STATE PROFILE • Last updated: November 11, 2026
Texas Elder Care & Medicaid
Texas offers Medicaid programs for seniors, primarily through the STAR+PLUS HCBS Waiver and Community First Choice, to provide long-term care in home and community settings, often requiring a Miller Trust for income over the cap.
leaderboard
RANKED #24
GRADE B
FEATURED
Medicaid Coverage Guide for Texas
Full breakdown of STAR+PLUS for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
STAR+PLUS
Income cap
$2,982/mo
Medically-needy
No
Elder Care Index Report Card
5-pillar composite scoring vs other states
B
Grade
AFFORDABILITY
GRADE A · 100
QUALITY
GRADE C · 53
STAFFING
GRADE F · 6
ACCESS
GRADE B · 48
MEDICAID SUPPORT
GRADE B · 44
Composite score: 58.4 / 100 (50 = average state)
Methodology arrow_forward
Texas At a Glance
Nursing Home Facilities
1,177
Senior Medicaid Waivers
2
National Rank
#24 / 51
Range #14–#27 when the pillar weights shift
Senior Care Costs in Texas
local_hospital
Nursing Home
$5,639/mo
-48.9% vs national avg
- 1177 nursing homes · 133,480 beds
- Avg CMS rating 2.77★ (154 rated 5★, 269 rated 1★)
- 3.4 nurse hrs/resident/day (0.44 RN)
Source: CMS Nursing Home Compare
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home_health
Home Health Aide
$25/hr
-7.4% vs national avg
- Median aide wage $11.29/hr
- ~314,610 aides employed statewide
Source: BLS OEWS
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