Who Qualifies for In-Home Care Through Texas Medicaid?

“Does my mom qualify?” is usually the first question families ask us – and the honest answer is that Texas has several doors into in-home care, each with its own rules. Here is the plain-language version of all of them.

Texas Medicaid STAR+PLUS – the main door for ongoing caregivers

STAR+PLUS is the Texas Medicaid managed-care program that pays for long-term, in-home help with daily living. The general checklist:

  • Age/disability: an adult 65 or older, or age 21+ with a qualifying disability
  • Financial: meets Medicaid income and asset limits (check at YourTexasBenefits or call 2-1-1)
  • Functional: needs hands-on help with at least one activity of daily living – bathing, dressing, transferring, meals, toileting
  • Assessment: the health plan’s service coordinator visits, assesses needs, and authorizes weekly attendant hours

If that sounds like your family member, the next step is simple: request the assessment from their STAR+PLUS plan, or call us and we will help you request it. Once hours are authorized, Newport provides the personal assistance caregiver – and a qualified family member can often be that paid caregiver.

Medicare – short-term and skilled, not ongoing caregivers

Medicare does not pay for an ongoing daily caregiver. It covers skilled care at home – nursing visits, therapy – when a physician orders it and the person is considered homebound, typically after a hospitalization. Details at Medicare.gov. If what your family needs is months of help with bathing and meals, Medicare is the wrong door – STAR+PLUS is the right one.

Veterans benefits

Veterans and some surviving spouses may qualify for home care support through VA programs – see VA health care. We accept VA benefits; bring it up when you call and we will help you sort out what applies.

Private pay – no qualification at all

Anyone can start companion or attendant care privately, usually within days. Families often begin here while a Medicaid application is pending.

Not sure which door is yours?

That is genuinely what we do all day. Read how to get started, or skip ahead:

Talk to a real person: call Newport Home Health at 972-602-3500. We serve Dallas–Fort Worth, Houston, and San Antonio, and the consultation is free.

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