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Does Texas Medicaid pay for assisted living?

Partially. The STAR+PLUS HCBS waiver covers assisted living care services but explicitly does not cover room and board, which comes from the resident'

Quick answer

Partially. The STAR+PLUS HCBS waiver covers assisted living care services but explicitly does not cover room and board, which comes from the resident's own income. You must meet nursing facility level of care, income under $2,982 monthly, and assets under $2,000, and usually wait on an interest list.

HomeQuestionsDoes Texas Medicaid pay for assisted living?
Answer

Partially. The STAR+PLUS HCBS waiver covers assisted living care services but explicitly does not cover room and board, which comes from the resident's own income. You must meet nursing facility level of care, income under $2,982 monthly, and assets under $2,000, and usually wait on an interest list.

The detail behind the number

Partially, and the gap is specific. STAR+PLUS covers the care services delivered inside a licensed assisted living community. It does not cover room and board, which Medicaid treats as the resident's own responsibility, paid from Social Security or pension income less the personal needs allowance.

The second constraint is contractual. The community itself must hold a contract with the managed care organisation, and a meaningful share of Austin-area assisted living does not. A family can be financially eligible and still find that the building they chose will not accept the waiver.

Ask any community you are seriously considering two questions: do you contract with STAR+PLUS, and how many current residents are on it. The second answer is the honest one.

Related questions

Questions Austin families ask

Does Texas Medicaid pay for assisted living?

Partially. The STAR+PLUS HCBS waiver covers assisted living care services but explicitly does not cover room and board, which comes from the resident's own income. You must meet nursing facility level of care, income under $2,982 monthly, and assets under $2,000, and usually wait on an interest list.

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