Drug and Alcohol Rehab Centers in Pecos, TX
The providers listed here treat drug and alcohol problems in Pecos and the surrounding area, including Mansfield, Frisco and Pharr. Scroll down to see what each offers, which insurance it works with and how quickly it can take someone.
The Texas Health and Human Services Commission, SAMHSA, The Joint Commission and CARF International are among the bodies we check Pecos listings against. Texas has not expanded Medicaid, which is worth knowing before you start calling.
1 Drug and Alcohol Rehab Treatment Centers in Pecos, TX
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Drug and Alcohol Rehabs in Pecos, Texas
Pecos is the seat of Reeves County in West Texas, with roughly 12,000 residents, and claims the world’s first rodeo, held here in 1883.
The town sits at the western edge of the Permian Basin and saw sharp growth during the recent drilling boom.
Pecos cantaloupes were once a nationally known crop before water became scarce.
County-level overdose counts are not published separately for smaller Texas counties, so the state picture is the better guide here.
Medicaid was never expanded in Texas, and the consequence shows in the coverage figures: about 16 percent of residents hold nothing, the highest rate in the country, with 617,000 to 920,000 adults stranded in the gap between Medicaid and subsidised Marketplace cover.
Texas eligibility rules exclude addiction as a standalone basis for Medicaid, whatever someone earns. A severe mental illness with disability status usually qualifies, as does parenthood below roughly $4,000 a year.
OSAR programs handle outreach, screening, assessment and referral for people with no cover. Texas runs one per region across eleven regions, staffed around the clock, reachable on 211 or 877-541-7905.
The wider picture across Texas covers the rest of the state.
Which Level of Care Do You Need
The figures below cover providers listed in Pecos and the surrounding parts of Reeves County. Odessa is around 130 kilometers east. Keep a note of who you spoke to and what they said, since availability changes week to week and a name to ask for shortens the next call considerably.
Medically Supervised Detox
Detox is the supervised management of withdrawal, typically running three to seven days. Reeves County Hospital serves the town and surrounding county. Risk peaks in the opening seventy-two hours for alcohol and benzodiazepine withdrawal, and that is the reason clinical observation is worth arranging.
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 the Permian cities is the norm.
Outpatient, IOP and PHP Treatment
Because Texas works to American Society of Addiction Medicine criteria, the assessment should tell you which tier is clinically indicated rather than which one is available. A workforce on two-week rotations cannot attend weekly sessions, and programs need to know that before a placement is agreed rather than after.
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. For Reeves County, PermiaCare is the authority responsible for planning and coordinating publicly funded care. PermiaCare covers Reeves and seven surrounding counties across West Texas.
Sober Living Homes and Transitional Living
Transitional recovery housing gives people a substance-free shared home for the period after treatment. TROHN operates as the Texas arm of the National Alliance for Recovery Residences and certifies sober living houses. Participation is optional, which makes asking directly worthwhile. Recovery housing here does not exist, and housing costs rose sharply during the drilling boom.
Addiction Treatment Cost and Insurance Coverage in Pecos
Pecos household incomes fluctuate with the oil price, and the transient workforce here frequently holds neither cover nor a settled address. Listings in Pecos itself are limited, so the practical search usually extends into the surrounding county and beyond. Reeves 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?
Texas market rates sit at about $1,400 to $4,700 weekly for medical detox, $5,900 to $24,500 monthly for residential care, $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.
PermiaCare and the regional OSAR are the route that does not require cover or a local address, which matters in a town with a workforce this mobile.
| 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 with the larger operators. Texas Medicaid runs through STAR managed care, and contract oilfield 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. Ask directly how absence for a rotation is treated, because being discharged for non-attendance is the commonest way these placements end.
Free and State-Funded Addiction Rehab in Pecos
Medicaid was never expanded in Texas, and the consequence shows in the coverage figures: about 16 percent of residents hold nothing, the highest rate in the country, with 617,000 to 920,000 adults stranded in the gap between Medicaid and subsidised Marketplace cover. Texas eligibility rules exclude addiction as a standalone basis for Medicaid, whatever someone earns. A severe mental illness with disability status usually qualifies, as does parenthood below roughly $4,000 a year. Getting there week after week is the real question in a county like this. Programs serving rural catchments generally expect it and can often adjust the schedule, but only if the difficulty is raised at the start rather than discovered when someone stops attending.
Publicly funded provision in Reeves County is coordinated by PermiaCare. OSAR programs handle outreach, screening, assessment and referral for people with no cover. Texas runs one per region across eleven regions, staffed around the clock, reachable on 211 or 877-541-7905. Texas divides the state between 37 local mental health authorities and two local behavioral health authorities, and OSAR programs usually operate inside them. Ask each program what happens if the first placement does not work out, because the answer says a good deal about how they operate.
The Opioid Abatement Fund Council, sitting within the Texas Comptroller’s office, decides where settlement money goes. It spread $21.2 million over 109 grants in September 2025, the first round reaching every region. Further awards went to UTHealth Houston, up to $25 million in December 2025 for recovery housing, and earlier to University Health in Bexar County, $25 million for statewide naloxone. Local disbursements have run $47.1 million, $9.2 million, $44.8 million and $11.5 million from 2023 through March 2026.
More Help and Recovery Support
Reeves County Hospital serves the town, with larger provision in Odessa and Midland.
Further listings appear 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, Pecos and Pecos, August 2026, and market rate research, Texas, 2026. Ranges are indicative and vary by facility, length of stay and coverage.