Medically reviewed by Kevin Wandler, MD, Chief Medical Advisor
Not everyone who needs help with substance use has private insurance or the means to pay for treatment. In Texas, publicly funded services exist to help fill that gap, and for many people the first step is contacting an OSAR. The name stands for Outreach, Screening, Assessment and Referral. OSAR providers help Texans find substance use services, including treatment funded by the state.
This guide explains what OSAR does, who it serves, what to expect, and how it compares with private treatment options.
What OSAR Does
Texas Health and Human Services (HHS) funds OSAR providers in regions across the state. They serve as a starting point for people seeking substance use help. Their work generally includes:
- Outreach: connecting with people and communities who may need substance use services, and sharing information about available help.
- Screening: brief questions to understand a person’s substance use, needs and eligibility for services.
- Assessment: a more detailed look at what level and type of care may fit.
- Referral: connecting the person to appropriate services, such as detox, residential treatment, outpatient care or medication for opioid use disorder, as well as related support.
OSAR providers may also offer support while someone waits for a treatment opening, since publicly funded programs sometimes have waitlists.
Who OSAR Serves
OSAR is available to Texans looking for substance use help. State-funded treatment is generally intended for people who have limited income and no insurance, or whose coverage doesn’t meet their needs. Eligibility is determined through the screening process.
Federal rules for publicly funded substance use services give priority to certain groups, such as people who are pregnant and people who inject drugs. If either applies to you, say so when you reach out, because it may affect how quickly you can be placed.
What to Expect When You Contact OSAR
Reaching out usually begins with a phone call. You’ll be asked about your substance use, health, living situation, income and insurance. Based on your answers, OSAR staff may complete an assessment and discuss treatment options with you. If a program has an opening, they may help arrange admission. If there’s a wait, they can talk with you about interim support and how to stay safe in the meantime.
It helps to be honest and specific. The more the staff understand about your situation, the better they can match you with services that fit. If you’re calling for a loved one, you can ask general questions, but the person who needs care will usually need to take part in the screening.
Questions to Ask When You Call
A short list of questions can help you get the most out of that first conversation:
- What services am I likely to be eligible for, and what information do you need from me?
- Is there a waitlist for the level of care I need, and how will I be contacted when a spot opens?
- What support is available while I wait?
- Are there programs that offer medication for opioid use disorder or medically supervised withdrawal?
- What should I do if my situation gets worse before I start treatment?
Write down the answers and the name of the person you spoke with, so you have a record if you need to follow up.
How to Find Your OSAR
Texas is divided into service regions, and each has an OSAR provider. You can find the one serving your area through the Texas Health and Human Services website. You can also dial 2-1-1 to reach 2-1-1 Texas, a free information and referral line, or call the SAMHSA National Helpline at 1-800-662-4357 for free, confidential treatment referral information any time of day or night.
OSAR and Private Treatment Centers
OSAR focuses on connecting people to publicly funded services. Private treatment centers work differently, usually billing health insurance or accepting private payment. If you have insurance, including commercial coverage or certain Texas Medicaid managed care plans, you may have additional options.
Promises Dallas-Fort Worth is a private treatment center in Lewisville. It is in network with a number of commercial insurance plans and some Texas Medicaid managed care plans. You can learn more about Texas Medicaid coverage or paying for treatment without insurance. Our programs include medical detox, residential treatment, an in-person partial hospitalization program and a virtual intensive outpatient program.
Some people move between systems over time. For example, someone might start with a publicly funded referral and later gain insurance through a new job, or the reverse. Knowing both paths exist can make it easier to keep going if circumstances change.
Safety Comes First
Whatever path you take, safety matters most. Withdrawal from alcohol and benzodiazepines can be life-threatening and needs medical supervision, so don’t stop suddenly on your own. If someone may be overdosing, call 911 right away. If you or someone you know is having thoughts of suicide, call or text 988.
Frequently Asked Questions
Is OSAR free?
Contacting an OSAR for screening and referral is generally free. Whether you pay anything for treatment depends on your eligibility and the program.
Can I contact OSAR if I have insurance?
Yes, OSAR can share information. If you have coverage, you may also be able to use your insurance at private treatment centers.
Does OSAR help with mental health conditions?
OSAR focuses on substance use. For publicly funded mental health services, Texas has local mental health and behavioral health authorities. Many people have both concerns, and dual diagnosis treatment addresses them together.
What if there’s a waitlist?
Ask OSAR staff about interim services and what to do if your situation changes. If withdrawal symptoms become severe or someone’s safety is at risk, call 911.
Explore Your Options
If you have insurance or want to understand your choices, we can help. Browse our insurance options, contact Promises Dallas-Fort Worth, or call (469) 546-9303 for a free, confidential conversation.