Understanding Medicaid home care in Texas
The home-care system can feel complicated. Care Texas helps families and members understand the parts that relate to receiving personal assistance services.
What Medicaid personal assistance does
Personal assistance helps eligible people who need support with personal care or daily activities remain in their homes and communities.
Primary Home Care and Community Attendant Services
Primary Home Care (PHC) and Community Attendant Services (CAS) are Texas programs that provide non-technical personal attendant services to eligible people who need assistance with personal-care tasks.
Who determines eligibility?
Eligibility is determined through the applicable Texas Medicaid, HHSC or managed-care process, not by Care Texas.
Who determines service hours?
Authorized hours and tasks are based on the applicable assessment and service plan. Care Texas provides services according to the authorization it receives.
Can I choose my provider?
Eligible individuals generally have choices regarding how authorized services are delivered. Contact your service coordinator, caseworker or Care Texas to discuss the process that applies to your program.
Can a relative be my attendant?
Some programs allow qualifying relatives to serve as attendants, while certain legally responsible individuals may be excluded. The exact rules depend on the program.
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