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

One of the most common questions families ask us is: "Will Medicaid cover home care?" The answer is yes — but there are specific programs, eligibility rules, and steps involved. Understanding how it works can save your family significant time and money.
What Is Medicaid?
Medicaid is a joint federal and state program that provides health coverage for individuals with limited income and resources. In Texas, it is administered through the Texas Health and Human Services Commission (HHSC).
Unlike some other forms of insurance, Medicaid can cover personal home care services — not just skilled medical care. This is critically important for families who need help with daily activities like bathing, dressing, and meal preparation.
Texas Medicaid Programs That Cover Home Care
Community Attendant Services (CAS)
CAS is one of the primary Medicaid programs covering personal attendant services in Texas. It covers:
- Bathing, grooming, and personal hygiene
- Dressing and mobility assistance
- Meal preparation and feeding
- Light housekeeping related to the client's needs
- Medication reminders
STAR+PLUS Managed Care
STAR+PLUS is a Medicaid managed care program for people who are aged, blind, or have disabilities. It provides both acute care (doctor visits, hospital) and long-term services and supports (LTSS), which can include:
- Personal attendant services
- Home modifications for safety
- Respite care for family caregivers
- Adult day care
- Transition assistance from nursing facilities to home
Primary Home Care (PHC)
PHC covers personal care services for eligible Medicaid clients who need help with activities of daily living (ADLs) due to a physical, mental, or developmental disability or chronic health condition.
Who Qualifies?
Eligibility is based on three main factors:
- 1Financial eligibility — income and asset limits set by the state
- 2Functional need — you must need assistance with at least one activity of daily living
- 3Residency — you must be a Texas resident
Our care team can walk you through the eligibility criteria and assist with the application process at no additional cost.
What About Private Insurance?
Many private insurance and long-term care insurance policies also cover home care services. Coverage varies widely by plan, so it is essential to review your policy or let our billing team verify it for you before care begins.
Our Recommendation
Don't navigate the insurance process alone. At Beulah Homecare Services, our billing team verifies your Medicaid or private insurance coverage before care begins — at no charge to you — so there are no surprises.
Reach out today and we'll help you understand exactly what you're entitled to.