Family Caregiver Services by State
I am New to Caregiving Where Do I Start?
Aging & Disability Resource Center
Aging and Disability Resource Centers (ADRCs) are part of the No Wrong Door system, which is designed to streamline public access to long-term services and supports (LTSS) for older adults and people with disabilities.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
ARCH National Respite Network
Online Respite Locator is a service to help families and professionals locate respite services in their community from a database of nearly 3,000 members.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Eldercare Locator
The Eldercare Locator is a nationwide service that connects older Americans and their caregivers with trustworthy local support resources. Elder Locator links those who need assistance with state and local agencies on aging, as well as community-based organizations that serve older adults and their caregivers with services such as meals, home care, transportation, caregiver training and education, or a well-deserved break from caregiving responsibilities
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Family Caregiver Alliance (FCA)
FCA support and assists families and caregivers through education, advocacy and services. In addition to providing training to technical assistance to California’s Caregiver Resource Centers, FCA hosts the National Center on Caregiving (NCC). The NCC serves as a central source of information on caregiving and long-term care issues and works to advance policies and programs for caregivers in every state in the country.
CareNav is a simple, user-friendly tool designed to help families navigate the complexities of the caregiving journey. Register online or call us toll-free at 800.445.8106.
www.caregiver.org/connecting-caregivers/fca-carenav/
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas Area Agencies on Aging (Texas Department of Aging and Disability Services)
Area Agencies on Aging (AAAs) offer aging services, including:
– Information and assistance
– Care management
– Nutrition services (i.e., Meals on Wheels)
– Legal assistance
– Services for family caregivers through the Family Caregiver Support Program (FCSP)
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Related Resources
Can I Get Help to Pay for Caregiving?
Community Care for the Aged and Disabled (CCAD)
The CCAD program is a non-Medicaid program that assists elderly or disabled persons to remain living at home or within the community. This program allows certain family members, excluding spouses and legal guardians, to be paid as the personal care provider. Services may include:
- Adult foster care
- Adult day care
- Emergency response services
- Home delivered meals
- Personal care services
Care Recipient Eligibility
Anyone (excluding spouses)
Caregiver Eligibility
Anyone (excluding spouses)
Contact Information
Texas Health and Human Services: 1-855-937-2372
Market Rate for Long Term Care Services
The cost of that care varies based on care setting, geographic location of care and level of care required, among other things. The Genworth’s Cost of Care Survey tool can be used by you and your family to calculate the estimated cost of long term care in your city or State.
Medicaid State Waivers List
Information about eligibility and requirements for home and community-based services by state.
Texas’ STAR+PLUS program is Medicaid managed program that that assists seniors or disabled persons remain living at home or within the community. This program allows certain family members, excluding spouses, to be hired and paid as the personal care provider. Services may include:
- Personal assistance
- Adaptive aids
- Adult foster care
- Assisted living
- Home delivered meals
- Medical supplies
- Home modifications
- Respite
- Emergency response services
Care Recipient Eligibility
Anyone (excluding spouses)
Caregiver Eligibility
Anyone (excluding spouses)
Contact Information
Medicaid Client Hotline: 1-800-252-8263
Texas Community First Choice
CFC is an option under Medicaid that provides personal assistance services for elderly persons at home. This program allows certain family members, excluding spouses, to be hired and paid as the personal care provider.
Care Recipient Eligibility
Anyone (excluding spouses)
Caregiver Eligibility
Anyone (excluding spouses)
Contact Information
Medicaid Client Hotline: 1-800-252-8263
Related Resources
Government Benefits and General Information
Benefits.gov
Benefits.gov (formerly GovBenefits.gov) was launched in an effort to provide citizens with easy, online access to government benefit and assistance programs. Eight years after its initial launch, GovBenefits.gov underwent a major redesign and became Benefits.gov. However, the program’s mission remains the same: reduce the expense and difficulty of interacting with the government while increasing citizen access to government benefit information.
Care Recipient Eligibility
N/A
Caregiver Eligibility
N/A
Contact Information
Benefits.gov is unable to respond to specific scenarios or provide personalized advice. A number of Other Resources and Frequently Asked Questions are available to help answer any questions you may have about government programs, benefits, and services.
For additional government information, you may call USA.gov's National Contact Center at 1-800-FED-INFO (1-800-333-4636), Monday through Friday, 8 a.m. to 8 p.m. Eastern Time, to speak to an information specialist.
Benefits.gov – Texas
Benefits.gov (formerly GovBenefits.gov) was launched in an effort to provide citizens with easy, online access to government benefit and assistance programs. Eight years after its initial launch, GovBenefits.gov underwent a major redesign and became Benefits.gov. However, the program’s mission remains the same: reduce the expense and difficulty of interacting with the government while increasing citizen access to government benefit information.
Care Recipient Eligibility
N/A
Caregiver Eligibility
N/A
Contact Information
Benefits.gov is unable to respond to specific scenarios or provide personalized advice. A number of Other Resources and Frequently Asked Questions are available to help answer any questions you may have about government programs, benefits, and services.
For additional government information, you may call USA.gov's National Contact Center at 1-800-FED-INFO (1-800-333-4636), Monday through Friday, 8 a.m. to 8 p.m. Eastern Time, to speak to an information specialist.
Medicaid State Waivers List
Information about eligibility and requirements for home and community-based services by state.
National Resource Center on Native American Aging (NRCNAA)
The NRCNAA serves the elderly Native American population of the U.S. The NRCAA assists in developing community-based solutions through education, training, and technical assistance to improve the quality of life and delivery of related support services to the Native aging population.
Through the Native Elder Service Locator, you can use the interactive map to locate tribal elderly services in your state.
Contact Information
Texas Aging and Disability Resource Centers (ADRC)
The ADRC of Central Texas provides information and access to long-term care support and services.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas Community Attendant Services (CAS) Program
The Community Attendant Services (CAS) Program is part of the Community Care for the Aged / Disabled (CCAD) Program, which offers a suite of services designed for Texas residents to assist them in living in the community, rather than require institutionalization. While most of the services provided under CCAD are not Medicaid funded, CAS is an exception and is Medicaid funded.
CAS is intended for seniors and disabled individuals who are functionally unable to manage their Activities of Daily Living (ADLs), which includes actions such as bathing, dressing, and mobility, without assistance. Program participants receive non-technical, attendant care in their homes.
Enrolled individuals have the option of using the state agency to manage their care services or they can participate in the Consumer Directed Services (CDS) option, which means they receive “cash and counseling” and are responsible for hiring, training, and managing their own care providers. One especially attractive component of the CDS option is that friends and some family members can be hired as caregivers; they can be paid to provide attendant care services. Sometimes this means that an elder’s current unpaid family caregivers can become paid contractors. Close relatives and legal guardians, however, are typically excluded from this option.
While this model of program is often referred to as Cash and Counseling, the name is slightly misleading. The CDS option requires the use of a fiscal intermediary that actually receives the money from the state and pays the care providers following authorization of payment by the program participant.
Caregiver Eligibility
There are medical and financial eligibility requirements for the CAS Program. Functionally, individuals must be unable to perform some of their activities of daily living without assistance, such as dressing, eating, transferring, toileting or basic mobility. A medical doctor must document their need for assistance.
Financially, as of 2018 individuals must have a monthly income less than $2,250 ($27,000 / year) and assets / resources valued at less than $2,000. For couples, the monthly income limit is twice the individual limit, $4,500 ($54,000 / year) and the resource limit is 50% higher at $3,000. Note that some assets, such as a primary home, may be considered exempt. Financial eligibility changes annually and is calculated as a percentage of SSI income limit. There are no age restrictions in order to be eligible for this program.
Contact Information
1-855-937-2372
Texas Community Care for Aged/Disabled: Non-Medicaid Services for the Elderly
Caregiver Eligibility
Eligibility for Non-Medicaid Services and Support is determined by an individual's place of residence. For example, services differ if one lives at home, in the home of their caregiver, in adult foster care or in assisted living. Eligibility requirements common to all the programs and services include:
- Individuals must be residents of Texas. Length of residency is not considered.
- Individual must be 18+ years old
- Monthly income cannot exceed three times the Supplemental Security Income (SSI) payment. As of 2018, for a single applicant, this amount is $2,250. For married applicants, the monthly income limit is $4,500.
- Assets and resources (as of 2018) for a single individual cannot exceed $5,000. For married applicants, the limit is slightly higher at $6,000. Please make note, the asset limit is different for Community Attendant Services. For this service, the assist limit for a single individual is $2,000, and for a married couple, the asset limit is $3,000. It is worth noting there are many exemptions to what is considered a countable asset (one's primary home and a single vehicle, for example).
- Individuals must be disabled or functionally impaired to the extent that assistance is required.
- Individuals cannot concurrently receive assistance from Medicaid for the same services.
Texas County-Specific Veterans Service Officer Contacts (VSO)
Texas Health Insurance Counseling and Advocacy Program (HICAP)
Assists individuals and families with eligibility questions and problems related to Medicare, including prescription drug coverage under Medicare Part D, managed care, long-term care planning, health insurance and other health care issues.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas Medicaid
Medicaid is a health insurance for people with limited income and resources. It pays for a variety of medical services, including in-home care or nursing home care, depending on eligibility.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas Veteran Commission (VA)
Provides Texas’s aged or disabled veterans with rehabilitative, residential and medical care and services. Also helps veterans and their families to present claims for veterans’ benefits to the federal government.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Your Texas Benefits
An online service of the Texas Health and Human Services Commission to help older adults, adults with disabilities, and their families determine their eligibility and apply for federal, state and local benefit programs including Medicare, Medicaid, food stamps, and other services.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Related Resources
Where Do I Go for Legal Help And/Or Dependent Person Mistreatment?
Advocacy Inc.
Non-profit organization advocates for the legal rights of people with disabilities and mental illness. Services include:
– Information and referral
– Legal advocacy
– Education
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Legal Aid of Northwest Texas
Free, high quality legal representation for low income, and qualifying individuals in north west Texas.
Contact Information
(888) 529-5277
Legal Hotline for Texans
Free legal advice, self-help publications, and referrals for Texans 60 years of age or older and those who receive Medicare.
Contact Information
(800) 622-2520
Lone Star Legal Aid
Provides free legal assistance to qualifying clients. Areas of law covered include: Family, welfare and income assistance, public education, housing, health care, and consumer. Also offers a low income taxpayer clinic, and elder law services such as end of life planning documents, and wills and estates.
Contact Information
(800) 733-8394
Texas Adult Protective Services (APS) and Elder Abuse Hotline
Adult Protective Services assist vulnerable and elder adults to stop and prevent abuse, neglect, or exploitation.
Anyone can make a report about suspected abuse to the Hotline.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas Advocates for Nursing Home Residents (TANHR)
Non-profit organization advocates for the rights of people who live in nursing facilities and their families. Offers online and community education on a variety of topics including nursing home legislation, residents’ rights and tips on how to choose a nursing home. Its website includes a directory of aging services in Texas.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas Legal Services Center
Offers online directories of legal resources in Texas and two help lines offering pension and health care counseling.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas Long-term Care Ombudsman
Ombudsmen investigate complaints made by, or on behalf of, individual residents in long-term care facilities, including nursing homes and assisted living facilities. They also answer questions about the quality of care or financial, physical, or mental abuse in residential facilities.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas Rio Grande Legal Aid (TRLA)
Elder law team offers legal, legislative, and administrative advocacy to ensure the delivery of senior services in under served urban and rural areas.
Contact Information
Related Resources
Can I Get Help While Living In My Home?
Adult Day Care Association of Texas
Online Find a Care Center search tool allows consumers to locate Adult Day Care providers in their state and local area to match their specific needs. Database consists of Adult Day Care centers licensed by the State of Texas.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Family Care (FC)
Government program available to adults with disabilities at risk for nursing facility placement, helps pay for in-home care including personal care, housekeeping and accompanying services to medical appointments.
*Participants in this program are not required to have a practitioner’s statement of medical need.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Homemaker Services Voucher
Government program assists older adults stay out of nursing home placement and remain in their own homes by helping to pay for in-home care services.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Long Term Care Provider Search
Government agency responsible for inspecting and licensing long term care providers and facilities. Provides online directories of:
– Adult day care facilities
– Nursing facilities
– Residential care facilities
– Home health care agencies
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Primary Home Care
Government program provides in-home care services to Medicaid eligible persons with disabilities. Services include personal care and accompanying services to medical appointments.
*Participants in this program are required to have a practitioner’s statement of medical need.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Programs of All-Inclusive Care for the Elderly (PACE) Texas
Three PACE programs in Texas coordinate and provide the entire continuum of care and services to their older enrollees with chronic care needs to enable them to continue living safely in the community as long as possible. Care and services include:
– Adult day health care
– Medical care
– Home health care and personal care
– All necessary prescription drugs
– Social services
– Respite care
– Hospital and nursing home care when necessary
PACE program in Lubbock County website: silverstar.org
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Special Services to Persons with Disabilities
Provides services to persons with disabilities to enable them to continue living safely in their homes. Services include:
– Counseling
– Personal care
– Training for independent living skills
*Available only to residents of Austin, Dallas and Texarkana
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas and New Mexico Hospice Organization – Texas
Provides information about end-of-life care. Its website includes a Find a Hospice search tool which allows users to search for hospice and palliative care programs for individuals who have advanced illness or have been considered terminally ill by a physician.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas County-Specific Veterans Service Officer Contacts (VSO)
Texas Non-Profit Hospice Alliance
An organization of independently owned hospices that provides information about end-of-life care. Its website includes Locate a Member search tool which allows the user to search for hospice and palliative care programs for individuals who have advanced illness or have been considered terminally ill by a physician.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas State Independent Living Council
A network of non-profit, non-residential, community-based centers, run and controlled by persons with disabilities that offer:
– Information and Referral
– Peer counseling
– Care Management
– Independent living skills training
– Individual and systems change advocacy
– Benefits counseling
– Employment readiness training
– Housing referrals
– Assistive technology services
– Legal aid
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Transition Assistance Services (TAS)
Government program assists individuals currently living in a nursing facility (but are able to live in their home with appropriate support) return safely to their homes by providing proper in home and community based services.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Related Resources
Can I Get Help with Residential Care (Assisted Living, Nursing Home, Hospice?)
Long Term Care Provider Search
Government agency responsible for inspecting and licensing long term care providers and facilities. Provides online directories of:
– Adult day care facilities
– Nursing facilities
– Residential care facilities
– Home health care agencies
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas Advocates for Nursing Home Residents (TANHR)
Non-profit organization advocates for the rights of people who live in nursing facilities and their families. Offers online and community education on a variety of topics including nursing home legislation, residents’ rights and tips on how to choose a nursing home. Its website includes a directory of aging services in Texas.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas and New Mexico Hospice Organization – Texas
Provides information about end-of-life care. Its website includes a Find a Hospice search tool which allows users to search for hospice and palliative care programs for individuals who have advanced illness or have been considered terminally ill by a physician.
Care Recipient Eligibility
Caregiver Eligibility
Contact Information
Texas Non-Profit Hospice Alliance
An organization of independently owned hospices that provides information about end-of-life care. Its website includes Locate a Member search tool which allows the user to search for hospice and palliative care programs for individuals who have advanced illness or have been considered terminally ill by a physician.