Texas Access Score: 36.7/100
Composite of methadone OTP density, buprenorphine provider density, mental health shortage need-met %, Medicaid coverage breadth, 1115 SUD waiver status, and legal protections. How we score.
Methadone Clinics in Texas
Texas has 62 currently SAMHSA-certified opioid treatment programs across 43 cities. Methadone is dispensed daily on-site at OTPs, which is the regulatory boundary that defines this list.
Composite analysis
Treatment Access Pressure Index
High pressure74.5Rank 14 of 52
Texas ranks in the upper half of states for treatment access pressure. Some counties carry materially worse access than the state-level number suggests.
Mental health HPSA score (weighted)
15.92
0–25 scale. Higher means greater federally-designated shortage.
47,002,947 residents live inside designated mental health HPSAs.
Source: HRSA Data Warehouse
Frequent mental distress
17%
Population-weighted share of adults reporting 14+ days of poor mental health in the last month.
Source: CDC PLACES (BRFSS 2022)
Unemployment rate
4.3%
Seasonally adjusted state unemployment, used as a stress proxy.
Latest period: M02 2026.
Source: BLS Local Area Unemployment Statistics
Verified treatment density
3.18
Methadone OTPs plus buprenorphine prescribers per 100,000 residents. Higher density lowers pressure.
(63 OTPs, 907 bupren providers.)
Source: SAMHSA + CMS NPPES (CCIWA dataset)
TAPI is a CCIWA composite. Each input is z-scored across 50 states plus DC and Puerto Rico, then combined as a weighted sum (HPSA 30%, frequent mental distress 25%, unemployment 15%, treatment density 30%, sign-flipped). The result is rescaled 0 to 100 by percentile rank. Read the full methodology.
F
Score breakdown
| Component | Detail | Points |
|---|---|---|
| OTP density | 0.203 OTPs per 100K residents | 6.1 / 30 |
| Buprenorphine density | 2.97 providers per 100K | 2.4 / 20 |
| Mental health HPSA need met | 32.31% | 10.8 / 20 |
| Medicaid breadth | 5 of 5 service categories covered | 15 / 15 |
| 1115 SUD waiver | None | 0 / 10 |
| Legal protections | Good Samaritan: No · Naloxone access: Yes | 2.5 / 5 |
Demand snapshot
5,687
Drug overdose deaths (2023)
CDC WONDER. YoY 1.6
10.5
Opioid deaths per 100K (age-adjusted)
CDC WONDER 2023
32.4
Opioid Rx per 100 residents
2024 · National avg 35.4
32.31%
Mental health HPSA need met
HRSA Q1 2026. Federal SUD-specific HPSA does not exist.
Medicaid coverage
| Service | Covered | Notes |
|---|---|---|
| Methadone | Yes | Prior auth required |
| Buprenorphine | Yes | |
| Naltrexone (Vivitrol) | Yes | |
| Outpatient SUD | Yes | |
| Residential SUD | Yes |
1115 SUD waiver: N (as of available data; contingency management waiver amendment submitted but not confirmed approved). IMD exclusion waived. Expires Not applicable.
43 cities with verified methadone clinics
Abilene (2) Addison (1) Amarillo (1) Arlington (1) Austin (1) Beaumont (1) Brownsville (1) Cedar Park (1) Center (1) College Station (1) Corpus Christi (2) Dallas (4) Denison (1) Denton (1) El Paso (1) Famers Branch (1) Fort Worth (4) Garland (2) Grand Prairie (1) Haltom City (1) Houston (7) Hurst (1) Irving (1) Jacksonville (1) Jersey Village (1) La Marque (1) Lewisville (1) Lubbock (1) Lufkin (1) Midland (1) Odessa (1) Pharr (1) Plano (1) San Angelo (1) San Antonio (5) Spring (1) Temple (1) Tomball (1) Tyler (1) Waco (1) Weatherford (1) Wichita Falls (1) Windcrest (1)