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STAR+PLUS HCBS vs. Nursing Home Medicaid

Both use similar Texas financial eligibility tests, but they pay for completely different settings -- and only one is a capacity-limited waiver.

HomeComparisonsSTAR+PLUS HCBS vs. Nursing Home Medicaid
Short answer

Texas's 2026 nursing facility Medicaid limits: $2,901/month special income limit, $2,000 asset limit for a single applicant. STAR+PLUS HCBS uses a similar financial test but pays for care services in an assisted living facility or at home instead of a nursing home.

Nursing home Medicaid functions as an entitlement -- if you qualify, coverage is available. STAR+PLUS HCBS waiver capacity for assisted-living-style placement is not guaranteed the same way; a facility can hold a provider agreement without having current openings for waiver residents. Confirm capacity directly with any specific community rather than assuming the waiver functions like an entitlement the way nursing home Medicaid does.

Questions families ask

Which Area Agency on Aging covers Tarrant County?

The Area Agency on Aging of Tarrant County, a program of United Way of Tarrant County, covers all of Tarrant County including Fort Worth, Arlington, Keller, Southlake, Grapevine, Bedford, Hurst, Euless, Colleyville, Watauga, Haltom City and Mansfield. Reach them at 817-258-8000.

Which agency covers Burleson and the rest of Johnson County?

Burleson and the rest of Johnson County are covered by the North Central Texas Council of Governments (NCTCOG) Area Agency on Aging, not the Tarrant County agency -- reach NCTCOG at 800-272-3921.

What senior care resources exist in Parker County?

Parker County residents are served by the North Central Texas Council of Governments (NCTCOG) Area Agency on Aging (800-272-3921), and the Texas Abuse Hotline (1-800-252-5400) and HHSC's facility complaint line (1-800-458-9858) both apply statewide, including throughout Parker County.

Are there Medicaid managed care differences between counties in this metro?

STAR+PLUS, the Medicaid managed care program most Fort Worth-area seniors use for long-term-care services, operates statewide including throughout Tarrant, Parker, Johnson, Denton and Wise counties, though specific managed care organization plan options can vary slightly by county.

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