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Free matching service · Texas

Get Paid to Care for Family in Texas

Have Medicaid? A trusted relative or friend may be able to become the paid caregiver — or a licensed Texas agency can assign a trained attendant. We check if you qualify and match you, free.

Texas Medicaid's home care programs — STAR+PLUS and Community First Choice — provide personal attendant services for eligible Texans. Depending on the program and your choice, the attendant can be a trusted family member or friend, or a trained attendant assigned by a licensed agency. We help you check if you qualify and match you with a Medicaid-approved Texas agency — free to families.

A family caring for a loved one at home in Texas
  • Free for families
  • Medicaid-approved partner agencies
  • HIPAA-aware handling

Your Eligibility Form

Free & Takes 30 Seconds

You are likely eligible if you have Medicaid. Fill out the form to see how fast you can get started.

or call us at (929) 460-3141

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Two Ways to Get Started

Want a family member to be the paid caregiver?

Under Texas Medicaid, a trusted relative or friend may be able to serve as the paid attendant — employed by a Medicaid-approved agency or through the Consumer Directed Services (CDS) option.

Check My Eligibility

Looking for a home attendant?

We match you with a licensed, Medicaid-approved Texas agency that can assign a trained personal care attendant to help your loved one at home.

Check My Eligibility
$0
Out-of-pocket cost to families
Medicaid
Attendants paid through the program
Local
Medicaid-approved Texas agencies
Family
Choose a trusted caregiver

Eligibility

Who Is Eligible for Texas's STAR+PLUS & Community First Choice?

Final eligibility is determined by Texas HHSC — we help you check in seconds.

You're likely eligible if you…

  • Have Medicaid — or May Qualify
    Active Texas Medicaid (Your Texas Benefits), or you may qualify. Medicare alone does not qualify.
  • Live in Texas
    The person receiving care must be a Texas resident
  • Meet the Level-of-Care Need
    Your Medicaid plan assesses your need for help with daily activities and authorizes attendant services
  • Need Help with Daily Activities
    Bathing, dressing, mobility, meal prep, errands and more
  • Able to Direct Your Own Care
    Or appoint a representative who can direct care for you
Example Texas Your Texas Benefits Medicaid card
You'll need an active Texas Medicaid (Your Texas Benefits) card. Medicare alone does not qualify.

Who can you choose as caregiver?

  • Your Adult Child
  • A Sibling
  • A Relative
  • A Close Friend
  • A Neighbor

A paid attendant must be at least 18 and legally able to work in the U.S. By Texas program rule, a spouse (and, for a minor child, a parent) cannot be the paid attendant. Depending on the program, your chosen family member or friend is employed either by a Medicaid-approved licensed agency or through the Consumer Directed Services (CDS) option, where a financial management agency handles payroll. Eligibility for any caregiver is determined by the program during enrollment.

Medicare alone is NOT enough — Medicaid required
Care at home in Texas

What's Covered

Care That Helps Your Loved One Stay Home

  • Personal Care — Bathing, hygiene, dressing, mobility assistance
  • Companion Care — Socializing, light housekeeping, meal prep
  • Fall Prevention — Mobility assistance, safety monitoring at home
  • Medication Reminders — Plan of care to keep you safe at home
See If You Qualify

Why Families Use Us

A Free, Simple Way to Get Connected

We're not an agency — we're the free service that gets your family to the right Medicaid-approved agency, faster.

100% Free to Families

You never pay us a cent. We're paid a flat marketing fee by the partner agency — never by you, and never tied to enrollment.

Matched Locally

We connect you with a licensed, Medicaid-approved provider agency that serves your area and handles enrollment and caregiver setup.

We Guide the Way

Our team helps you check eligibility for Texas's STAR+PLUS & Community First Choice and points you to the right next step — at no cost.

How It Works

How to Become a Paid Family Caregiver in Texas

Three easy steps to get your family the care they need.

1

Check Eligibility

Take our free eligibility check or call us to see if you qualify through Texas's STAR+PLUS & Community First Choice.

2

We Match You with a Local Agency

We connect you with a Medicaid-approved home care agency in your area that handles enrollment, paperwork, and caregiver setup.

3

Your Family Gets the Care They Need

Once approved, your chosen caregiver is paid through Medicaid — and your loved one gets care at home.

The Program

A Medicaid-Funded Program for Texas Families

Funded by Medicaid through Texas HHSC — helping families care for loved ones at home.

Serving Texas

We help eligible Texas families connect with a Medicaid-approved provider agency in their area.

No Cost to Families

Eligible families pay nothing out of pocket for enrollment help.

Paid Through Medicaid

Approved attendants — including qualifying family members — are paid through the Texas Medicaid program.

Source: Texas Health and Human Services Commission (HHSC), STAR+PLUS & Community First Choice.

Texas Medicaid card

Already Enrolled?

Already Receiving Home Care Services?

If you already have Your Texas Benefits Medicaid coverage and are receiving services, call for a free consult to see if switching to a different partner agency is right for you.

Call (929) 460-3141

What The Home Care Agency Does

We help Texas families understand the STAR+PLUS & Community First Choice, check eligibility, and connect with a Medicaid-approved home care provider agency in their area. The provider agency we match you with handles enrollment paperwork, caregiver onboarding, and ongoing program support.

The Home Care Agency is an enrollment matching service. We are not a Medicaid provider agency. We connect eligible Texas families with licensed Medicaid-approved provider agencies that deliver care. This service is free to families.

Questions

Frequently Asked Questions About Home Care in Texas

What services does your home care agency provide?
We are an enrollment matching service — not a home care agency. We help Texas families understand STAR+PLUS, Community First Choice, and the Consumer Directed Services option, and match you with a Medicaid-approved provider agency in your area. The agency we match you with provides the actual attendant services.
Can a family member get paid to care for me in Texas?
In many cases, yes — Texas Medicaid programs allow an eligible participant to choose an adult child, sibling, other relative, friend, or neighbor as their paid attendant. By program rule, a spouse cannot be the paid attendant. The caregiver is employed either by a Medicaid-approved agency or through the Consumer Directed Services (CDS) option. Eligibility is determined by the program during enrollment — we help you check if you qualify.
What is the difference between the agency option and Consumer Directed Services (CDS)?
Under the agency option, a Medicaid-approved licensed agency employs the attendant — including a qualifying family member — and handles training, scheduling, and payroll. Under the Consumer Directed Services (CDS) option, you act as the employer, choose and manage your attendant, and a financial management services agency handles payroll and taxes. We can connect you with agencies that support either path.
What is STAR+PLUS?
STAR+PLUS is the Texas Medicaid managed care program that coordinates long-term services and supports — including personal attendant services — for eligible adults who are older or have disabilities. Community First Choice (CFC) provides attendant services as a Medicaid benefit for those who meet its criteria. Eligibility and covered services are determined by the program.
Is there a waiting list for home care in Texas?
It depends on the program. Community First Choice attendant services are a Medicaid benefit available without a waiting list for those who qualify. Some STAR+PLUS waiver services use an interest list, and timing varies by region — the program determines this, not us. We help you understand which path may fit your situation.
How do I apply for home care in Texas?
If you live in Texas, call us or fill out the form on this page. We'll help you understand your eligibility and connect you with a Medicaid-approved provider agency in your area; enrollment and assessments run through your Texas Medicaid health plan.
How much do paid family caregivers make in Texas?
Payment rates are set under the Texas Medicaid program, not by us or any agency, and can change over time. The Medicaid-approved agency we match you with can walk you through current details for your situation.
What is the MN/LOC assessment in Texas?
The Medical Necessity and Level of Care (MN/LOC) assessment is how Texas confirms that someone needs an institutional level of care for STAR+PLUS home- and community-based services. It is completed through your STAR+PLUS health plan and also shapes the individual service plan. The Medicaid-approved agency we match you with can help you prepare for what it covers.
Does Medicare qualify me for Texas Medicaid home care?
Medicare alone does not qualify — STAR+PLUS and Community First Choice are Medicaid programs, so the person needing care must have (or qualify for) Texas Medicaid. Many people have both Medicare and Medicaid, and those "dual eligible" individuals are served through STAR+PLUS. If you are not sure which coverage your loved one has, we can help you check.
Can I switch my home care agency or my attendant in Texas?
Generally, yes. STAR+PLUS members can ask their health plan to change provider agencies, and under the CDS option you can replace your own attendant. If your current agency is not the right fit — for example, you want one that supports a family member serving as the attendant — call us for a free consult.

Program Guide

STAR+PLUS & Community First Choice: What Texas Families Should Know

What are STAR+PLUS and Community First Choice?

STAR+PLUS is the Texas Medicaid managed-care program for adults who are older or have disabilities, administered by the Texas Health and Human Services Commission (HHSC) through contracted health plans. Those plans coordinate long-term services and supports — including in-home personal attendant services. Community First Choice (CFC) is a Medicaid benefit, delivered through the same plans, that covers personal assistance and related services for people who meet an institutional level of care.

For families, the practical meaning is simple: if your loved one qualifies, Medicaid — not your family — pays for approved attendant care at home, and the member has real choices about who provides it.

Who qualifies

STAR+PLUS serves Texas adults with disabilities and adults age 65 or older who have Medicaid — including people who receive SSI and people who have both Medicare and Medicaid. Community First Choice requires meeting an institutional level of care; STAR+PLUS home- and community-based services use the Medical Necessity and Level of Care (MN/LOC) assessment, completed through the member’s health plan.

Medicare alone does not qualify. Financial eligibility is determined by the Texas Medicaid program — not by us, and not by any home care agency.

How enrollment works

Texans apply for Medicaid online at YourTexasBenefits.com or by calling 2-1-1; once enrolled, long-term services are coordinated through the STAR+PLUS health plan the member selects, which arranges the assessment and authorizes services.

Our free service matches you with a Medicaid-approved provider agency in your area that helps you through those steps, handles attendant onboarding, and supports you after services start. We are a matching service — the provider agency delivers the care.

Choosing your own attendant in Texas

Texas offers three ways to receive attendant services: the agency option (the agency employs and manages the attendant), the Consumer Directed Services (CDS) option (the member or their representative is the employer, with a financial management services agency handling payroll and taxes), and a hybrid service responsibility option.

Under CDS, members may hire people they know — an adult child, sibling, other relative, friend, or neighbor. By program rule, the member's spouse cannot be the paid attendant under the CDS option, and neither can the member's legally authorized representative. Attendants must be at least 18 and legally able to work in the U.S. Eligibility for any attendant is determined by the program during enrollment.

Sources & official resources

Program facts on this page last reviewed October 1, 2026. Program rules change — eligibility is always determined by the state program.

Related guide: Can a spouse be paid to be a caregiver? Medicaid rules, state by state

Find Out If Your Family Qualifies

No cost, no obligation — check Texas's STAR+PLUS & Community First Choice today.

Call (929) 460-3141