Drug and Alcohol Rehab Centers in Huntsville, TX
This page lists the drug and alcohol treatment providers in and around Huntsville, Texas, including those serving Conroe, Madisonville and Livingston. Scroll down to compare what each one offers, from assessment through to aftercare, and how to get in touch.
Records for Huntsville are reviewed against the Texas Health and Human Services Commission, SAMHSA, The Joint Commission and CARF International. Texas has not expanded Medicaid, and that shapes which route into treatment is realistic.
2 Drug and Alcohol Rehab Treatment Centers in Huntsville, TX
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Drug and Alcohol Rehabs in Huntsville, Texas
Huntsville sits around 110 kilometers north of Houston in Walker County, with roughly 46,000 residents.
Sam Houston State University enrolls around 21,000 students here, and the town is the headquarters of the Texas Department of Criminal Justice.
Seven state prison units operate in or near the town, and corrections is the largest employer after the university.
The CDC does not publish separate counts for counties with populations this small, so state-level data is what there is to work from.
Around 16 percent of Texans have no health cover, the highest proportion in the nation, and the absence of Medicaid expansion is the main reason. Between 617,000 and 920,000 adults fall into the resulting gap.
It is worth being blunt about eligibility. A substance use disorder, on its own, qualifies nobody for Medicaid in Texas regardless of income. The usual route requires a severe mental health diagnosis alongside disability status, and for a non-disabled parent the income ceiling sits near $4,000 a year.
The Outreach, Screening, Assessment and Referral service is how the uninsured get into publicly funded treatment in Texas. One covers each of the eleven regions, all operating around the clock, on 211 or 877-541-7905.
Neighboring Conroe, Madisonville and Livingston carry their own listings, with the wider picture across Texas.
Which Level of Care Do You Need
The figures below cover providers listed in Huntsville and the surrounding parts of Walker County. Houston is around ninety minutes south and holds the deepest provision in Texas.
Medically Supervised Detox
Detox handles the withdrawal stage under medical observation, ordinarily over three to seven days. Huntsville Memorial Hospital serves the town and surrounding county. The opening three days are where alcohol and benzodiazepine withdrawal turns dangerous, and that is the case for clinical observation.
Inpatient Residential Treatment
Inpatient residential treatment means moving in for a defined stay, most often thirty, sixty or ninety days. Residential capacity in Walker County is limited, and placement toward Houston or Conroe is common.
Outpatient, IOP and PHP Treatment
Texas uses the American Society of Addiction Medicine framework for placement, meaning an assessment should end with a specific level rather than a vague recommendation. The concentration of corrections facilities here means a substantial population passing through with untreated substance use, and release planning matters more here than almost anywhere in Texas.
Dual Diagnosis and Co-Occurring Disorders Treatment
Co-occurring treatment handles both conditions concurrently, which is the approach the evidence supports. In Walker County that authority is Tri-County Behavioral Healthcare. Tri-County Behavioral Healthcare covers Walker, Montgomery and Liberty counties.
Sober Living Homes and Transitional Living
After a program finishes, sober living offers a shared substance-free place to live while things settle. 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 is limited, with wider choice toward Conroe and Houston.
Addiction Treatment Cost and Insurance Coverage in Huntsville
Huntsville household incomes sit below the state median, pulled down by the student population. Listings in Huntsville itself are limited, so the practical search usually extends into the surrounding county and beyond. Walker 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?
Across Texas, expect roughly $1,400 to $4,700 a week for medical detox, $5,900 to $24,500 a 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 care.
Anyone leaving a state facility here should ask about OSAR referral before release, because the weeks afterward carry the highest overdose risk of any period.
| 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 corrections, education and healthcare. Texas Medicaid runs through STAR managed care, and students and service workers frequently hold 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. Release from custody without arranged treatment is the single highest-risk transition in addiction, and planning it in advance materially changes the odds.
Free and State-Funded Addiction Rehab in Huntsville
Around 16 percent of Texans have no health cover, the highest proportion in the nation, and the absence of Medicaid expansion is the main reason. Between 617,000 and 920,000 adults fall into the resulting gap. It is worth being blunt about eligibility. A substance use disorder, on its own, qualifies nobody for Medicaid in Texas regardless of income. The usual route requires a severe mental health diagnosis alongside disability status, and for a non-disabled parent the income ceiling sits near $4,000 a year. Rural distance does more to end placements than any clinical factor. Ask a program directly what it can do about the journey, because most have arrangements for people driving an hour or more that they do not advertise.
In Walker County, Tri-County Behavioral Healthcare holds the local authority contract. The Outreach, Screening, Assessment and Referral service is how the uninsured get into publicly funded treatment in Texas. One covers each of the eleven regions, all operating around the clock, on 211 or 877-541-7905. The state contracts with 39 local authorities in total, and since OSAR usually sits within them, a single call generally reaches both services.
Settlement proceeds are directed by the Texas Opioid Abatement Fund Council under the Comptroller. September 2025 saw $21.2 million spread across 109 grants, the first time every region received something. In December 2025 the council backed UTHealth Houston with up to $25 million for certified recovery housing, having previously given University Health in Bexar County $25 million for statewide naloxone. Local disbursements to counties and cities total $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
Huntsville Memorial Hospital serves the town, with larger provision in Conroe and the Texas Medical Center.
Conroe, Madisonville and Livingston 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, Huntsville and Huntsville, August 2026, and market rate research, Texas, 2026. Ranges are indicative and vary by facility, length of stay and coverage.