Are you worried about the financial implications of transitioning your loved one to a community? You stop fretting because this article will help you learn more about assisted living covered by Medicaid in the state of Texas.
What Is Medicaid and Who Is Eligible for It in Texas?
Medicaid is a government-funded health insurance program that can help cover the costs of assisted living. A person must meet the following requirements to be eligible for Medicaid in Texas: be a United States citizen or legal resident, which means they have permanent status, and be a resident of Texas.
If you are not eligible for Medicaid, you can still seek assisted living services through another type of insurance program or by paying privately.
Medicaid Programs in Texas
Here are some Medicaid programs you can explore for your loved one in assisted living:
- The Community Living Assistance and Support Services (CLASS) Program
This is a government-funded program that aims to provide support and assistance to aging adults who are at risk of institutionalization due to their inability to perform daily living activities. The program covers a wide range of services and is designed to help aging adults maintain their independence and continue living in their own homes or communities.
It is typically administered by state agencies and is available to individuals who meet certain eligibility criteria, such as income and functional limitations. The services provided through the program are typically provided by trained and qualified caregivers, who work closely with residents and their families to ensure that they receive the support they need to maintain their quality of life.
- Medicaid Waiver Program
The program is designed for aging adults and people with disabilities who meet certain eligibility criteria, such as income and functional limitations. The Waiver program in Texas covers personal care, home health care, and respite care. This program allows for more flexibility in the types of services and delivery.
- STAR+PLUS
STAR+PLUS is a comprehensive, integrated program that provides long-term care services to aging adults and people with disabilities who are eligible for both Medicare and Medicaid. The program is typically available to aging adults and people with disabilities who meet certain eligibility criteria. The services covered by the STAR+PLUS program include personal care services, home health care services, and case management services.
One key feature of STAR+PLUS is the ability for participants to choose their own providers and manage their own care. The program provides participants with the option to self-direct their services or choose a managed care organization. This allows for more flexibility and control over their care and ensures that the services provided are tailored to meet the specific needs of each individual.
- PACE (Program of All-Inclusive Care for the Elderly)
This program provides comprehensive medical and social services to aging adults who are 55 years or older and eligible for both Medicare and Medicaid. Services covered by the program include primary care, hospital care, prescription drugs, home health care, and more.
- Texas Home Living
This program provides services such as personal care, therapy, and respite care to seniors and people with disabilities who are at risk of institutionalization.
You should know that not all programs are available in all areas and the eligibility criteria for each program may vary. To find out if you or a loved one is eligible for these programs, it is recommended to contact the Texas Health and Human Services Commission (HHSC) for more information.
