Medicaid Assisted Living in Texas: Complete 2026 Guide

Yes, Medicaid can pay for assisted living in Texas. Here’s exactly how it works, who qualifies, and which Houston-area facilities accept it.

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Does Medicaid Cover Assisted Living in Texas?

Yes. Texas Medicaid covers assisted living through the STAR+PLUS waiver program (Home and Community-Based Services). This allows eligible seniors to receive care in licensed assisted living facilities instead of nursing homes — often at significantly lower cost to both the state and the family.

What Medicaid Covers in Assisted Living

  • Personal care assistance (bathing, dressing, grooming)
  • Medication management and administration
  • Meals and nutrition
  • 24-hour supervision
  • Activity programs
  • Emergency response systems
  • Transportation to medical appointments

Eligibility Requirements (2026)

Age 65+ (or disabled)
Income Limit (Individual) ~$2,829/month
Asset Limit (Individual) $2,000 (home and one car exempt)
Care Level Required Nursing facility level of care (medical assessment)
How to Apply Local HHSC office or call 2-1-1

Find Medicaid-Accepting Facilities in Houston

Not all assisted living facilities in Houston accept Medicaid. Use our directory to filter by Medicaid acceptance:

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Frequently Asked Questions

Does Medicaid pay for assisted living in Texas?

Yes, through the STAR+PLUS waiver program. Eligible residents receive coverage for personal care, meals, medication management, and 24-hour supervision in licensed facilities.

What is the income limit for Medicaid assisted living in Texas?

Approximately $2,829/month for an individual in 2026. Asset limit is $2,000 (home and one car are exempt). Married couples have different limits — contact HHSC or call 2-1-1 for current figures.

How long does Medicaid approval take for assisted living?

Standard processing takes 30-45 days. Emergency cases (hospital discharge) may be expedited. Start the application process as early as possible — you can apply before choosing a facility.

Need Medicaid Placement Help?

Finding a Medicaid-accepting facility is hard. We know which ones have beds available RIGHT NOW.

Call 281.671.4608

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