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.
What is specific to this county
The underlying program and benefit structure doesn't change from one county to the next inside this metro -- what can vary is which specific STAR+PLUS managed care organizations are available to enroll in within a given county, since plan participation is negotiated regionally. When applying, confirm which managed care organizations currently operate in your specific county of residence, since a plan available to a Fort Worth resident in Tarrant County may or may not be the same option available to a family in Wise or Parker County. This is a detail to confirm during enrollment rather than something to assume is identical everywhere.