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

The Texas STAR+PLUS HCBS waiver (1915(c)) provides home and community-based services to Medicaid-eligible adults 21 and older who have physical disabilities or are age 65+ and require a nursing facility level of care. Unlike the CFC entitlement program, STAR+PLUS HCBS provides an expanded service array including personal attendant care, home health, adult day health, day activity and health services, supported employment, financial management services, and emergency response. The Consumer Directed Services (CDS) option allows family members to be hired as paid attendants. Administered by managed care organizations under HHSC.

STAR+PLUS HCBS provides an extended service array beyond basic personal care: adult day health care, home health aide, nursing, respite (up to 35 days/year for live-in caregivers), supported employment, day activity and health services (DAHS), and financial management. Under the CDS option, participants can hire and manage their own attendants, including family members. Pays attendants $10–$18/hr depending on managed care organization. Waitlists are common; apply as early as possible. Medicaid eligibility (income ~138% FPL) and nursing-facility level of care required.

Some details for this program are still being verified. Check the official source for the most current information.

Eligibility

  • Household income at or below 138% of the Federal Poverty Level
  • Care recipient must be at least 21 years old
  • Care recipient must have a qualifying disability or need for assistance
  • Must be a resident of TX
  • Must be Medicaid-eligible
  • Must require a nursing facility level of care

Services

STAR+PLUS HCBS provides an extended service array beyond basic personal care: adult day health care, home health aide, nursing, respite (up to 35 days/year for live-in caregivers), supported employment, day activity and health services (DAHS), and financial management. Under the CDS option, participants can hire and manage their own attendants, including family members. Pays attendants $10–$18/hr depending on managed care organization. Waitlists are common; apply as early as possible. Medicaid eligibility (income ~138% FPL) and nursing-facility level of care required.

How to apply

Apply online or find more information at the official program page.

  • tx-consumer-directed (companion): CDS is the self-direction option within STAR+PLUS; CFC (tx-consumer-directed) is a separate entitlement