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Does Medicaid Pay for Home Care in Texas? What Families Need to Know


Navigating Medicaid coverage for home care can feel overwhelming, especially when families are already balancing the emotional and physical responsibilities of caring for a loved one. One of the most common questions Texas families ask is whether Medicaid helps pay for home care services.


The answer is yes, Medicaid can pay for certain home care services in Texas. Coverage depends on eligibility, assessed need, and participation in specific Medicaid programs such as STAR+PLUS.


This guide explains what families need to know and how Caremate Wellness Solutions supports Medicaid recipients with approved, non-medical home care services.



What Is Medicaid Home Care in Texas?

Texas Medicaid provides long-term services and supports that help eligible individuals remain safely in their homes rather than  nursing facilities. These services are intended for older adults, individuals with disabilities, and others who meet financial and functional eligibility requirements.

Unlike Medicare, which primarily covers short-term skilled care, Medicaid focuses on ongoing non-medical assistance that supports independence and daily functioning.



Which Texas Medicaid Program Covers Home Care?

The primary Medicaid program that covers home care for adults in Texas is STAR+PLUS, a managed care program that integrates medical care with long-term services and supports.


STAR+PLUS typically serves:

  • Adults age 21 and older with disabilities

  • Adults age 65 and older


This program allows eligible members to receive care at home or in community settings rather than institutional care.



What Home Care Services Does Medicaid Cover?

Under STAR+PLUS and related Medicaid programs, eligible individuals may receive non-medical home care services, including:

  • Assistance with Activities of Daily Living (ADLs) such as bathing, dressing, grooming, and toileting

  • Meal preparation and feeding assistance

  • Mobility support and transferring

  • Medication reminders (non-clinical)

  • Light housekeeping related to health and safety

  • Safety monitoring & supervision


These services are designed to reduce health risks, support independence, and improve quality of life at home.



How Caremate Wellness Solutions Provides Medicaid-Covered Home Care

Caremate Wellness Solutions is proud to support Medicaid recipients by delivering non-medical services covered under Texas Medicaid programs, including STAR+PLUS.


Through our Personal Assistance Services (PAS) and supportive care programs, Caremate provides:

  • Hands-on assistance with ADLs, including bathing, dressing, grooming, toileting, and mobility support

  • Meal preparation and nutrition support to promote malnutrition, dehydration, healing, and well-being

  • Medication reminders to help clients follow prescribed routines

  • Light housekeeping that supports a clean, safe living environment

  • Safety monitoring and supervision to reduce fall risk and prevent emergencies

  • Companionship and social engagement, which play a critical role in emotional wellness


These services align with the long-term supports authorized through Texas Medicaid when eligibility and service hours are approved.



Coordinating Care With Medicaid and STAR+PLUS

Caremate Wellness Solutions works collaboratively with:

Our team helps ensure that approved services are delivered consistently, compassionately, and in alignment with each client’s authorized care plan.


We also assist families in understanding:

  • What services have been approved

  • How care hours are structured

  • How services may be adjusted as needs change



Who Is Eligible for Medicaid Home Care in Texas?

Eligibility is based on both financial and functional criteria.


Financial Eligibility

Texas Medicaid has income and asset limits that vary by program and household situation. Some assets, such as a primary residence, may be excluded.


Functional Eligibility

Applicants must demonstrate a need for assistance with daily living activities or supervision due to age, disability, or health-related limitations. Functional need is determined through Medicaid assessments.



How Do Families Start Medicaid Home Care Services?

The process typically includes:

  1. Confirming Medicaid eligibility

  2. Working with a STAR+PLUS service coordinator or case manager

  3. Completing a functional needs assessment

  4. Selecting a Medicaid-approved home care provider, such as Caremate Wellness Solutions


Once services are authorized, care begins based on the approved care plan.



How Caremate Supports Families Beyond Direct Care

In addition to hands-on home care, Caremate Wellness Solutions serves as a resource hub, helping families connect to:

  • Community-based organizations

  • Food security and social support resources

  • Durable Medical Equipment and home safety referrals

  • Veteran-specific services when applicable


Our mission is to support overall wellness, dignity, and independence, not just task-based care.



Important Disclaimer

This article is provided for educational purposes only. Caremate Wellness Solutions does not provide medical, legal, or financial advice. Medicaid rules, eligibility requirements, covered services, and benefits change frequently. Families should consult Texas Health and Human Services, a Medicaid case manager, or a qualified legal or financial professional for guidance specific to their situation.



Need Help Understanding Medicaid Home Care Options?

If you or your loved one receives Medicaid or may qualify for STAR+PLUS services, Caremate Wellness Solutions is here to help you understand your options and next steps.


📞 Call (682) 305-0665

🌐 Schedule a Free Pre-Care Assessment: https://www.carematewellness.com/contact


We proudly serve seniors, veterans, and individuals with disabilities throughout Dallas, Tarrant, McLennan, Bell, Falls, and surrounding counties.



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