The costs of assisted living facilities (ALFs) in Texas can vary greatly from city to city. People seeking adult day care, however, can expect to pay less than 21% of the average expenditure for assisted living. The Texas Health and Human Services (TxHML) program provides essential services and supports to individuals with an intellectual disability or related condition who live in their own home or with family. These services can be provided by direct care assistants in an assisted living facility or by home health service contractors.
For seniors, who often live on a fixed income, it is rare to find such a wide range of options in a state that does not have a state income tax. Texas Health and Human Services licenses assisted living facilities based on residents' physical and mental capacity to evacuate the facility in case of emergency and if night care is necessary. Supplemental security income can cover some costs, and communities can participate in grant programs, the Medicaid program, or offer internal assistance programs. Additionally, some communities may have an agency hired to provide scheduled assistance for activities of daily living. The Home and Community-based Services (HCS) program provides personalized services and supports to people with intellectual disabilities who live with their families, in their own homes, or in other community settings, such as small group homes where no more than four people live.
Independent living communities house residents in fully equipped private apartments or cabins, but because residents live independently, they do not provide medical or nursing care. The state of Texas designates two levels of assistance for ALFs: type A and type B. Type A residents do not require additional assistance from a home health agency. People enrolled in STAR+PLUS receive Medicaid health care and services and supports at home and in the community through the health plan of a managed care organization of their choice in their area of service delivery. The cost of independent living communities in the state of Texas can vary significantly depending on the region and cities chosen.
The assisted living centers fact sheet (PDF) explains the variety of assisted living centers available in Texas, who they care for, and the services they provide. Due to the rapidly evolving COVID-19 crisis, it is important to contact your local assisted living center or Agency on Aging for the most up-to-date information. Central Texas is home to many assisted living facilities that offer a variety of community resources for seniors. These resources include adult day care services, home health service contractors, grant programs, Medicaid programs, internal assistance programs, and scheduled assistance for activities of daily living. Depending on the region and city chosen, the cost of independent living communities can vary significantly. The Texas Health and Human Services (TxHML) program provides essential services and supports to individuals with an intellectual disability or related condition who live in their own home or with family. Additionally, STAR+PLUS offers Medicaid health care and services and supports at home and in the community through the health plan of a managed care organization. For seniors who are on a fixed income, it is important to consider all available options when choosing an assisted living facility in Central Texas.
It is also important to contact your local assisted living center or Agency on Aging for the most up-to-date information regarding COVID-19.