MAT Clinics in Texas: Methadone, Suboxone & Vivitrol Treatment

Get Help Finding a Clinic in Texas

Need help exploring Texas treatment options?

Discuss treatment types, insurance questions and possible next steps with a navigation representative.

Call 1-(347) 591-7540

Please enable JavaScript in your browser to complete this form.

Your Information - Step 1 of 2

First Name *

Last Name *

Phone Number *

Email Address *

Next

What treatment option are you interested in? *Methadone TreatmentBuprenorphine / Suboxone TreatmentNaltrexone / Vivitrol TreatmentCounseling OnlyNot Sure Yet

Who is this for? *MyselfA Loved One

Do you have insurance? *YesNoNot Sure

What state are you located in? *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

I agree to be contacted by phone, text, or email about treatment options. I understand this is not a guarantee of treatment placement or insurance coverage. *

• I agree

located treatment leadid_token

Find My Treatment Options

For an overdose or immediate danger, call 911. For mental health crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.

MAT Clinic Guide is an educational navigation site, not a treatment provider. Our helpline reaches our navigation line, not an individual listed clinic; calls may be answered or routed to participating treatment providers or navigation partners. Confirm services with the clinic.

MAT Treatment Options in Texas by Medication

Methadone treatment at Texas opioid treatment programs

Texas has 71 CMS-listed opioid treatment program (OTP) locations, with 24 in the Dallas–Fort Worth region, 12 in greater Houston, eight in San Antonio and five in the Austin area. For opioid use disorder, methadone is dispensed through certified OTPs rather than an ordinary retail prescription. Visits can be frequent at the start, while clinical decisions and eligibility affect take-home doses. Compare locations in the city directory and read how methadone treatment works or what an OTP is.

Buprenorphine and Suboxone treatment

Medication assisted treatment in Texas also includes buprenorphine, commonly known through the Suboxone brand. A qualified prescriber can provide this medication in an office-based setting, and telehealth Suboxone Texas appointments may be possible under current federal and state rules. This can be an important route for people in the 223 counties without a listed OTP. A clinician will assess appropriateness and how to begin safely. Learn about buprenorphine and Suboxone treatment and MAT versus MOUD.

Long-acting buprenorphine: Sublocade and Brixadi

Sublocade and Brixadi are long-acting injectable forms of buprenorphine, administered by a healthcare professional on their product-specific schedules. Texas residents can ask an addiction-medicine practice or treatment program whether these options are offered, what preparation is needed, and how coverage works. Injectable treatment may reduce the need to take a medication every day, but it does not eliminate follow-up care. The right choice depends on medical history, prior treatment and personal preference. See the Sublocade medication guide.

Naltrexone and Vivitrol

Naltrexone is another medication used for opioid use disorder, and Vivitrol is its extended-release injectable form. Unlike methadone and buprenorphine, it is an opioid antagonist and requires an opioid-free period before initiation to avoid precipitated withdrawal. In Texas, ask a prescribing practice about assessment, injection scheduling and insurance before planning a visit. The medication does not suit every situation, including some cases where getting through the opioid-free period may be difficult. Read naltrexone and Vivitrol treatment.

Paying for MAT in Texas

Texas Medicaid and medication coverage

MAT clinics that accept Medicaid in Texas may provide covered OUD medications to eligible members, but acceptance and individual plan requirements differ. Texas Medicaid is administered by HHSC, with managed care programs including STAR, STAR+PLUS, STAR Kids and STAR Health. Texas has not adopted ACA Medicaid expansion, so low-income adults without dependent children may have fewer eligibility routes than in expansion states. People who are pregnant, parents or caretakers, disabled, or age 65 or older should still check eligibility.

Review Texas Medicaid and CHIP information to learn about enrollment and benefits. Specific clinic acceptance and requirements should be confirmed directly.

Medicare coverage

Medicare Part B includes an OTP benefit for eligible people receiving OUD treatment at enrolled programs. Prescription coverage for some medications outside OTPs depends on the treatment setting and the person’s Medicare coverage, including Part D where applicable. Texas has 71 Medicare-enrolled OTP locations in the September 2026 CMS file, but listing alone does not establish your individual out-of-pocket cost.

Private insurance and Marketplace plans

If you have private health insurance in Texas, ask whether your preferred OTP, prescriber, medication and pharmacy are in network. Mental health and substance use parity protections apply in many settings, but do not mean every requested medication or service has identical coverage. Texas residents can explore Marketplace plans through HealthCare.gov when eligible. For more detail see insurance coverage for MAT.

No insurance: public treatment pathways and low-cost options

Texas HHSC funds Outreach, Screening, Assessment and Referral (OSAR) centers that screen for substance use treatment needs and help connect people with state-funded options. Ask regional OSAR staff about eligibility and available services. Public-facing Texas programs include Integral Care in Austin, StarCare in Lubbock, Aliviane in El Paso and The Center for Health Care Services in San Antonio; ask them and other clinics about self-pay charges or a sliding fee scale. When searching for free methadone clinics Texas options, ask about funding rather than assuming any listed program is free.

For cost planning, see MAT costs and insurance and how to verify insurance.

Opioid Overdose in Texas: Why Access Matters

Texas recorded 4,980 all-drug overdose deaths in 2024, down from 5,687 in 2023 (CDC NCHS via KFF). The Texas age-adjusted overdose death rate was 15.8 per 100,000 people in 2024, compared with 23.1 nationally; the Texas opioid-specific rate was 7.8 compared with 16.0 nationally. These numbers describe population trends, not anyone’s personal prognosis.

Texas’s statewide all-drug rate increased from 10.8 in 2019 to 18.5 in 2023 before falling in 2024. Even with the decline, connecting people to medication, naloxone and supportive follow-up remains important across urban and rural counties. Learn how naloxone can reverse an opioid overdose.

Texas Resources & Helplines

Naloxone and the Texas Good Samaritan defense

Narcan nasal spray is sold over the counter at pharmacies, and the Texas DSHS distribution map can help locate other access points. The Texas Jessica Sosa Act (HB 1694, effective September 1, 2021) provides a limited defense to certain possession prosecutions when qualifying people seek emergency help during another person’s overdose. It is not blanket immunity from arrest; conditions and exclusions apply, including cooperation and prior-history restrictions. Call 911 for a suspected overdose.

How to Choose a MAT Clinic in Texas

A useful Texas MAT clinic fits your medication needs, offers a realistic travel or follow-up plan, and explains fees and intake clearly. The 71-location OTP directory can help with methadone searches, while FindTreatment.gov and OSAR can broaden the search to other medications.

Questions to ask a methadone clinic

• Is the program currently enrolling patients for methadone?
• What assessment documents and identification should I bring?
• What dosing hours and weekend arrangements apply?
• How do take-home doses and guest dosing work?
• Does the location accept my Texas Medicaid plan, Medicare or other insurance?

Questions to ask a buprenorphine or Vivitrol provider

• Do you offer buprenorphine, injectable buprenorphine or Vivitrol?
• Can the initial evaluation or follow-up happen by telehealth?
• Which pharmacies or injection sites do you work with?
• What are the expected visits and out-of-pocket fees?
• How will you address withdrawal symptoms and ongoing support?

What happens at the first visit?

1. Discuss substance use and medical history in a confidential assessment.
2. Review medication choices and other health needs.
3. Discuss safe medication initiation, follow-up visits and cost.
4. Agree on a care plan and practical next steps.

Sources, Methodology & Editorial Standards

1. CMS Medicare Opioid Treatment Program Providers, September 8, 2026
2. Texas DSHS, Texas Substance Use Resources
3. Texas DSHS, Naloxone Distribution Interactive Map
4. HPPR, Texas NARCAN locator reporting, March 28, 2025
5. Texas HB 1694, 2021 bill analysis
6. KFF, Medicaid expansion status, October 2026
7. KFF / CDC NCHS, all-drug overdose death rates, 2019–2024
8. KFF / CDC NCHS, opioid overdose death rates, 2019–2024
9. Texas HHSC, OSAR program
10. Texas HHSC, Medicaid and CHIP

Clinic names, addresses and telephone numbers were organized by Texas city from the CMS Medicare OTP Providers file dated September 8, 2026, with exact-address duplicates combined. These are Medicare-enrolled OTP listings, not a count of every medication prescriber in the state. Public health rates are from CDC NCHS as presented by KFF. MAT Clinic Guide does not own or operate any listed treatment center.

This page provides general educational and treatment-navigation information, not medical advice, diagnosis or a prescription. Treatment choices should be made with an appropriately licensed clinician. MATClinicGuide.com is not a treatment provider; its phone number reaches a treatment-navigation line rather than the individual clinics listed here. Calls may be answered or routed to participating treatment providers or navigation partners. Confirm services, payment, intake and availability directly with clinics. In an emergency call 911; for mental health crisis support call or text 988.

Read our editorial policy, medical disclaimer and advertising and referral disclosure.