---
title: "Texas Medicaid Long-Term Care | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/texas/medicaid-long-term-care/
description: "How Texas delivers Medicaid long-term care through STAR+PLUS, and why its income cap makes a Qualified Income Trust essential for some applicants."
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 · Medicaid Program

# Texas Medicaid Long-Term Care

Last updated 2026-10-20

The Texas Health and Human Services Commission oversees long-term services and supports under Medicaid, and delivers most of them through STAR+PLUS for people 65 and older and people with disabilities. STAR+PLUS combines acute care with long-term services and supports inside a managed-care structure, with service coordination sitting at the center of how cases are managed (HHSC STAR+PLUS handbook).

It's worth being clear about what STAR+PLUS does and doesn't change: it's a delivery mechanism, not a change to who's eligible or what's covered. The old Department of Aging and Disability Services, which some older materials still reference, was abolished in 2017, with its responsibilities absorbed into HHSC — so any source still naming DADS as the current agency is out of date (Texas Sunset Advisory Commission).

## 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/)