---
title: "Texas Home Care Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/texas/home-care-medicaid/
description: "STAR+PLUS HCBS and Community First Choice: two Texas routes to in-home support with different eligibility and interest-list realities."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Texas · Home & Community Care

# Texas Home Care Medicaid

Last updated 2026-10-20

STAR+PLUS HCBS is Texas's main home-and-community-based alternative to nursing-facility placement, operating under the state's Section 1115 waiver authority and administered within the broader STAR+PLUS managed-care system (HHSC STAR+PLUS handbook).

To qualify, HHSC requires an applicant to be at least 21 years old, meet full Medicaid financial eligibility, be a Texas resident and U.S. citizen, have a documented nursing-facility medical-necessity determination, show an unmet care need, have an individual service plan that fits within the program's cost limit, and be in an appropriate living situation (HHSC STAR+PLUS HCBS eligibility policy). Community First Choice runs as a separate State Plan option alongside STAR+PLUS HCBS, giving Texas two distinct paths into in-home support with different eligibility rules and different realities around interest lists.

## Texas figures

- Minimum applicant age (STAR+PLUS HCBS): 21

## Sources and official resources

- [Texas HHSC MEPD Handbook: Appendix XII, Nursing Facility and HCBS Waiver Information](https://fhb.hhs.texas.gov/handbooks/medicaid-elderly-people-disabilities-handbook/appendix-xii-nursing-facility-home-community-based-services-waiver-information)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Texas guide](https://fundingltcmarketplace.com/states/texas/)