Drug and Alcohol Rehab Centers in Hereford, TX
This page lists the drug and alcohol treatment providers in and around Hereford, Texas, including those serving Amarillo, Plainview and Lubbock. Scroll down to compare what each one offers, from assessment through to aftercare, and how to get in touch.
Listings for Hereford are reviewed against records held by the Texas Health and Human Services Commission, SAMHSA, The Joint Commission and CARF International. Texas has not expanded Medicaid, so checking eligibility is worth doing before ruling anything out on price.

1 Drug and Alcohol Rehab Treatment Centers in Hereford, TX
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Drug and Alcohol Rehabs in Hereford, Texas
Hereford is the seat of Deaf Smith County in the Texas Panhandle, around seventy kilometers southwest of Amarillo, with roughly 15,000 residents.
The town calls itself the Beef Capital of the World, with very large cattle feeding operations in the surrounding county.
Meat processing employs a substantial immigrant workforce here.
County-level overdose counts are not published separately for smaller Texas counties, so the state picture is the better guide here.
Texas stands alone at the bottom of the national coverage tables, with roughly 16 percent uninsured and no Medicaid expansion behind it. The gap that creates holds an estimated 617,000 to 920,000 adults.
The eligibility position in Texas is unusually strict. Addiction alone qualifies nobody for Medicaid at any income level; adults generally need a serious mental illness and disability status, and non-disabled parents qualify only below about $4,000 a year.
The route in for anyone without insurance is the Outreach, Screening, Assessment and Referral program, known as OSAR. Texas runs one across each of the eleven health and human services regions, and they take calls around the clock. Ringing 211 or 877-541-7905 reaches the same network.
Neighboring Amarillo, Plainview and Lubbock carry their own listings, with the wider picture across Texas.
Which Level of Care Do You Need
The figures below cover providers listed in Hereford and the surrounding parts of Deaf Smith County. Amarillo is around an hour northeast. If a program cannot take someone now, ask them who can. Admissions teams generally know the local picture better than any directory does.
Medically Supervised Detox
The detox phase covers withdrawal with clinical oversight, usually lasting three to seven days. Hereford Regional Medical Center serves the town and county. Withdrawal from alcohol or benzodiazepines is at its most dangerous in the first seventy-two hours, a period best not attempted unsupervised.
Inpatient Residential Treatment
Residential programs run as live-in placements, typically over thirty, sixty or ninety days. Residential capacity here is absent, and placement toward Amarillo or Lubbock is the norm.
Outpatient, IOP and PHP Treatment
Placement decisions here follow ASAM criteria, and an assessment that does not produce a defined level of care has not really been completed. Processing plant shifts run long and early, which makes conventional evening programs difficult for much of the workforce.
Dual Diagnosis and Co-Occurring Disorders Treatment
Where an addiction sits alongside a mental health condition, dual diagnosis care addresses both at once rather than one first. Deaf Smith County’s local mental health authority is Texas Panhandle Centers. Texas Panhandle Centers covers Deaf Smith alongside the surrounding Panhandle counties.
Sober Living Homes and Transitional Living
After treatment, sober living gives a shared substance-free place to stay while things settle. Certification of recovery residences runs through TROHN, the Texas affiliate of the National Alliance for Recovery Residences. It is voluntary, so the only way to know is to ask. Recovery housing here does not exist, and options mean relocating toward Amarillo.
Addiction Treatment Cost and Insurance Coverage in Hereford
Hereford household incomes sit well below the state median, with meat processing and agriculture dominant. Listings in Hereford itself are limited, so the practical search usually extends into the surrounding county and beyond. Deaf Smith 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?
Prevailing Texas rates are roughly $1,400 to $4,700 per week for detox, $5,900 to $24,500 per month residential, $6,900 to $13,300 for partial hospitalization, $2,550 to $8,800 for intensive outpatient and $1,220 to $4,900 for standard outpatient.
A large share of the processing workforce here speaks Spanish, and provision should be asked about in those terms.
| 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 at the processing plants. Texas Medicaid runs through STAR managed care, and agricultural 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. Immigration status does not determine whether a licensed provider will treat someone, and 42 CFR Part 2 protects treatment records.
Free and State-Funded Addiction Rehab in Hereford
Texas stands alone at the bottom of the national coverage tables, with roughly 16 percent uninsured and no Medicaid expansion behind it. The gap that creates holds an estimated 617,000 to 920,000 adults. The eligibility position in Texas is unusually strict. Addiction alone qualifies nobody for Medicaid at any income level; adults generally need a serious mental illness and disability status, and non-disabled parents qualify only below about $4,000 a year. For anyone outside the town itself, the drive is the deciding factor. Programs covering rural catchments are generally willing to compress attendance or use telehealth for part of it, and asking early costs nothing.
Texas Panhandle Centers is the point of entry for publicly funded care in Deaf Smith County. The route in for anyone without insurance is the Outreach, Screening, Assessment and Referral program, known as OSAR. Texas runs one across each of the eleven health and human services regions, and they take calls around the clock. Ringing 211 or 877-541-7905 reaches the same network. Texas contracts with 37 local mental health authorities and two local behavioral health authorities. Most OSAR programs sit inside them, so the same call often opens both doors. It is worth writing down what you are told on each call, because the details blur quickly when several programs are describing similar things in different words.
The Texas Opioid Abatement Fund Council, attached to the Comptroller’s office, allocates settlement money statewide. It awarded $21.2 million across 109 grants in September 2025, covering every region for the first time. December 2025 brought up to $25 million for UTHealth Houston to expand certified recovery housing, after $25 million earlier to University Health in Bexar County for naloxone. Counties and cities have received four disbursements since 2023 totalling more than $112 million.
More Help and Recovery Support
Hereford Regional Medical Center serves the town, with Northwest Texas Healthcare System in Amarillo the region’s Level II trauma center.
Amarillo, Plainview and Lubbock 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, Hereford and Hereford, August 2026, and market rate research, Texas, 2026. Ranges are indicative and vary by facility, length of stay and coverage.