Drug and Alcohol Rehab Centers in Decatur, TX
Drug and alcohol treatment for Decatur, Texas is listed on this page, taking in providers that also serve Azle, Denton and Keller. Scroll down for the full list, with the levels of care and payment options each one offers.
The Texas Health and Human Services Commission, SAMHSA, The Joint Commission and CARF International are among the bodies we check Decatur listings against. Texas has not expanded Medicaid, which is worth knowing before you start calling.
1 Drug and Alcohol Rehab Treatment Centers in Decatur, TX
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Drug and Alcohol Rehabs in Decatur, Texas
Decatur is the seat of Wise County, around sixty kilometers northwest of Fort Worth, with roughly 6,500 residents.
The 1896 courthouse is among the more striking in Texas, and the county has substantial oil and gas activity in the Barnett Shale.
Wise County sits at the rural edge of the metroplex commuter belt.
The CDC does not publish separate counts for counties with populations this small, so state-level data is what there is to work from.
No state has a higher uninsured rate than Texas, at about 16 percent, and the reason is largely that Medicaid was never expanded here. That leaves an estimated 617,000 to 920,000 adults earning too little to qualify for Marketplace subsidies yet ineligible for Medicaid.
One rule matters more than any other here: a substance use disorder diagnosis on its own does not qualify anyone for Texas Medicaid, however low their income. Adults generally need a severe mental health diagnosis and disability status. A parent with no disability qualifies only below roughly $4,000 a year.
For people with no cover, OSAR is the front door. The Outreach, Screening, Assessment and Referral program operates in all eleven Texas health and human services regions, answers day and night, and can be reached on 211 or 877-541-7905.
Neighboring Azle, Denton and Keller carry their own listings, with the wider picture across Texas.
Which Level of Care Do You Need
The figures below cover providers listed in Decatur and the surrounding parts of Wise County. Fort Worth is within an hour.
Medically Supervised Detox
Medically supervised detox sees someone through withdrawal, typically over three to seven days. Wise Health System serves the town and surrounding county. The first three days are the dangerous part with alcohol and benzodiazepines, which is why supervised withdrawal matters rather than stopping unaided.
Inpatient Residential Treatment
In residential treatment someone lives at the facility, usually for thirty, sixty or ninety days. Residential capacity in Wise County is essentially absent, and placement toward the metroplex is the norm.
Outpatient, IOP and PHP Treatment
Level of care is set against American Society of Addiction Medicine criteria here, and an assessment should therefore produce a defined answer rather than a provider’s default. Gas field work here follows rotation patterns that make conventional weekly schedules difficult for part of the workforce.
Dual Diagnosis and Co-Occurring Disorders Treatment
Co-occurring treatment handles both conditions concurrently, which is the approach the evidence supports. Helen Farabee Centers holds the local mental health authority contract for Wise County. Helen Farabee Centers covers Wise County alongside a large group of North Texas counties.
Sober Living Homes and Transitional Living
Recovery housing means a shared substance-free home for the period after a program ends. Texas certifies recovery housing through TROHN, its National Alliance for Recovery Residences affiliate, though certification is voluntary and worth confirming rather than assuming. Recovery housing here does not exist in quantity, and options mean traveling toward Fort Worth.
Addiction Treatment Cost and Insurance Coverage in Decatur
Decatur household incomes sit near the state median, with gas activity and agriculture dominant locally. Listings in Decatur itself are limited, so the practical search usually extends into the surrounding county and beyond. Wise County is small enough that annual overdose counts are not published separately, so the state picture is the better guide.
How Much Does Addiction Rehab Cost?
Around the state expect detox at $1,400 to $4,700 weekly, residential at $5,900 to $24,500 monthly, partial hospitalization at $6,900 to $13,300, intensive outpatient at $2,550 to $8,800 and standard outpatient at $1,220 to $4,900.
The Recovery Resource Council’s OSAR program covers Wise County and is the route for anyone without cover.
| Level of care | Monthly | Daily |
|---|---|---|
| Medical detox (7–14 days) | $1,500 – $4,900 per week | $220 – $700 |
| Residential inpatient | $6,000 – $25,000 | $200 – $830 |
| PHP | $7,000 – $13,500 | $230 – $450 |
| IOP | $2,500 – $9,000 | $80 – $300 |
| Outpatient | $1,200 – $5,000 | $40 – $170 |
| Level of care | Monthly | Daily |
|---|---|---|
| Residential inpatient | $17,000 – $50,000+ | $560 – $1,650+ |
| PHP | $14,000 – $32,000 | $470 – $1,070 |
| IOP | $9,000 – $24,000 | $300 – $800 |
| Outpatient | $5,000 – $15,000 | $170 – $500 |
Does Insurance Cover Rehab?
Yes. Addiction treatment sits among the essential health benefits most plans are required to include. What a plan actually pays varies with the employer, the network and the level of care, so two people with the same insurer can face very different bills. Employer plans are present in gas services and healthcare. Texas Medicaid runs through STAR managed care, and agricultural and contract work frequently carries neither.
Coverage and approval are separate steps. Prior authorization is standard before detox and residential admission, and network status usually decides your share of the bill. Contract gas field work often carries no plan at all, so establish that before comparing private figures.
Free and State-Funded Addiction Rehab in Decatur
No state has a higher uninsured rate than Texas, at about 16 percent, and the reason is largely that Medicaid was never expanded here. That leaves an estimated 617,000 to 920,000 adults earning too little to qualify for Marketplace subsidies yet ineligible for Medicaid. One rule matters more than any other here: a substance use disorder diagnosis on its own does not qualify anyone for Texas Medicaid, however low their income. Adults generally need a severe mental health diagnosis and disability status. A parent with no disability qualifies only below roughly $4,000 a year. In a rural county the journey decides whether treatment holds. Admissions teams here are accustomed to people traveling considerable distances, and many will restructure a schedule around that if asked at the outset rather than once attendance has already lapsed.
Helen Farabee Centers covers Wise County as the local authority. For people with no cover, OSAR is the front door. The Outreach, Screening, Assessment and Referral program operates in all eleven Texas health and human services regions, answers day and night, and can be reached on 211 or 877-541-7905. There are 37 local mental health authorities across Texas alongside two local behavioral health authorities, and because most OSAR programs are housed within them, one call frequently covers both.
Opioid settlement funds are handled by the Texas Opioid Abatement Fund Council, which sits with the Comptroller. Its September 2025 round put $21.2 million into 109 grants and covered every region of Texas for the first time. December 2025 brought a commitment of up to $25 million to UTHealth Houston for certified recovery housing, following an earlier $25 million to University Health in Bexar County for naloxone across the state. Separate payments to counties and cities have run $47.1 million in 2023, $9.2 million in 2024, $44.8 million in 2025 and $11.5 million in March 2026.
More Help and Recovery Support
Wise Health System serves the town, with Level I trauma care at John Peter Smith in Fort Worth.
Azle, Denton and Keller carry further listings, with more across Texas.
Free and confidential, available now
Texas OSAR substance use referral line — 877-541-7905, free and 24 hours a day 988 Suicide & Crisis Lifeline — call or text 988
References and Citations
- Texas Health and Human Services Commission — Local Mental Health and Behavioral Health Authorities, and the Outreach, Screening, Assessment and Referral program across the eleven HHS regions.
- Texas Opioid Abatement Fund Council, Office of the Comptroller — grant awards September 2025, recovery housing award December 2025, and political subdivision disbursements 2023 to 2026.
- U.S. Census Bureau and Texas HHSC — health insurance coverage and the Medicaid coverage gap in Texas.
- CDC National Center for Health Statistics — VSRR provisional county-level drug overdose death counts, twelve months ending December 2021 and December 2025, data as of 5 July 2026.
- Rehab Seekers directory listings, Decatur and Decatur, August 2026, and market rate research, Texas, 2026. Ranges are indicative and vary by facility, length of stay and coverage.