Not directly. Texas Medicaid (STAR+PLUS) can fund personal care services within an assisted living setting — covering aide time for bathing, dressing, medication administration, and similar tasks. The room and board cost is expected to come from the resident’s own income (Social Security, pension). In practice, the combination of personal income and Medicaid-funded personal care can cover a significant portion of assisted living costs for eligible residents in participating communities.

Contact your local Area Agency on Aging or call 2-1-1 Texas for a referral to Medicaid-participating assisted living communities in your area. Texas HHSC also maintains a list of licensed facilities. A senior care placement specialist with local market knowledge can often identify which communities in a specific Texas area currently accept Medicaid and have availability.

When private-pay funds are exhausted, the resident faces a transition decision. Most Texas assisted living communities are not set up for Medicaid long-term care coverage and will not be able to keep the resident. The family typically needs to transition the resident to a Medicaid-accepting nursing facility, which involves a full Medicaid application and often a change of community.

Yes, if the policy covers assisted living — and most modern long-term care insurance policies do. Policy benefits are triggered when the insured cannot perform a defined number of activities of daily living (typically two of six). The daily or monthly benefit amount then pays toward assisted living costs. Families should locate any existing LTC insurance policy early in the planning process and contact the insurer to understand the claims process.