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Family Caregiver Pay Map · Texas · Verified October 1, 2026

Texas: Who Can Be a Paid Family Caregiver Under Medicaid

Under the Consumer Directed Services option in Texas the spouse and the legally authorized representative cannot be hired; other family and friends can be.

Spouse
No
Adult child / other relatives
Yes
Friends / neighbors
Yes
Parent of a minor child
No

Who can be paid: An adult child, sibling, other relative, friend or neighbor.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.

The programs behind the answer

Community First Choice (CFC)

Administered by Texas Health and Human Services.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)

STAR+PLUS HCBS waiver

Administered by Texas HHS.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: Waitlist
  • Interest list; agency option is the default delivery model

See if your family qualifies in Texas

We match Texas families with licensed, Medicaid-approved home care agencies that serve their county. The service is free to families; we are paid a flat marketing fee by the partner agency. Eligibility is determined by the state program.

Check your options in Texas Call (929) 460-3141

Official sources

Facts on this page were last reviewed October 1, 2026 against the sources above. Program rules change; confirm with the program before making decisions. Method: how the Pay Map is verified.

Questions

Questions About Paid Family Caregiving in Texas

Can a spouse be paid to care for their husband or wife in Texas?
No. Texas's rules exclude the spouse from being the paid caregiver; other family members usually can be.
Who can be the paid caregiver in Texas?
An adult child, sibling, other relative, friend or neighbor.
Is there a waitlist for Medicaid home care in Texas?
Community First Choice (CFC): no waitlist. STAR+PLUS HCBS waiver: waitlist (Interest list; agency option is the default delivery model).
Who decides eligibility?
The state program, never The Home Care Agency. The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.