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STAR+PLUS HCBS for In-Home Care, Explained

The same STAR+PLUS HCBS waiver that funds assisted-living-style care also funds in-home services for Fort Worth-area seniors who want to stay in their own home.

HomeState RulesSTAR+PLUS HCBS for In-Home Care, Explained
Short answer

STAR+PLUS HCBS also functions as Texas's primary in-home-services Medicaid waiver, delivering the same core services -- personal assistance, respite, home-delivered meals, emergency response, minor home modifications -- at the member's residence instead of inside a facility.

What it does not cover

Rent, mortgage, utilities and food are not covered -- only the care services themselves.

Who helps locally

In Tarrant County, the Area Agency on Aging of Tarrant County (817-258-8000) coordinates local help with applying. Outside Tarrant County -- Parker, Johnson, Denton and Wise counties -- the North Central Texas Council of Governments Aging and Disability Resource Center (800-272-3921) covers this instead.

Questions families ask

How do families in Fort Worth actually pay when private funds run out?

Options generally include transitioning to the STAR+PLUS HCBS waiver if the community holds a provider agreement, moving to Medicaid-covered nursing facility care, or relocating to a different community that accepts STAR+PLUS HCBS -- ask about this before moving in, not after funds run low.

What does the Long-Term Care Ombudsman do in Tarrant County?

The Area Agency on Aging of Tarrant County's Long-Term Care Ombudsman Program, a United Way of Tarrant County program, investigates and helps resolve complaints on behalf of nursing home and assisted living residents and advocates for their rights. It's free, independent of any facility, and acts only with the resident's consent.

Is the Area Agency on Aging different in Tarrant County than the rest of the metro?

Yes. Tarrant County runs its own dedicated Area Agency on Aging through United Way of Tarrant County, separate from the 16-county North Central Texas Council of Governments (NCTCOG) region that covers Parker, Johnson, Denton, Wise and the rest of the outlying metro.

Can the ombudsman help if I disagree with how a Fort Worth facility handled my parent's care?

Yes, that is exactly the kind of situation the ombudsman program exists for. Contact the Area Agency on Aging of Tarrant County's ombudsman program at 817-258-8000, describe the situation, and a trained advocate -- often a volunteer -- will work with your family and the resident.

Where can family caregivers in Fort Worth get free support?

The Area Agency on Aging of Tarrant County offers caregiver support programs and care coordination at no cost. The Alzheimer's Association's North Central Texas Chapter helpline (800-272-3900) is also free and available 24/7 for dementia-specific caregiver questions.

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