Opioid, Fentanyl and Heroin Rehab Centers in San Antonio

How do I start methadone or buprenorphine treatment in San Antonio?

Methadone or buprenorphine treatment in San Antonio can start with a call to the Region 8 Outreach, Screening, Assessment and Referral line at the county’s local mental health authority, 210-261-3076. That line is the public starting point for an assessment and referral, including state-funded medication treatment.

Methadone for opioid use disorder is dispensed only through a federally certified opioid treatment program, which Texas licenses through the Texas Health and Human Services Commission as a narcotic treatment program. Buprenorphine can come from those programs or from an office-based prescriber with a standard Drug Enforcement Administration registration, since the separate federal waiver ended in 2023.

Extended-release naltrexone is started only after withdrawal is complete, because it blocks opioids and does not ease withdrawal. Compare methadone clinics in San Antonio and buprenorphine and Suboxone providers to see which medications each program lists. Some residential programs accept people already on methadone or buprenorphine, and others do not.

Because fentanyl is in the drug supply, a supervised medication start or medically managed withdrawal is worth seeking instead of stopping alone. Texas Medicaid is the main public payer through managed care plans, Medicare Part B covers opioid treatment program services, and people without coverage can ask about state-funded care.

Withdrawal when fentanyl is involved

Fentanyl in the drug supply is a reason to look for medically managed withdrawal or a supervised medication start instead of stopping alone. CHCS runs residential detox and an opioid treatment service at 210-261-3001. Its crisis hub at 601 N. Frio St., just west of downtown, gives 24-hour medical clearance for crisis and detox programs. Private detox programs in San Antonio are listed as well.

Residential programs and medication

Some San Antonio residential programs accept people already taking methadone or buprenorphine and others do not, so ask the admissions team before you go. Listings show whether medication for opioid use disorder is offered on site; compare residential rehab in San Antonio. Under a federal block grant rule, pregnant women get preference for admission at funded programs, with interim services within 48 hours; see programs for pregnant women.

How can I pay for opioid treatment in San Antonio?

Texas Medicaid is the main public payer, with most benefits delivered through managed care plans. The Bexar County STAR plans are Aetna, Community First, Superior and Wellpoint. Ask your plan which methadone, buprenorphine and naltrexone services it covers at the program you choose. Medicare Part B covers opioid treatment program services. People without coverage can ask CHCS about state-funded rehab in San Antonio. Fees on the HHSC sliding scale it publishes run from 0% in the lowest income bands to full cost above 350% of the poverty level.

Where can I get naloxone in San Antonio?

Naloxone can be prescribed in Texas directly or by standing order to anyone at risk of overdose, and to family or friends who could help, under Health and Safety Code 483.102. NaloxoneTexas, affiliated with UT Health San Antonio, offers free naloxone and training, with free pick-up at hubs around the state. Tolerance falls after detox, a residential stay or any break from opioids, so a return to use carries a higher overdose risk. In an emergency call 911. Texas law gives the first caller who stays and cooperates, and the person who overdosed, a defense to prosecution for possessing under one gram, with some exclusions. The CHCS 24-hour crisis and substance use helpline is 1-800-316-9241.

Opioid care across Texas is listed on opioid rehab in Texas, and every local category is on the San Antonio listings page.