Alcohol Rehab Cost in Texas: Coverage, OSAR, and 2026 Pricing
Alcohol rehab in Texas costs $15,000 to $60,000 for a 30-day inpatient program without insurance, or $6,000 to $20,000 out-of-pocket with PPO insurance. Medical detox for alcohol adds $2,000 to $10,000 and is medically essential — alcohol is one of only two substances where unsupervised withdrawal can be fatal. Texas has the nation’s highest uninsured rate at 16.7% (U.S. Census Bureau 2024) with 1.4 million adults in the Medicaid coverage gap. The OSAR system (1-877-541-7905) is Texas’s primary free or sliding-scale pathway serving all 11 HHSC regions.
Texas faces a paradox in alcohol treatment: a large, sophisticated treatment market (550+ licensed facilities) sits alongside the nation’s worst insurance coverage profile. The OSAR system, Cenikor Foundation long-term residential, Salvation Army ARCs, Teen Challenge, and 72 FQHCs collectively fill the coverage gap for 1.4 million adults. This guide combines Texas’s clinical infrastructure with the OSAR pathway, 4-medication MAT tree, regional cost variation, and Texas DWI cost-avoidance math.
Why Texas Is Different for Alcohol Treatment
1. 16.7% Uninsured Rate (Nation’s Highest)
Texas has the highest uninsured rate in the United States at 16.7% (U.S. Census Bureau 2024), more than double the national average. For alcohol treatment, this means a much larger share of Texans rely on OSAR, marketplace subsidies, and faith-based programs vs commercial insurance.
2. 1.4 Million Medicaid Coverage Gap
Texas did not expand Medicaid. Texas Medicaid eligibility is among the most restrictive in the nation — childless adults generally don’t qualify regardless of income. The coverage gap affects approximately 1.4 million Texans.
3. OSAR System (11 HHSC Regions)
Texas’s Outreach, Screening, Assessment and Referral system is the free/sliding-scale alcohol treatment pathway for the 16.7% uninsured and 1.4M coverage-gap populations.
4. Large Treatment Market (550+ Facilities)
Texas has approximately 550 licensed treatment facilities — 4th most after California, Florida, and New York — serving nearly 36,000 individuals annually. Strong market competition moderates prices in mid-tier programs.
5. Cenikor Foundation and Nonprofit Long-Term Residential
Texas has substantial nonprofit long-term residential (6–12 months) through Cenikor Foundation (Houston, Fort Worth), Salvation Army ARCs, Teen Challenge Texas, and Victory Outreach — options most states don’t have at similar scale.
6. BCBSTX Dominance
Blue Cross Blue Shield of Texas (BCBSTX) is the largest carrier in the state with 6+ million members. Extensive provider network covers most licensed alcohol treatment facilities.
7. 72 FQHCs (Most of Any State)
Texas has 72 Federally Qualified Health Centers offering alcohol treatment on sliding fee scales.
For full Texas regulatory context, see rehab cost in Texas. For alcohol-specific clinical treatment nationally, see alcohol rehab cost.
Alcohol Rehab Cost in TX: 2026 Breakdown
| Level of Care | Duration | Without Insurance | With PPO |
|---|---|---|---|
| Medical detox (alcohol-specific) | 5–14 days | $2,000 – $10,000 | $800 – $4,000 |
| Hospital detox (complicated) | 5–14 days | $1,000 – $3,000/day | Covered under medical benefit |
| Inpatient residential (community) | 30 days | $15,000 – $25,000 | $6,000 – $12,000 |
| Inpatient residential (mid-tier) | 30 days | $25,000 – $40,000 | $10,000 – $18,000 |
| Houston / Dallas luxury | 30 days | $40,000 – $100,000+ | Capped at OOP max |
| Partial hospitalization (PHP) | 4–6 weeks | $4,000 – $14,000 | Capped at OOP max |
| Intensive outpatient (IOP) | 8–12 weeks | $3,000 – $10,000 | Capped at OOP max |
| MAT ongoing | 12+ months | $40–$1,700/month | $10–$300/month |
Regional TX cost variation:
- Houston luxury and executive (River Oaks, The Woodlands): $40,000–$100,000+
- Houston mid-tier: $25,000–$50,000
- Dallas-Fort Worth Metroplex: $25,000–$45,000
- Austin-San Antonio corridor: $20,000–$40,000
- El Paso / Rio Grande Valley: $15,000–$25,000 (lowest TX pricing)
- Panhandle / West Texas: $15,000–$25,000 but limited inventory
- OSAR / Medicaid / Cenikor / Salvation Army ARC: $0
Alcohol Detox in Texas: CIWA-Ar Protocol
Alcohol detox in Texas costs $300–$800 per day at freestanding facilities or $1,000–$3,000+ per day at hospital-based units.
CIWA-Ar Assessment
Clinical Institute Withdrawal Assessment for Alcohol, Revised. 10-item scale administered every 4 hours covering nausea, tremor, sweats, anxiety, agitation, tactile/auditory/visual disturbances, headache, and orientation.
- Score 0–9: Mild — symptom-triggered benzodiazepine dosing
- Score 10–19: Moderate — scheduled benzodiazepine taper
- Score 20+: Severe — consider ICU, airway protection
Texas Alcohol Withdrawal Timeline
| Hours Since Last Drink | Clinical Picture | Setting |
|---|---|---|
| 6–12 | Anxiety, tremor, sweating, nausea | Baseline CIWA-Ar; begin meds |
| 12–24 | Symptoms intensify | Benzodiazepine taper |
| 24–48 | Peak seizure risk | Medical monitoring essential |
| 48–72 | Peak DTs risk (1–5% mortality untreated) | ICU if CIWA-Ar > 20 |
| Day 5–7 | Acute resolution | Transition to residential |
| Weeks 2–8 | PAWS | Outpatient + MAT |
What’s Included in TX Alcohol Detox Per-Day Rate
- 24/7 RN/LPN coverage with CIWA-Ar every 4 hours
- Daily physician rounds (TX-licensed addiction medicine MDs)
- Benzodiazepine taper (lorazepam/Ativan or chlordiazepoxide/Librium)
- Thiamine 100mg IV/IM daily before glucose — prevents Wernicke-Korsakoff
- Folate, multivitamin, magnesium repletion
- IV fluids with electrolytes
- Anti-nausea (ondansetron)
- Cardiac telemetry if indicated
- Psychiatric consultation
- Seizure precautions
- Warm handoff to residential or PHP
Texas Hospital-Based Detox
Clinically required when seizure history, DT history, cardiac complications, liver failure, active suicidal ideation, pregnancy, or CIWA-Ar persistently above 20. Texas hospitals with acute detox capability:
- Houston: Houston Methodist, Memorial Hermann, TIRR Memorial Hermann, Baylor St. Luke’s, UTMB Galveston
- Dallas-Fort Worth: UT Southwestern, Baylor Scott & White, Parkland (public), Methodist Dallas
- Austin: Seton Medical Center, Dell Seton, St. David’s HealthCare
- San Antonio: UT Health San Antonio, University Health (public), Methodist Hospital
- El Paso: University Medical Center of El Paso, Las Palmas Del Sol
Hospital detox runs $1,000–$3,000+ per day but is covered under inpatient hospital benefit. See medical detox cost.
MAT for Alcohol Use Disorder in Texas
All four FDA-approved approaches are covered by Texas commercial plans and TX Medicaid (for eligible enrollees).
| Medication | Mechanism | TX Self-Pay (Monthly) | TX Insured (Monthly) | TX Medicaid |
|---|---|---|---|---|
| Oral naltrexone (ReVia, generic) | Opioid antagonist — reduces cravings | $50 – $150 | $10 – $50 | $0 – $5 |
| Vivitrol (monthly injection) | Long-acting naltrexone | $1,300 – $1,700 | $0 – $300 | $0 – $10 |
| Acamprosate (Campral) | Glutamate/GABA modulator | $150 – $400 | $10 – $60 | $0 – $3 |
| Disulfiram (Antabuse) | Aversive reaction | $40 – $100 | $10 – $30 | $0 – $3 |
The Sinclair Method in Texas
Targeted naltrexone — taken 1 hour before drinking rather than daily. Over 12–18 months, pharmacological extinction reduces the drive to drink. Approximately 78% of compliant patients achieve reduced drinking or abstinence in published European studies. Same medication cost as standard oral naltrexone. Underused clinically — ask TX prescribers directly whether they offer Sinclair Method.
Combination Therapy
The 2006 COMBINE study found naltrexone + medical management and acamprosate + behavioral therapy both outperformed single agents. Many TX clinicians now prescribe naltrexone + acamprosate together.
Under the 2024 federal MHPAEA final rule, Texas insurers face NQTL comparability requirements that have reduced prior-authorization barriers for AUD MAT.
The OSAR System: Step-by-Step Access
Who OSAR Serves
- 16.7% of Texans without insurance (~5 million people)
- 1.4 million Medicaid coverage-gap adults
- Any low-income Texan needing SUD treatment
How to Access OSAR
- Call statewide OSAR line: 1-877-541-7905
- Or dial 211 for local referral
- Or text your zip code to 898211
- Free screening using ASAM criteria
- Referral to appropriate level of care — residential, IOP, outpatient, MAT
- Case management and peer support throughout treatment
Services Covered by OSAR
- Free alcohol detox at participating providers
- State-funded residential treatment (subject to bed capacity)
- Outpatient and IOP services
- MAT (naltrexone, Vivitrol, acamprosate, disulfiram)
- Peer recovery support services
OSAR Regional Structure
Texas has 11 HHSC regions, each with designated OSAR providers embedded in Local Mental Health Authorities (LMHAs) and Local Behavioral Health Authorities (LBHAs). Rural coverage includes the Panhandle, West Texas, Rio Grande Valley, East Texas, and Central Texas.
How Long Is Alcohol Rehab in TX Usually?
Average inpatient stay: 28–30 days (insurance billing cycle). NIDA recommendation: 90 days of structured treatment. Cenikor Foundation: 6–12 months nonprofit long-term residential (Houston, Fort Worth). Salvation Army ARCs: 6–12 months free with work therapy.
Evidence-based TX sequence:
| Phase | Duration | TX Cost (Self-Pay) | TX Cost (PPO OOP) |
|---|---|---|---|
| Medical detox | 5–14 days | $2,000 – $10,000 | $800 – $4,000 |
| Inpatient residential | 21–25 days | $12,000 – $45,000 | Continues toward OOP max |
| Partial hospitalization (PHP) | 4–6 weeks | $4,000 – $14,000 | Capped at OOP max |
| Intensive outpatient (IOP) | 8–12 weeks | $3,000 – $10,000 | Capped at OOP max |
| MAT year 1 | 12 months | $480 – $1,800 | $120 – $600 |
| Standard outpatient year 1 | Ongoing | $1,500 – $5,000 | $400 – $1,500 |
| Full first year | 4–5 months structured + MAT | $22,000 – $86,000 | Capped at OOP max |
How Do Texans Afford Alcohol Rehab?
1. Private Commercial Insurance
BCBSTX (6+ million members), UnitedHealthcare, Aetna, Cigna, Humana, Ambetter/Superior, Molina. Capped at $7,000–$9,500 annual OOP max. See BCBS rehab coverage, Aetna rehab coverage, Cigna rehab coverage, Humana rehab coverage.
2. Texas Medicaid (Restricted Eligibility)
Pregnant women, children, low-income parents, elderly, disabled. Apply at YourTexasBenefits.com. Covered through BCBSTX Medicaid, Superior HealthPlan, Molina, UHC Community Plan.
3. OSAR System (1.4 Million Coverage-Gap Texans)
Call 1-877-541-7905. Free or sliding-scale alcohol treatment across all 11 HHSC regions.
4. Healthcare.gov Marketplace
Subsidized plans cover AUD as essential health benefit. Premiums $30–$450/month with ACA subsidies.
5. Cenikor Foundation Long-Term Residential
Free 6–12 month residential at Houston and Fort Worth locations with work-based therapy.
6. Faith-Based Free Residential
- Salvation Army ARCs — Houston, Dallas, San Antonio, Austin, Fort Worth, El Paso, Corpus Christi, others — free 6–12 months with work therapy
- Teen Challenge Texas — 12–15 month faith-based residential ($200–$500/month donation, not required)
- Victory Outreach — faith-based recovery homes in multiple Texas cities
7. Federally Qualified Health Centers (72 Statewide)
Most of any state. Sliding fee scale for alcohol treatment.
Alcohol Rehab Cost vs DWI Cost in Texas
A first-offense Texas DWI all-in cost:
| Category | Typical TX Cost |
|---|---|
| Fine (up to $2,000) | $500 – $2,000 |
| Court costs + reinstatement | $500 – $1,500 |
| Legal fees | $3,000 – $10,000 |
| DWI Education Class (15 hours required) | $100 |
| Ignition interlock device (up to 24 months) | $1,800 – $3,600 |
| DPS surcharge (3 years, $1,000/year) | $3,000 |
| Auto insurance premium increase (3 years) | $3,000 – $7,500 |
| Potential lost wages | Often $5,000+ |
| Conservative total | $16,900 – $32,700+ |
Compare to 30-day inpatient alcohol rehab in TX:
- PPO insurance: $6,000–$20,000 OOP, capped at $7,000–$9,500
- TX Medicaid (if eligible): $0
- OSAR: $0 or sliding scale
- Cenikor Foundation: $0 (6–12 months)
- Self-pay: $15,000–$60,000
For most insured Texans, treatment costs less than a single DWI — and addresses the underlying AUD rather than just a legal consequence. A second TX DWI is a Class A misdemeanor; third is a third-degree felony with mandatory prison time.
Texas alcohol-attributable mortality is substantial — CDC data indicate approximately 9,000+ alcohol-attributable deaths per year in Texas, separate from drug overdoses.
Texas Alcohol-Specific Treatment Resources
State Resources
- Texas OSAR: 1-877-541-7905
- Texas HHSC Substance Use: hhs.texas.gov
- Texas DSHS: dshs.texas.gov
- SAMHSA National Helpline: 1-800-662-4357
- 988 Suicide & Crisis Lifeline: 988
- YourTexasBenefits: yourtexasbenefits.com (Medicaid)
- Healthcare.gov Texas: healthcare.gov
TX Alcohol-Specific Support Groups
- AA Texas: 5,000+ meetings statewide
- Al-Anon Texas: Support for families
- SMART Recovery Texas: Science-based alternative
- Celebrate Recovery: Faith-based, widespread in Texas
Notable TX Alcohol Treatment Facilities
Texas has approximately 550 licensed treatment facilities. Among those with strong alcohol programs (verify HHSC license + accreditation):
- La Hacienda Treatment Center (Hunt, TX) — established 1972, Hill Country setting
- Greenhouse Treatment Center (Grand Prairie, DFW) — American Addiction Centers affiliate
- Right Step (multiple TX locations) — mid-tier residential network
- Stonegate Center (Azle, near Fort Worth) — extended residential
- Origins Recovery Center (South Padre Island) — coastal residential
- Cenikor Foundation (Houston, Fort Worth) — nonprofit long-term
- The Meadows Texas — women-focused, trauma-informed
- Starlite Recovery Center (Center Point) — Hill Country
- Hazelden Betty Ford Grand Prairie — Dallas-area Betty Ford affiliate
Verify HHSC licensure and accreditation (Joint Commission, CARF, COA) before admission.
Final Thoughts
Texas’s alcohol treatment challenge is the nation’s highest uninsured rate (16.7%) combined with restrictive Medicaid and the 1.4M coverage gap — making the OSAR system, Cenikor Foundation, Salvation Army ARCs, Teen Challenge, and 72 FQHCs the essential infrastructure for coverage-gap Texans. For insured Texans, the large treatment market (550+ facilities) and BCBSTX dominance provide strong access.
Five steps:
- Check TX Medicaid eligibility — restrictive but covers fully if eligible
- If in coverage gap: Call OSAR 1-877-541-7905 or dial 211
- Consider Cenikor or Salvation Army ARC for free long-term residential
- Ask about CIWA-Ar + MAT at admitting facility
- Verify HHSC licensure + accreditation before admission
For broader context, see rehab cost in Texas, alcohol rehab cost, medical detox cost, and does insurance cover rehab.
Sources
- Texas Health and Human Services Commission. “Substance Use Disorder Services.” 2024.
- Texas HHSC OSAR Program. “Outreach, Screening, Assessment and Referral.” 2024.
- U.S. Census Bureau. “American Community Survey.” 2024.
- Texas Department of State Health Services. “Overdose Data to Action.” 2023.
- American Society of Addiction Medicine. “Clinical Practice Guideline on Alcohol Withdrawal Management.” 2020.
- National Institute on Alcohol Abuse and Alcoholism. “Alcohol Use Disorder: Treatment Statistics.” 2024.
- Anton RF, et al. “COMBINE Study.” JAMA. 2006.
- Sinclair JD. “Evidence about the use of naltrexone.” Alcohol and Alcoholism. 2001.
- Cenikor Foundation. “Long-Term Residential Treatment.” 2024.
- U.S. Department of Labor. “Mental Health Parity and Addiction Equity Act Final Rule (September 2024).”
- Texas Department of Public Safety. “DWI Penalty Schedule.” 2024.
- CDC WONDER. “Alcohol-Attributable Deaths.” 2024.
- SAMHSA Behavioral Health Treatment Services Locator. 2025. https://findtreatment.samhsa.gov/
Alcohol Treatment in Texas — Is Your Plan Enough?
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Prodest Insurance Group is a licensed, independent health insurance brokerage. Calling the number above connects you with a licensed insurance agent, not a treatment facility. Insurance placement is a separate service from treatment referral.
Frequently Asked Questions
How much does alcohol rehab cost in Texas?
Alcohol rehab in Texas costs $15,000–$60,000 for 30 days of inpatient treatment without insurance, or $6,000–$20,000 out-of-pocket with PPO insurance (capped at the 2026 OOP max of $7,000–$9,500). Medical alcohol detox adds $2,000–$10,000 (5–14 days). Houston luxury and executive programs cost $40,000–$100,000+; Dallas-Fort Worth mid-tier $25,000–$40,000; Austin-San Antonio corridor $20,000–$35,000; Central, West, and rural Texas $15,000–$25,000. Texas has 16.7% uninsured rate (highest in nation) with 1.4 million adults in the Medicaid coverage gap — the OSAR system (1-877-541-7905) provides free or sliding-scale alcohol treatment across all 11 HHSC regions for those without insurance.
Does Texas Medicaid cover alcohol rehab?
Texas Medicaid covers alcohol rehab for eligible beneficiaries, but Texas has one of the most restrictive Medicaid eligibilities in the nation — Texas did not expand Medicaid under the ACA. Covered populations: pregnant women (up to 198% FPL), children (CHIP up to 201% FPL), parents with dependent children at extremely low income (approximately $230/month for family of three), elderly (65+), and disabled (SSI recipients). Childless adults generally do not qualify regardless of income. For those eligible, Texas Medicaid covers outpatient counseling, medication-assisted treatment (naltrexone, Vivitrol, acamprosate, disulfiram), medical detox, and some residential care through managed care plans (Blue Cross Blue Shield of Texas, Superior HealthPlan, Molina, UnitedHealthcare Community Plan). For the 1.4 million adults in the coverage gap, the OSAR system provides free or sliding-scale alcohol treatment.
What is the Texas OSAR system?
OSAR (Outreach, Screening, Assessment and Referral) is Texas Health and Human Services Commission's gateway to publicly-funded substance use disorder treatment, serving all 11 HHSC regions. OSAR provides: free screening and assessment using ASAM criteria, referral to appropriate level of care, access to state-funded outpatient and residential programs, medication-assisted treatment, and case management and peer support. OSAR services are especially critical for Texas's 1.4 million Medicaid coverage-gap adults and for the 16.7% of Texans without insurance. Each HHSC region has designated OSAR providers embedded in Local Mental Health Authorities (LMHAs) and Local Behavioral Health Authorities (LBHAs), ensuring statewide coverage including rural areas. Access: call statewide OSAR line 1-877-541-7905, or dial 2-1-1, or text zip code to 898211.
Are there free alcohol rehabs in Texas?
Yes, Texas offers multiple free and low-cost alcohol rehab options: (1) OSAR system — call 1-877-541-7905 for free state-funded alcohol treatment across all 11 HHSC regions; (2) Salvation Army Adult Rehabilitation Centers in Houston, Dallas, San Antonio, Austin, Fort Worth, El Paso, Corpus Christi, and other Texas cities offer free 6–12 month residential programs with work therapy; (3) Teen Challenge Texas (ages 18+) provides faith-based long-term residential at minimal cost ($200–$500/month donation requested, not required); (4) Cenikor Foundation provides free long-term residential (6–12 months) at Houston and Fort Worth locations with work-based vocational training; (5) Victory Outreach operates faith-based recovery homes in multiple Texas cities offering free long-term residential; (6) 72 Federally Qualified Health Centers (most of any state) offer alcohol treatment on sliding fee scales; (7) 201 TX programs offer sliding-scale fees and 194 offer payment assistance per SAMHSA data.
How long does alcohol detox take in Texas?
Alcohol detox in Texas takes 5–14 days for medically supervised withdrawal — longer than detox for opioids or stimulants because alcohol withdrawal carries seizure and delirium tremens (DT) risk. Symptoms begin 6–12 hours after last drink, peak on days 2–3 (seizure risk 24–48 hours, DT risk 48–72 hours), and largely resolve by day 5–7. Texas facilities use CIWA-Ar assessments every 4 hours with benzodiazepine taper (lorazepam/Ativan or chlordiazepoxide/Librium), thiamine IV/IM to prevent Wernicke-Korsakoff, folate/multivitamin repletion, and seizure precautions. Hospital-based detox is required when seizure history, cardiac complications, liver failure, or pregnancy is present. Major TX hospital detox capacity includes Houston Methodist, Memorial Hermann, TIRR Memorial Hermann, UT Southwestern (Dallas), Baylor Scott & White (multiple), UT Medical Branch Galveston, and Seton Medical Center (Austin). Post-acute withdrawal symptoms (PAWS) persist weeks to months — why long-term MAT is strongly recommended.
How much does a Texas DWI cost compared to alcohol rehab?
A first-offense Texas DWI costs $17,000–$25,000 all-in: fines up to $2,000 for first offense, court costs $500–$1,500, legal fees $3,000–$10,000, Texas DWI Education Class (15 hours required — approximately $100), ignition interlock device $75–$150/month for up to 24 months, DPS surcharge ($1,000/year for 3 years = $3,000 total), auto insurance premium increase (typically doubling for 3 years — often $3,000–$7,500 additional), license suspension impact on earnings, and potential job or licensing impact. A second Texas DWI (Class A misdemeanor) doubles penalties; third DWI is a third-degree felony with mandatory prison time. Compare to 30-day inpatient alcohol rehab in TX: $6,000–$20,000 with PPO insurance (capped at OOP max $7,000–$9,500), or $0 through OSAR for coverage-gap Texans. For most insured Texans, treatment costs less than a single DWI — and addresses the underlying AUD rather than just a legal consequence.
What MAT medications for alcohol are covered in Texas?
All four FDA-approved alcohol MAT medications are covered by Texas commercial plans and Texas Medicaid (for eligible enrollees). Oral naltrexone (ReVia, generic — $50–$150/month self-pay; $10–$50 insured; $0–$5 Medicaid) reduces cravings and reward — also used for the Sinclair Method. Vivitrol (monthly naltrexone injection — $1,300–$1,700 self-pay; $0–$300 insured; $0–$10 Medicaid) for compliance-challenged patients. Acamprosate/Campral ($150–$400 self-pay; $10–$60 insured; $0–$3 Medicaid) helps maintain abstinence post-detox. Disulfiram/Antabuse ($40–$100 self-pay; $10–$30 insured; $0–$3 Medicaid) creates aversive reaction to alcohol. Blue Cross Blue Shield of Texas (BCBSTX — largest TX carrier with 6+ million members), UnitedHealthcare, Aetna, Cigna, and Humana all cover AUD MAT. Under the 2024 MHPAEA final rule, TX insurers face NQTL comparability requirements. Generic oral naltrexone is on the preferred generic tier at most TX plans.
How long is alcohol rehab in Texas usually?
The average Texas alcohol inpatient stay is 28–30 days (standard insurance billing cycle), though NIDA recommends 90+ days of structured treatment. Medical detox runs 5–14 days. A full evidence-based Texas alcohol treatment episode: 5–14 day medical detox, 21–25 day residential, 4–6 week PHP, 8–12 week IOP, plus 12+ months of MAT and standard outpatient. Texas Medicaid covers the full continuum at $0 for eligible enrollees. Cenikor Foundation offers nonprofit long-term residential (6–12 months) at Houston and Fort Worth — valuable for patients needing extended care. Under federal MHPAEA + the 2024 final rule, TX commercial insurers cannot impose arbitrary day caps when medical necessity is documented.
What about Cenikor Foundation for alcohol treatment?
Cenikor Foundation is a nonprofit providing free long-term residential addiction treatment (6–12 months) at Texas locations in Houston and Fort Worth, plus Baton Rouge (Louisiana) and Denver. For alcohol use disorder, Cenikor's work-based therapeutic community model provides: medical detox and stabilization, residential treatment with CIWA-Ar protocols, individual and group therapy, vocational training and work therapy, peer support and alumni community, and transition to aftercare. Cenikor is funded through a combination of TX HHSC contracts, private donations, and insurance reimbursement. For coverage-gap Texans without insurance, Cenikor is one of the most substantial free long-term residential options. Admission requires detox readiness (completed at referral source or Cenikor detox unit) and motivation for the extended (6–12 month) commitment. Not all applicants are accepted — Cenikor uses a structured admission process.