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The Daily Check

Program

Texas Medicaid home care (STAR+PLUS)

Texas Medicaid plans that pay for home care and home changes instead of a nursing home.

What it can pay for

Official name
Texas STAR+PLUS Home and Community Based Services (HCBS)
Where
TX
Status
Program running
Most it pays
$7,500 lifetime
About the amount
$7,500 lifetime for minor home modifications, plus $300/year for repairs, replacement or additions. The MCO may exceed the cap without HHSC approval if the service plan shows the need. The whole service plan is capped at 202% of nursing-facility cost.
Housing rules
Renters and people living with a relative qualify, but the landlord/owner must give written approval before any modification. No modifications to homes owned or controlled by an MCO-contracted provider.
How long it takes
Interest list -> 30 days to return Form H1200 after release -> medical necessity decision plus MCO assessment -> service plan -> home mod finished within 90 business days of plan start. No published end-to-end average; a realistic estimate is several months to about a year for a non-SSI senior.
How to apply
Already on SSI or full Medicaid? Call your STAR+PLUS plan's member services and ask for a service coordinator and an HCBS assessment. Not on Medicaid yet? Call the interest-list line to lock in your date, then return Form H1200 (the Medicaid application) within 30 days of release.
Does not pay for
No: roof repair/replacement, gutters, leaky faucets, new porches/decks/carports/patios, elevators, painting, landscaping, pest control, regular carpet, carbon monoxide detectors, electrical upgrades/outlets unless they power medical equipment or fix a hazard. Heating/cooling can be approved as an adaptive aid, not a home modification.
Official source
fhb.hhs.texas.gov
Last checked
September 29, 2026