STAR+PLUS Home and Community Based Services (HCBS) Waiver

Administered by Texas Health and Human Services Commission (HHSC) · hhs.texas.gov

Medicaid waiver that pays for long-term care services in the home or community for Texas adults age 21 and older who would otherwise need nursing home care. Services include personal attendant care, in-home nursing, respite, home modifications, adaptive equipment, home delivered meals, dental, and assisted living facility care. Family members can be hired and paid as caregivers through the Consumer Directed Services option (spouses generally cannot be paid). HCBS slots are capped, so applicants are placed on an interest list with months to years of wait time depending on region. Apply early - your time on the list does not start until you call.