Texas Medicaid is a state and federally-funded program that provides healthcare coverage to low-income individuals and families. The Medicaid program aims to create healthy communities in Texas, and it focuses on bringing healthcare services to those who would otherwise not be able to afford it. The program provides healthcare coverage to more than four million Texas residents, and enrollment is offered to a broad range of qualifying individuals and families. Individuals with disabilities, pregnant women, and low-income families with children can receive benefits and have access to doctor visits, emergency care, vaccinations, necessary prescriptions, dental and vision care. Care for individuals with substance abuse issues is also part of the TX Medicaid program. The program aims to ensure those suffering from substance abuse are able to receive the care and support they need.

In the year 2009 the Texas Legislature authorized the Health and Human Services commission to offer substance abuse treatment to adults with Medicaid health insurance. Substance abuse treatment is also offered to children with Medicaid coverage. Services for those suffering from substance abuse include detox programs, residential treatment, outpatient detoxification, treatment through medication, specialized residential treatment for women, and outpatient counseling. Qualified applicants in search of substance abuse services should contact an Outreach, Screening, Assessment and Referral Center (OSARs). OSARs are located at Local Mental Health Authorities (LMHAs) in various regions of Texas. To enroll in a substance abuse treatment program, applicants should contact their nearest OSAR. For emergency assistance, individuals suffering from substance abuse can reach someone immediately at 211-Texas.

Although low-income adults on Medicaid have access to substance abuse services, certain individuals take priority during the enrollment process. Pregnant women who suffer from substance abuse and pregnant women who inject drugs are given priority during the admissions process. Men and non-pregnant women who inject drugs also take priority. To protect the safety of children and families, any adults with substance abuse issues that have been referred by the Texas Department of Family and Protective Service are given preference.

Children who suffer from substance abuse or dependency are eligible for youth treatment programs. In the state of Texas there are thirty-eight funded youth treatment providers, including 17 residential and 21 outpatient facilities. The youth TX Medicaid program is open to qualified residents between the ages of 13 through 17. A variety of different programs are available, such as intensive residential treatment, supportive residential treatment, specialized female-central treatment, individual outpatient treatment and group outpatient treatment. The goal of youth substance abuse services is to provide intensive treatment and support to children so they can recover from addiction. Residential treatment programs provide services and support to youth 24 hours a day, 7 days a week. Outpatient treatment is also available to youths suffering from substance abuse but who do not require a more structured environment. Substance abuse treatment services and program locations through Texas Medicaid can be found online.