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.
Which Medicaid managed care plans do home care agencies contract with in Texas?
Last verified October 17, 2026 · All Texas resources
Texas delivers long-term services and supports through 7 managed care plans in STAR+PLUS. Texas delivers attendant care and other community-based long-term services for adults who are aged or have disabilities through STAR+PLUS managed care. Each service area has two or three STAR+PLUS plans, and agencies contract with the plans in the areas they serve. Some services for people with intellectual or developmental disabilities, such as the CLASS, HCS and TxHmL waivers, are not part of STAR+PLUS.
Which plans are there?
STAR+PLUS plans vary by service area (HHSC map, MCOs serving clients as of September 2026): Bexar: Community First, Molina, United. Dallas: Molina, Superior, United. El Paso: El Paso Health, Molina. Harris: Community Health Choice, Molina, United. Hidalgo: Superior, Molina, United. Jefferson: Molina, Wellpoint. Lubbock: Superior, Wellpoint. Nueces: Superior, Wellpoint. Tarrant: Molina, United. Travis: Superior, United. MRSA Central: Superior, United. MRSA Northeast: Molina, United. MRSA West: Superior, Wellpoint.
For the programs that pay for home care, see Texas Medicaid waivers.
What should you confirm with the state?
Plan assignments by service area are shown as of September 2026; check the current HHSC service area map before contracting.
Sources
More for Texas
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.
Simple pricing
From $199 /month
Up to 10 caregivers on Starter, 50 on Growth.
More than 50 caregivers? We'll put together a custom Scale plan for your agency.