Quick answer
Yes, family members can be paid in Texas
- Spouse No
- Adult child Yes
2 programs to ask about. Start here: STAR+PLUS / STAR+PLUS HCBS – Consumer Directed Services (CDS) option.
These badges summarize the details below. "Not confirmed" means we couldn't find it stated on an official page yet.
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The programs to ask about, documents to gather, and who to call in Texas. We'll also email you if Texas's rules or pay rates change.
Programs that pay family caregivers
STAR+PLUS / STAR+PLUS HCBS – Consumer Directed Services (CDS) option
Members (or their legally authorized representative) living in their own or a family home can hire and manage their own attendants, including family members and friends. A Financial Management Services Agency (FMSA) handles payroll.
Consumer Managed Personal Attendant Services (CMPAS)
Named by Texas HHS Form 1726 as the exception where a spouse may be employed under CDS. Eligibility details not covered here.
Who can be paid?
Can I get paid to take care of my parent in Texas?
Adult children and other relatives may be hired, other than a legally responsible individual (STAR+PLUS handbook 6100). A member's LAR (e.g., parent of a minor or guardian) cannot be the paid provider (Form 1726).
Can a spouse be paid as a caregiver in Texas?
Generally no. Texas HHS STAR+PLUS handbook: 'Federal and state rules prohibit a spouse from being a paid PAS provider.' Form 1726 notes an exception for CMPAS.
How to apply
How do I apply in Texas?
Apply for Medicaid online through Your Texas Benefits or by calling 2-1-1 (Texas HHS STAR+PLUS page). STAR+PLUS HCBS has an interest list: get on it through HHSC Interest List Management or, if already in STAR+PLUS, through your health plan (MCO). Current Medicaid members may be able to skip the list through the 'upgrade' process.
Is there a waiting list in Texas?
Yes for STAR+PLUS HCBS: people are assessed when their name reaches the top of the interest list (Texas HHS handbook 1200).
Pay and requirements
How much does it pay?
Not published on the pages we checked.
Caregiver requirements
Must meet program and CDS rules; uses an FMSA.