San Antonio, Texas · Methadone
Methadone clinics in San Antonio that take Medicaid
Cima Find Care lists 4 methadone clinics (opioid treatment programs) in San Antonio that accept Medicaid, at 5 locations, out of 7 in the city. That comes from FindTreatment.gov's record or the program's own website, so confirm with the program and your plan before you go.
From SAMHSA's FindTreatment.gov, the NPI registry and program websites, as of 2026-10-27. Not medical advice; call the program to check openings and cost.
En español: Clínicas de metadona en San Antonio que aceptan Medicaid
The 4 methadone clinics (opioid treatment programs) that take Medicaid
| Program | Where | Medications on the record | Pays | Phone |
|---|---|---|---|---|
| Metro Treatment of Texas LP 2 locations | 3701 West Commerce Street, San Antonio 78207 | Methadone, Buprenorphine without naloxone | Medicaid · Medicare | (210) 434-0531 |
| Community Medical Services | 437 McCarty Road, Suite 600, San Antonio 78216 | Methadone, Buprenorphine with naloxone, Buprenorphine without naloxone, Naltrexone (oral), Naltrexone (extended-release, injectable) | Medicaid · Cigna | (210) 314-1934 |
| River City Rehabilitation Center Inc | 680 Stonewall Street, San Antonio 78214 | Disulfiram, Methadone, Buprenorphine with naloxone, Buprenorphine without naloxone, Naltrexone (oral) | Medicaid · Aetna, Ambetter, Cigna +5 more | (210) 924-7547 |
| Texas Treatment Services LLC | 571 Spencer Lane, Suite 101, San Antonio 78201 | Methadone, Buprenorphine with naloxone | Medicaid · Private insurance | (210) 736-4405 |
Programs with the fullest public record come first. Medications are as listed on FindTreatment.gov; a methadone clinic's provider type is from the NPI registry.
About methadone
Methadone is a long-acting opioid medicine that the FDA approves for opioid use disorder. For that use it's given only at opioid treatment programs (OTPs), clinics certified by SAMHSA under federal rules (42 CFR Part 8), along with counseling. Early in treatment most doses are taken at the clinic; the rules allow more take-home doses as treatment goes on. Medicare has paid for treatment at OTPs since 2020.
Sources: FDA: information about medications for opioid use disorder · SAMHSA: opioid treatment programs · CMS: Medicare and opioid treatment programs.
Every program offering medication for addiction, any medicine: Medication-assisted treatment (MAT) in San Antonio.
Call the program, then the member services number on your Medicaid card: most Texas Medicaid members are in a managed care health plan (STAR, STAR+PLUS, STAR Kids or STAR Health), and the program has to be in that plan's network.
Questions
How many methadone clinics (opioid treatment programs) in San Antonio take Medicaid?
Cima Find Care lists 4, at 5 locations: Metro Treatment of Texas LP, Community Medical Services, River City Rehabilitation Center Inc and Texas Treatment Services LLC. Each one's page has its phone number, address, levels of care and the insurance on its record.
Are there methadone clinics (opioid treatment programs) in San Antonio with services in Spanish?
4 list services in Spanish: Metro Treatment of Texas LP, Community Medical Services, River City Rehabilitation Center Inc and Texas Treatment Services LLC.
Do any offer telehealth?
1 lists telehealth on their record: Metro Treatment of Texas LP. Ask which parts of the program can be done by video.
Do the methadone clinics in San Antonio also offer buprenorphine or naltrexone?
4 also list buprenorphine (Metro Treatment of Texas LP, Community Medical Services, River City Rehabilitation Center Inc and 1 more) and 2 list naltrexone. Records from the NPI registry don't list medications, so ask the clinic.
How do I start at a methadone clinic?
Call the clinic and ask when it does intakes, what to bring, whether it takes your insurance, and what treatment costs without insurance. A clinic only gives methadone for opioid use disorder after an assessment by its own medical staff.
What is a methadone clinic?
Methadone is a long-acting opioid medicine that the FDA approves for opioid use disorder. For that use it's given only at opioid treatment programs (OTPs), clinics certified by SAMHSA under federal rules (42 CFR Part 8), along with counseling. Early in treatment most doses are taken at the clinic; the rules allow more take-home doses as treatment goes on. Medicare has paid for treatment at OTPs since 2020.
How do I check that a program takes my Medicaid?
Call the program, then the member services number on your Medicaid card: most Texas Medicaid members are in a managed care health plan (STAR, STAR+PLUS, STAR Kids or STAR Health), and the program has to be in that plan's network.
How current is this list?
It's built from SAMHSA's FindTreatment.gov, the federal NPI registry and the programs' own websites, as of 2026-10-27. Cima has not called these programs to confirm openings, fees or insurance. Programs can claim their listing to correct it.
What if I need help right now?
In an emergency, call 911. In a mental health or substance use crisis, call or text 988, any time. SAMHSA's National Helpline, 1-800-662-4357, is free, confidential and open all day, every day, and can refer you to treatment.
More in San Antonio
Methadone clinics in San Antonio
Medicaid detox in San Antonio · Medicaid residential treatment in San Antonio · Medicaid PHP in San Antonio · Medicaid IOP in San Antonio · Medicaid outpatient treatment in San Antonio · Medicaid MAT in San Antonio · Suboxone and buprenorphine programs in San Antonio that take Medicaid · Vivitrol (naltrexone injection) programs in San Antonio that take Medicaid · Medicaid addiction treatment in San Antonio
Elsewhere: Methadone clinics in Texas that take Medicaid · Methadone clinics in Dallas that take Medicaid · Methadone clinics in Fort Worth that take Medicaid · Methadone clinics in Houston that take Medicaid