Drug and Alcohol Rehab Centers in Marshall, TX
If you are looking for drug and alcohol treatment in Marshall, the providers here serve the city and nearby Longview, Henderson and Gilmer. Scroll down to compare programs, see what each one costs and find out how to reach them.
Providers shown for Marshall are checked against the Texas Health and Human Services Commission, SAMHSA, The Joint Commission and CARF International. Texas has not expanded Medicaid, which affects what a great many people here can access.
1 Drug and Alcohol Rehab Treatment Centers in Marshall, TX
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Drug and Alcohol Rehabs in Marshall, Texas
Marshall sits in Harrison County in northeast Texas, around forty kilometers west of the Louisiana line, with roughly 23,000 residents.
The town served as the civilian capital of Confederate Missouri during the Civil War and later became a significant railroad center.
Wiley College here is a historically Black college whose debate team was the subject of a widely seen film.
The CDC does not publish separate counts for counties with populations this small, so state-level data is what there is to work from.
Having declined Medicaid expansion, Texas carries an uninsured rate near 16 percent, worse than any other state, with an estimated 617,000 to 920,000 adults caught between ineligibility for Medicaid and unaffordable Marketplace cover.
Addiction alone does not open the Medicaid door in Texas. Adults generally need both a severe mental health diagnosis and disability status to qualify, and a parent without a disability qualifies only on an income below about $4,000 a year.
OSAR is the entry point where there is no insurance. Each of Texas’s eleven regions has one, all operating twenty-four hours, contactable via 211 or 877-541-7905.
Neighboring Longview, Henderson and Gilmer carry their own listings, with the wider picture across Texas.
Which Level of Care Do You Need
The figures below cover providers listed in Marshall and the surrounding parts of Harrison County. Longview is around forty kilometers west and Shreveport a similar distance east. Ask each program what happens if the first placement does not work out, because the answer says a good deal about how they operate.
Medically Supervised Detox
Detox handles the withdrawal stage under medical observation, ordinarily over three to seven days. CHRISTUS Good Shepherd Medical Center Marshall serves the town and county. For alcohol and benzodiazepines the first seventy-two hours carry the real danger, which is why supervision matters rather than willpower.
Inpatient Residential Treatment
Residential treatment involves living on site for a defined period, most commonly thirty, sixty or ninety days. Residential capacity in Harrison County is limited, and placement toward Longview or Tyler is common.
Outpatient, IOP and PHP Treatment
The state uses ASAM criteria to decide level of care, so an assessment ought to return a specific tier instead of whatever a given program offers. Louisiana is close, but Texas Medicaid does not cross the state line and neither do most provider networks.
Dual Diagnosis and Co-Occurring Disorders Treatment
Co-occurring treatment works on the addiction and the mental health condition at the same time, which is what the evidence supports. For Harrison County, Community Healthcore is the authority responsible for planning and coordinating publicly funded care. Community Healthcore covers Harrison and eight surrounding counties across northeast Texas.
Sober Living Homes and Transitional Living
Sober living homes are shared houses run on a substance-free basis for people leaving treatment. Certification runs through the Texas Recovery Oriented Housing Network as the state affiliate of the National Alliance for Recovery Residences, and it is voluntary, so ask directly. Recovery housing here is limited, with more options toward Longview and Tyler.
Addiction Treatment Cost and Insurance Coverage in Marshall
Marshall household incomes sit well below the state median, with manufacturing, healthcare and education the main employers. Listings in Marshall itself are limited, so the practical search usually extends into the surrounding county and beyond. Harrison 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?
Typical Texas figures are $1,400 to $4,700 a week for detox, $5,900 to $24,500 a month for residential treatment, $6,900 to $13,300 for partial hospitalization, $2,550 to $8,800 for intensive outpatient and $1,220 to $4,900 for outpatient care.
Anyone considering a program across the Louisiana line should confirm what coverage applies, because the two states run entirely different Medicaid systems.
| 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 manufacturing and healthcare. Texas Medicaid runs through STAR managed care, and a large share of residents 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. Louisiana expanded Medicaid and Texas did not, which means eligibility differs sharply within a short drive.
Free and State-Funded Addiction Rehab in Marshall
Having declined Medicaid expansion, Texas carries an uninsured rate near 16 percent, worse than any other state, with an estimated 617,000 to 920,000 adults caught between ineligibility for Medicaid and unaffordable Marketplace cover. Addiction alone does not open the Medicaid door in Texas. Adults generally need both a severe mental health diagnosis and disability status to qualify, and a parent without a disability qualifies only on an income below about $4,000 a year. Getting to appointments week after week is the practical question in a rural county, not which program looks best on paper. Admissions teams here deal with this constantly and can usually adjust, provided they know at the outset.
Harrison County falls under Community Healthcore for publicly funded services. OSAR is the entry point where there is no insurance. Each of Texas’s eleven regions has one, all operating twenty-four hours, contactable via 211 or 877-541-7905. Texas divides responsibility among 37 local mental health authorities and two behavioral health authorities, most of which also run the regional OSAR. If a program cannot take someone now, ask them who can. Admissions teams generally know the local picture better than any directory does.
Settlement spending is decided by the Texas Opioid Abatement Fund Council, part of the Comptroller’s office. In September 2025 it made 109 awards worth $21.2 million, the first time all regions were covered. It then committed up to $25 million to UTHealth Houston in December 2025 for certified recovery housing, having earlier given University Health in Bexar County $25 million for statewide naloxone. Four rounds of local disbursements since 2023 total over $112 million.
More Help and Recovery Support
CHRISTUS Good Shepherd Medical Center Marshall serves the town, with larger provision in Longview and Tyler.
Longview, Henderson and Gilmer 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, Marshall and Marshall, August 2026, and market rate research, Texas, 2026. Ranges are indicative and vary by facility, length of stay and coverage.