Question 1

What's the difference between a Type A and Type B assisted living license in Fort Worth?

Accepted Answer

Type A facilities serve residents capable of following directions to evacuate on their own and who don't need routine overnight attendance. Type B facilities serve residents who need staff help to evacuate, can't follow emergency directions independently, or need nighttime staff attendance -- most memory care in the metro falls under Type B.

Question 2

Do Fort Worth assisted living facilities have to disclose past violations to families?

Accepted Answer

Texas law does not require a facility to hand a prospective resident its inspection history unprompted, but that history is public and available through HHSC. Ask directly for a copy, or pull it yourself through HHSC's Complaint and Incident Intake line before you tour.

Question 3

Does Texas Medicaid pay for assisted living in Fort Worth?

Accepted Answer

Texas Medicaid pays for care services inside a participating assisted living facility through the STAR+PLUS HCBS waiver, but it does not pay the facility's room-and-board charge -- that portion remains the resident's financial responsibility, typically funded from the resident's own income.

Question 4

What's the difference between Texas's Medicaid expansion and Medicaid for seniors?

Accepted Answer

Texas has not expanded Medicaid under the Affordable Care Act, but that decision has no bearing on long-term-care Medicaid for seniors, which is a completely separate, decades-old eligibility pathway for people who are 65 or older, or blind or disabled.

Question 5

How does a Fort Worth family apply for the STAR+PLUS HCBS waiver?

Accepted Answer

Apply through Your Texas Benefits online, or call Texas 2-1-1 and ask for the aging and disability services option. A Texas HHSC caseworker will complete a nursing-facility level-of-care assessment as part of determining eligibility.

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