For 2026, the special income limit for Texas nursing facility Medicaid is $2,901/month, with a $2,000 asset limit for a single applicant. Income above the limit generally requires a Miller Trust (Qualified Income Trust) to still qualify.
The detail behind the program
These figures adjust annually, so treat any number you read online -- including this one -- as something to reconfirm with HHSC or an elder law attorney before relying on it for a real decision. The personal needs allowance for a Texas nursing facility Medicaid resident is $75 a month, meaning nearly all of a resident's other income gets applied toward the cost of care once Medicaid is paying the balance. When a married couple is involved and only one spouse needs nursing facility care, separate community-spouse resource and income allowances protect the at-home spouse from being impoverished -- this is a genuinely complex area, and it's the point in the process where paying for even one consultation with an elder law attorney usually pays for itself.
