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Recovery support in Texas

Peer recovery coaching for Texans, including a Medicare peer navigation path

Weekly video coaching with a certified peer specialist, random at-home testing, and remote breathalyzer monitoring, delivered to any county in Texas. If you are on Medicare, peer navigation can follow an evaluation visit with a licensed clinician.

Check my coverageCall (646) 450-7641
Recovery coaching in Texas, Accountable, with an outline of the state
Available statewideEvery county in Texas, fully virtual, supplies shipped to your home.
Commercial plansA growing list of commercial plans, with more added each month.
Medicare optionPeer navigation after an initiating clinician visit, billed session by session.
GEHA benefitIncluded for GEHA members and their families.

Coverage in Texas

Texas is one of five states where Accountable offers Medicare peer navigation. It works differently from our subscription. Medicare coverage is session-based and separate from the monthly program, and it starts with a visit to a licensed clinician. If that clinician finds a qualified clinical need after an evaluation visit, peer navigation sessions can follow under Medicare's Principal Illness Navigation, Peer Support benefit (PIN-PS). Clinical services and billing for covered services come from our Insurance Offering Partners; Accountable collects only the cost-sharing your plan sets, acting as billing agent. Cost-sharing cannot be waived, and a claim your plan denies is your responsibility. We do not publish a cost grid because deductibles and secondary coverage vary. Sign up or call and we will give you an estimate based on your plan. Details are at /who-we-serve/medicare.

If you have a commercial plan, Accountable is covered by a growing list of commercial health plans, with more added each month; check your coverage in a few minutes at appv2.youareaccountable.com. Federal employees and their families should know that recovery coaching and monitoring is an included benefit for GEHA members nationwide, Texas included (see the GEHA page).

Without coverage, private pay starts at $375 per month for weekly coaching plus all groups. Self-pay members pay $125 once for the breathalyzer device; in-network members get the device included and pay whatever co-pay or deductible their plan sets. Questions about which path fits you: call (646) 450-7641.

How it works here

Same program, wherever you are in Texas

You start with a short call, then a first video session with a certified peer specialist in recovery themselves. The program is the same in Amarillo as in Houston: weekly one-on-one video coaching, daily peer group meetings, a weekly family Zoom group, at-home saliva screening assigned at random (an instant 10-panel plus lab-confirmed oral fluid when needed), and twice-daily remote breathalyzer monitoring if alcohol is part of your history. Sessions are scheduled in Central time, or Mountain time in El Paso. Messaging is mostly business hours with some after-hours coverage. You do not choose whether you test; you choose who sees the results.

On Medicare, the order is different. The first step is an evaluation visit with a licensed clinician through our Insurance Offering Partners. Medicare covers peer navigation only when that clinician finds a qualified clinical need, and sessions are billed under PIN-PS, which requires an initiating visit and your consent (CMS, 2024). Cost-sharing applies and cannot be waived.

Accountable is not a detox and does not prescribe. If you have never been assessed, or need a level of care we do not provide, your regional OSAR center is the state's front door; it serves anyone living in Texas and answers the phone around the clock (Texas HHS, 2026). Many members pair us with a local counselor, an intensive outpatient program, or medication for opioid or alcohol use disorder, and we coordinate with those providers when you consent.

For clinicians and treatment programs: Accountable works with 18 treatment programs and clinicians in Texas. The program is aligned to the ASAM Criteria, 4th Edition, Level 1.0, Long-Term Remission Monitoring, and built for the year after discharge, when your patient has gone home to a county where the next appointment is far away. With the member's consent, you get screening results, coaching notes, and a call when something changes.

What recovery looks like in Texas right now

Overdose deaths in Texas are falling, but from a high peak

CDC provisional counts put Texas drug overdose deaths at about 4,478 for the twelve months ending April 2026, down from a peak of 5,727 in calendar 2023 (CDC NCHS VSRR, 2026). That is a drop of roughly 22 percent, matching the national trend (CDC NCHS, 2026). Fentanyl deaths fell too, from more than 2,360 to more than 1,900 in the year ending July 2024, after rising over 600 percent from 2019 to 2023 (Office of the Texas Governor, 2024). Fewer deaths is not the same as fewer people who need help.

Methamphetamine is a bigger factor here than in most states

In the same CDC data, psychostimulants (mostly methamphetamine) were involved in about 1,850 Texas deaths, more than synthetic opioids such as fentanyl at about 1,362; cocaine was at about 1,431 (CDC NCHS VSRR, 2026). Texas families often come to us about a stimulant, not an opioid, and many deaths involve both (Texas DSHS, 2026).

Alcohol kills more Texans than every drug combined

CDC attributes an average of 13,701 deaths a year in Texas to excessive alcohol use for 2020 and 2021, 8,702 of them chronic causes such as liver disease and 4,999 acute causes such as crashes (CDC ARDI, 2020-2021). That is more than twice the state's worst year for drug overdoses, and it is where twice-daily remote breathalyzer monitoring earns its keep.

The treatment gap and the distance problem

Nationally, only 12.1 percent of adults with a past-year substance use disorder received any treatment in 2024, counting inpatient, outpatient, medication, and telehealth (SAMHSA NSDUH, 2024). Texas adds distance to that gap. DSHS counts 376 mental health shortage area designations and projects unmet demand for psychiatrists at 51 percent statewide by 2036, and 71 percent in the Rio Grande Valley (Texas DSHS, 2024). An earlier DSHS review found 15 counties with no mental health providers at all (Texas DSHS, 2021). When the nearest program is a two-hour drive, weekly video coaching from home is often the only way weekly happens.

Older Texans and Medicare

Texas had 4,770,640 Medicare beneficiaries in 2024 (KFF, 2024). Drinking and sedative problems after 65 are often mistaken for aging. If you are worried about a parent, start with our guide to substance use in older adults.

Texas resources worth knowing

Common questions

Yes. Accountable serves members in every state, and Texas is one of five where we also offer Medicare peer navigation. Everything is by video and phone, so it works the same in a border county as in Dallas.

Next step

Check your coverage in a few minutes, or talk to a person first.

The care team can tell you what your plan covers, what private pay costs, and how the first week works. Families are welcome to make the first call.

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