Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Texas?
Last verified October 17, 2026 · All Texas resources
In Texas, the income limit is $2,982/month and the asset limit is $2,000 single. Texas's 2026 income limit for Community Attendant Services, waiver programs such as STAR+PLUS HCBS, and nursing facility Medicaid is $2,982 a month for an individual and $5,964 for a couple. The resource limit for these programs is $2,000 for an individual and $3,000 for a couple. Texas uses Qualified Income Trusts (QITs) for people whose income is above the limit; the eligibility handbook has a separate appendix on them.
| Program | Texas Medicaid long-term services: STAR+PLUS Home and Community Based Services, Community Attendant Services (CAS), other waivers and nursing facility care (Medicaid for the Elderly and People with Disabilities) |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant ($5,964 for a couple) for CAS, waiver and institutional programs |
| How income is counted | special income limit (300% SSI) |
| Qualified income (Miller) trust used | Yes |
| Asset limit (single) | $2,000 single |
| Asset limit (couple, both applying) | $3,000 couple |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Texas Medicaid waivers that pay for home care.
How to apply in Texas (Texas Health and Human Services Commission (HHSC))
What should you confirm with the state?
Ask HHSC how a Qualified Income Trust would work for you if your income is above $2,982 a month.
More for Texas
Medicaid eligibility by state: other states
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