Medicaid Home Care Clients in Texas: A Guide for Agencies

Texas has one of the largest Medicaid home care markets in the country, delivered through attendant-services programs and managed care. Here’s the landscape for agencies planning growth.

The programs (HHSC)

Texas Health and Human Services (HHSC) funds in-home attendant services through programs including Primary Home Care (PHC), Community Attendant Services (CAS), and the STAR+PLUS managed care program, along with Community First Choice. Texas sets an attendant base wage and adjusts reimbursement around it; recent rate actions moved to support an average attendant wage of about $13/hour, with agency reimbursement set above that. Attendant program rates in Texas tend to run lower than some states, so confirm the current reimbursement rate on the HHSC Provider Finance schedule before relying on any figure.

See the official details at Texas HHSC (rates: HHSC Provider Finance).

What this means for agencies

• STAR+PLUS is managed care — the MCOs authorize and coordinate much of the attendant care, so plan relationships matter.
• Attendant recruitment is the operational constraint given Texas wage levels; retention drives your capacity to take clients.
• Confirm the program and eligibility for each family; PHC, CAS, and STAR+PLUS have different paths.

Preparing to grow in Texas

A clear website, referral and MCO relationships, and measured paid leads — screened for Texas location, Medicaid eligibility, and genuine home-care need — form the growth system once you can handle volume.

Adult Care Network is expanding into Texas. We’re signing founding partners now — first access to pre-qualified, screened Texas leads delivered to your portal, matched to service area and shared with no more than three agencies, for a flat fee per qualified lead, never per enrollment. We’re a marketing-services company, not a provider.

Become a founding partner in Texas → · Run the ROI calculator →

General information for agencies, not legal or eligibility advice. Program rules and rates change — confirm current details with Texas HHSC.