County, north of Dallas on the I-35E corridor. The Houston campus is on the east side of the city near I-10.
They are not identical, and it is worth knowing where they differ before you choose. Taking each campus’s own published list: College Station publishes medical detox, residential or inpatient treatment, inpatient rehab for mental health, a partial hospitalization program, an intensive outpatient program and aftercare planning. East Houston publishes medical detox, residential or inpatient treatment, a partial hospitalization program, an intensive outpatient program its own card labels virtual, and aftercare planning. Lewisville publishes medical detox, residential or inpatient treatment, inpatient rehab for mental health, an intensive outpatient program its own card marks virtual, and aftercare planning. Where a campus is silent about a level, that is a question for admissions rather than a no.
Promises Brazos Valley works with adults and young adults. If the person you are calling about is a veteran or a first responder, say so on the first call and admissions will confirm what specialized programming each campus has available.
What we do not do is publish a list of anyone else’s facilities. This page covers our own campuses, and that is the whole roster in Texas.
Our Texas campuses: Promises Brazos Valley, Promises Dallas-Fort Worth, The Right Step Houston
Promises Brazos Valley is on Normand Drive in College Station, about 4 miles from the center of town and about 79 miles from Houston and 155 miles from Dallas in a straight line — farther by road. It is the campus this page routes to, and it takes people from across central and southeast Texas. Read more on our page for Promises Brazos Valley.
Promises Dallas-Fort Worth is on Highland Drive in Lewisville, roughly 18 miles from downtown Dallas and 26 from Fort Worth as the crow flies, which puts it within reach of most of the Metroplex without being downtown. Details are on our Promises Dallas-Fort Worth page.
The Right Step Houston is on Wood Bayou Drive in east Houston, near the ship channel side of the city and about 9 miles from downtown. See our The Right Step Houston page.
Choosing between them is usually a question of distance, family visiting, and which one has capacity at the level of care you need. Admissions will tell you all three answers on one call.
Levels of care available in Texas: detox, residential or inpatient treatment, inpatient rehab for mental health, partial hospitalization, intensive outpatient and aftercare planning
These levels are steps, not products. Federal reporting describes a continuum of care that gives people an array of service options based on need [3].
Residential care is organized clinical service in a 24-hour setting outside a hospital, for people who are medically stable but need structure around them [3]. Partial hospitalization and intensive outpatient sit below it. Federal reporting groups them together and describes them as ranging from counseling and education through to clinically intensive programming, often used as a step-down option [3].
Inpatient rehab for mental health is published as a level of its own at College Station and at Lewisville. Aftercare planning is the last step at all three campuses, and it is what connects the structured phase to ordinary life.
Federal reporting also describes standard outpatient care, appropriate either as a first level for a mild to moderate substance use disorder or as continuing care after something more intensive [3].
Treating a mental health condition and a substance use disorder together, rather than in sequence, is a capability rather than a separate step. Federal protocol builds screening for other mental and physical conditions into the evaluation stage of detox itself [1].
If someone is having a seizure, is unresponsive or has trouble breathing, call 911. For a mental health crisis, call or text 988.
Treatment in Texas, from detox through aftercare planning
Promises Brazos Valley in College Station, Texas publishes medical detox, residential or inpatient treatment, inpatient rehab for mental health, a partial hospitalization program, an intensive outpatient program and aftercare planning. We also run campuses in Lewisville and east Houston, and nothing in Austin or San Antonio.
Detox is for physical dependence, and for some substances it is a medical necessity rather than a preference.
Alcohol and sedatives are the dangerous pair. In severe alcohol dependence, seizures, delirium tremens, and dysregulation of body temperature, pulse and blood pressure can lead to fatal consequences [2]. Federal guidance says that for alcohol, sedative-hypnotic and opioid withdrawal, hospitalization or some form of 24-hour medical care is generally the preferred setting [2].
Opioids are a different problem. Unlike alcohol and sedative withdrawal, uncomplicated opioid withdrawal is not life-threatening [2]. The danger arrives afterward, because people who move from opioid dependence to a drug-free or medication-free state face a greater risk of overdose if they return to opioid use [2].
If someone is having a seizure, is unresponsive or has trouble breathing, call 911. For a mental health crisis, call or text 988.
Detox also has a defined end point. Federal protocol splits it into evaluation, stabilization, and fostering entry into treatment, and states that detoxification is not substance abuse treatment and rehabilitation [1]. Our medical detox page explains what that looks like day to day.
Paying for treatment in Texas: commercial plans, Texas Medicaid, TRICARE and self-pay
Most people arrive with a commercial plan, and Blue Cross and Blue Shield of Texas is the one we are asked about most. We do not publish coverage figures for a named carrier, because the only accurate answer is the one your own plan gives. Ask the plan three things: whether a deductible applies before it pays anything, what the coinsurance is after that, and whether inpatient care needs approval first.
Federal parity law limits how restrictive a plan may be. Copays, coinsurance and limits such as a visit cap cannot be more restrictive for substance use benefits than the rules applied to substantially all medical and surgical benefits in the same class [5]. Limits applying only to substance use benefits are prohibited [5]. Deductibles and out-of-pocket maximums must combine both kinds of benefit rather than sit separately [5]. Parity has a scope worth knowing. It applies to non-federal governmental plans with more than 50 employees, to private employer group plans with more than 50 employees, and to individual-market coverage. Small-employer group plans are generally outside it, although non-grandfathered small-group and individual plans must cover mental health and substance use disorder services as an essential health benefit under the Affordable Care Act [5].
Texas Medicaid and TRICARE both come with a question rather than an answer. Medicaid eligibility and the way the benefit is delivered are set state by state, and TRICARE’s rules turn on which plan option a family holds, so what is covered and which providers are in network depends on the specific plan named on the card. Texas Health and Human Services is the authority on the Medicaid side; the TRICARE plan administrator is the authority on the other. Ask each of them about your own household before you plan around either.
Self-pay is a real route. Our own cost page puts medical detox at $250 to $800 a day and basic residential care at $2,000 to $20,000, and those are our published ranges rather than federal figures. The useful question is what the daily rate includes and what is billed separately. Our pages on insurance coverage for rehab and what rehab costs set out the mechanics before you call.
Texas substance use and overdose data, and where it comes from
Be careful with numbers you find about Texas online. Most of what circulates is out of date or lifted from a national figure and relabeled.
The state’s own source is the Center for Health Statistics at the Texas Department of State Health Services. It publishes information to support assessments of community health, public health planning, research, grant applications and emergency response [4]. Its data sets and reports are the starting point for anything county-level.
Two things are worth knowing about that data. It lags, often by a year or more, because death certificate and hospital reporting take time to finalize. And county figures move a lot year to year in smaller counties, where a handful of cases changes a rate.
Texas’s 2024 drug overdose death rate is 15.8 per 100,000, age-adjusted [6]. That is the rate rather than the count, and the two are not interchangeable. If you need county-level figures, take them from the state’s own published reports rather than from a treatment provider, including us.
Traveling within Texas for treatment, and traveling out of state
Texas is large enough that “in state” can still mean a long drive. Ask admissions how each campus handles family contact before treating any of those runs as a day trip, because each one publishes its own rules.
Distance can be an advantage. Putting a few hours between a person and the places they used is a real clinical benefit, not just a logistics detail. It also makes leaving on the second difficult day harder, which is sometimes the point.
Going out of state is worth considering when the right level of care is not available nearby, when privacy matters in a small town, or when family is elsewhere. Network rules travel with the plan, so the coverage question is the same conversation wherever you go.
Whichever direction you choose, arrange the return. Aftercare has to be near where the person will actually live, and that is worth deciding before admission rather than in the last week.
How admission works and what happens on the first call
The first call is a conversation, not an application. Admissions asks what has been happening, for how long, what has been tried, and what the medical history looks like.
Then comes the clinical assessment. That decides the level of care, and it takes account of withdrawal risk, other diagnoses, and your living situation. It is a clinical judgment, so the answer may not be the one you expected.
Insurance verification runs alongside it. Our team contacts the plan, confirms benefits for the recommended level of care, and tells you what the plan says rather than what you would like to hear.
If a bed is available and the plan agrees, admission can follow quickly. Bring identification, your insurance card, and a written list of your medications. Our guide to how to get into rehab walks through the whole sequence, and our facility directory lists our campuses under the state each one is in.
Frequently Asked Questions
Do you have a treatment center in Texas?
Yes, three: Promises Brazos Valley in College Station, Promises Dallas-Fort Worth in Lewisville, and The Right Step Houston in east Houston. All three publish medical detox, residential or inpatient treatment, an intensive outpatient program and aftercare planning, and Lewisville and east Houston both card their intensive outpatient programming as virtual; College Station and east Houston also publish a partial hospitalization program, and College Station and Lewisville also publish inpatient rehab for mental health. We run nothing in Austin or San Antonio.
Will Texas Medicaid pay for rehab?
Medicaid eligibility and the way the benefit is delivered are set state by state, not federally, so nothing on this page can tell you whether you qualify or what your plan would cover. Texas Health and Human Services is the authority on both, and the plan named on the member’s card decides the network. Ask the program to verify before admission; our admissions team can make that call with you.
Where is the nearest medical detox in Texas?
All three of our Texas campuses run medical detox, so the nearest one depends on where you are. Central and southeast Texas is usually College Station. North Texas and the Metroplex is usually Lewisville. Greater Houston is usually the east Houston campus. Availability at the level of care you need can change the answer on any given day.
How much does rehab cost in Texas?
It depends on the level of care, the length of stay and your plan. Our own cost page puts medical detox at $250 to $800 a day and basic residential care at $2,000 to $20,000, and those are our published ranges rather than federal figures. Federal parity law does limit how much more restrictive a plan may be for substance use benefits than for medical and surgical benefits in the same class. Ask for a written benefits summary before admission rather than a verbal estimate.
Can I go out of state for treatment and keep my Texas insurance?
Often, though it depends on the plan’s network rules rather than on state lines. Some plans cover out-of-state care at in-network rates, some at a lower rate, and some only with prior authorization. Ask the plan the question in those terms, and have the program verify benefits in writing before anyone travels.
Sources
Center for Substance Abuse Treatment. (2006). Detoxification and Substance Abuse Treatment, Chapter 1: Overview, Essential Concepts, and Definitions in Detoxification. Treatment Improvement Protocol (TIP) Series, No. 45. Substance Abuse and Mental Health Services Administration. https://www.ncbi.nlm.nih.gov/books/NBK64119/
Center for Substance Abuse Treatment. (2006). Detoxification and Substance Abuse Treatment, Chapter 4: Physical Detoxification Services for Withdrawal From Specific Substances. Treatment Improvement Protocol (TIP) Series, No. 45. Substance Abuse and Mental Health Services Administration. https://www.ncbi.nlm.nih.gov/books/NBK64116/
Office of the Surgeon General. (2016). Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health — Chapter 4: Early Intervention, Treatment, and Management of Substance Use Disorders. U.S. Department of Health and Human Services. https://www.ncbi.nlm.nih.gov/books/NBK424859/
Texas Department of State Health Services. Center for Health Statistics. State of Texas. https://www.dshs.texas.gov/center-health-statistics
Centers for Medicare & Medicaid Services. The Mental Health Parity and Addiction Equity Act (MHPAEA). CMS.gov. https://www.cms.gov/marketplace/private-health-insurance/mental-health-parity-addiction-equity
National Center for Health Statistics. Drug Overdose Mortality: Stats of the States. Centers for Disease Control and Prevention. https://www.cdc.gov/nchs/state-stats/deaths/drug-overdose.html
This page is for general information and is not medical advice. Only a licensed clinician who knows your history can tell you what is right for you. If you or someone you know is in immediate danger, call 911. For free, confidential support 24/7, call or text 988.
Check Your Insurance in Texas
See which of our campuses take your plan and what it usually covers for addiction treatment in Texas.
Calls will be answered by a qualified admissions representative with Advanced Recovery Systems (ARS), the owners of DrugRehab.com. We look forward to helping you!
Phone calls to treatment center listings not associated with ARS will go directly to those centers. DrugRehab.com and ARS are not responsible for those calls.
