Partial Hospitalization Programs (PHP) in San Antonio

What is a partial hospitalization program for substance use in San Antonio?

A partial hospitalization program in San Antonio is day treatment for addiction at level 2.5 of the ASAM Criteria, the American Society of Addiction Medicine’s placement framework, usually 20 or more hours a week. Length is an assessment-based range, so ask intake staff what to expect.

Many hospital day programs that show up for this search in Texas treat mental health only, on different schedules, so make sure a program treats drug and alcohol problems. Day treatment falls between outpatient visits and living on site, and it can suit someone who needs daily structure but has a safe place to sleep.

Listings note whether a San Antonio program also treats co-occurring mental health conditions, plus insurers, languages and groups served; see dual diagnosis care in San Antonio. Nearly all listed programs sit within 25 miles of a river, and the Medina River comes up most as the nearest one. Stokley Hill rises a median of 11.4 miles away.

Withdrawal from alcohol, benzodiazepines or opioids may need medical care before day treatment begins. Coverage varies, so ask both the insurer and the program whether this level is paid for under Texas Medicaid, Medicare or a private plan. With no rail in the city, plan bus routes before the first day.

How is PHP different from IOP and residential treatment?

PHP sits between outpatient care and a live-in stay. An IOP in San Antonio asks for fewer hours, while residential treatment means living on site around the clock. Day treatment can fit someone who needs daily structure and has a safe place to sleep.

Why might withdrawal care come first?

Withdrawal from alcohol, benzodiazepines or opioids can need medical management before day treatment, so an assessment comes first. The Restoration Center at 601 N. Frio St. offers 24-hour medical clearance for crisis and detox programs, and San Antonio detox listings show other options.

San Antonio has no rail, so day treatment trips run on VIA buses, VIA Prímo or VIA Link; plan routes before the first day. San Antonio International Airport is the nearest major airport for every listed PHP, a median of 5.4 miles away.

Will Texas Medicaid, Medicare or private insurance cover PHP?

PHP coverage depends on the plan, so ask the insurer and the program first. Bexar County STAR plans under Texas Medicaid include Aetna, Community First, Superior and Wellpoint; ask yours whether it pays for substance use PHP, or browse Medicaid-accepting programs.

Medicare’s partial hospitalization benefit has its own rules, so ask whether a program bills Medicare for this level of care, or see Medicare options in San Antonio. Federal parity law generally bars private plans from limiting substance use care more tightly than medical care. CHCS publishes the 2026 HHSC sliding scale, with fees from 0% in the lowest income bands.

How do I check a license or get help now?

The Texas Health and Human Services Commission’s Regulatory Services Division issues the Chemical Dependency Treatment Facility license; ask a program for its license number and look it up with that division. For help now, call or text 988, or the CHCS 24-hour crisis and substance use helpline at 1-800-316-9241; 2-1-1 Texas also answers. For PHP across Texas, see the Texas PHP page, or return to the San Antonio page.