Verified October 10, 2026 against the statutes, regulations and sources cited below. The state decides every application. All states
What operators miss in Texas
- Licensure fees are nonrefundable and paid by cashier's check or money order.
- A facility may not provide services after expiration unless it filed the renewal and fee by the expiration date.
Does Texas license behavioral health and addiction treatment programs?
An applicant files a licensure application, an operational plan, proof of liability insurance and the fee. HHSC has 45 days to declare it materially complete and 45 days to inspect. The application is denied if compliance is not shown within six months, and no treatment may begin before written approval.
- Chemical dependency treatment facility license
- Substance use programs: Texas Health and Human Services Commission (HHSC)
Citation: 26 Tex. Admin. Code 564.403
How does Texas license each level of care?
- Outpatient: The license certificate is displayed at each outpatient location.
- Residential: The license certificate is displayed at each approved residential site; beds carry a per-bed fee.
Citation: 26 Tex. Admin. Code 564.403(h), 564.408
What does a Texas license cost?
- Initial: $1,200 base (as of 2026-10-10)
- Renewal: $1,200 base (as of 2026-10-10)
- Per site: $125 for each outpatient or residential site at a separate address
- Per bed: $35
Citation: 26 Tex. Admin. Code 564.408
How often does a Texas license renew?
- Renews every two years
- Due 60 days before the license expires
What does an opioid treatment program need in Texas?
- State opioid treatment authority: No agency named on SAMHSA list (Austin contact at hhs.texas.gov)
- State license: Narcotic treatment program standards, applications, fees and permits are in 26 Tex. Admin. Code ch. 563.
- 97 opioid treatment programs in 2024 (N-SUMHSS)
How does Texas treat recovery residences?
- NARR affiliate: Texas Recovery Oriented Housing Network (TROHN)
Opening or expanding a program in Texas?
We confirm what Texas requires for your services and levels of care, prepare the application and every attachment for your owner or officer to sign, and track it to a decision. An outpatient program license is $1,995 per site. Every fee is flat and never depends on admissions or census.