From Houston, Dallas, and Austin to San Antonio, Fort Worth, El Paso, and smaller communities, provider availability can differ across the state. Families often compare caregiver reliability, scheduling flexibility, communication, and whether services can adjust as their loved one’s needs change.
Home care provides nonmedical support with activities such as bathing, dressing, meal preparation, light housekeeping, errands, and companionship. Home health care is different because it includes medical services delivered by licensed health professionals. Some companies provide both, but A Place for Mom’s network consists of nonmedical home care providers. A Place for Mom partners with 857 home care agencies in Texas to help families compare local options.
Reviewer Ranking
5.0/ 5.0
(9)My elderly mother fell and broke her hip and was in physical therapy hospital for a couple of weeks. We used this company for overnight sitters as she is a bit anxious and was not able to sleep at night....
Reviewer Ranking
5.0/ 5.0
(5)They are very reliable and take care of all of the paperwork. I would recommend their services to others who are searching for home care.
Reviewer Ranking
5.0/ 5.0
(5)One you love homecare is an excellent establishment. This is a veteran owned company and the way they operate is effective and efficient. The owner is extremely professional and so are their staff. My mom is...
Reviewer Ranking
5.0/ 5.0
(1)I have the same person all the time and they are very prompt and if there is an issue they call right away so we can reschedule. I got a better response from them than other agencies, which is one reason I...
Reviewer Ranking
4.8/ 5.0
(80)They do their best to cover all shifts. The caregivers for the most part are kind and professional. My opinion for the 4 star instead of 5… They give too much leniency to the caregivers as to “if they want...
Reviewer Ranking
5.0/ 5.0
(9)My elderly mother fell and broke her hip and was in physical therapy hospital for a couple of weeks. We used this company for overnight sitters as she is a bit anxious and was not able to sleep at night....
Reviewer Ranking
5.0/ 5.0
(5)Senior Helpers was a great service. Their dispatcher is easy to contact, and their staff coordinate closely with the central office so there is accountability. The staff really got to know my dad and...
Reviewer Ranking
4.6/ 5.0
(9)Met me where we were, not trying to "sell" but meet needs. Also kept contact line open as situations changed. Great to have listening ear familiar with family situation as needs progress.
Reviewer Ranking
4.9/ 5.0
(14)Care giver was excellent and always on time. Never encountered any issues with my husband's care giver. Start of care was very smooth. Caregiver communicated with me verbally and in written notes as to how...
Reviewer Ranking
5.0/ 5.0
(1)Very helpful, and are sending someone out as requested.
Reviewer Ranking
5.0/ 5.0
(1)I've used this company before for HHC assistance in my home- very Good serivce. The HH Aide was very helpful.
Reviewer Ranking
5.0/ 5.0
(9)My elderly mother fell and broke her hip and was in physical therapy hospital for a couple of weeks. We used this company for overnight sitters as she is a bit anxious and was not able to sleep at night....
Reviewer Ranking
4.6/ 5.0
(21)The team is excellent from working with scheduling and accommodating our requests to all the amazing caregivers who have taken care of my father in law. The caregivers are very compassionate and take pride...
Reviewer Ranking
4.6/ 5.0
(9)Met me where we were, not trying to "sell" but meet needs. Also kept contact line open as situations changed. Great to have listening ear familiar with family situation as needs progress.
Home care in Texas costs $29 per hour, compared with the national average rate of $32 per hour. Rates can differ by community based on caregiver availability, travel distance, and local demand.[01] What a family pays will also depend on the agency, the services provided, and how often care is scheduled.
Monthly expenses depend largely on the number and length of caregiver visits. A lighter schedule may provide enough time for companionship, meal preparation, errands, or help around the house. Someone who needs regular assistance with bathing, dressing, mobility, or other personal care may need more frequent visits.
Home care rates in Texas may also be affected by:
Average monthly costs
Texas
US National average
Average monthly costs
Average monthly costs
Average monthly costs
| Community type | Texas | U.S. | Cost difference |
|---|---|---|---|
| Assisted Living | $4,569/mo | $5,830/mo | 21.6% below national average |
| Memory Care | $6,223/mo | $6,999/mo | 11.1% below national average |
| Independent Living | $3,090/mo | $3,520/mo | 12.2% below national average |
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
Texas families may use private funds, public benefits, or a combination to pay for nonmedical home care. Depending on eligibility, VA benefits or Medicaid long-term services and supports through STAR+PLUS may help cover some support delivered at home.
Private pay can give families more control over the agency, schedule, and type of assistance their loved one receives. Families may rely on one payment source or combine several. Common private payment sources include:
Eligible veterans and surviving spouses in Texas may qualify for benefits from the U.S. Department of Veterans Affairs (VA) that help with care at home. Depending on the program, this support may include help with daily activities, temporary relief for family caregivers, or additional pension payments that can be used toward care.
Veterans enrolled in VA health care may qualify for home- and community-based services, including:[02,03,04]
Eligibility and availability can vary based on the veteran’s needs and local VA resources. Some veterans may also have a copay.
VA Aid and Attendance provides additional monthly pension payments to eligible veterans and survivors who need help with daily activities or are largely confined to their homes. Families may be able to use these funds toward the cost of nonmedical home care.[05]
The Texas Veterans Commission and county veterans service offices can help veterans and their families understand benefits, prepare claims, and connect with accredited assistance.[06]
Read more: Home Care Options for Veterans: Eligibility and Services
Medicaid is a joint federal and state program that helps eligible people pay for health care and long-term services. STAR+PLUS is a Texas Medicaid managed care program for adults age 65 and older and adults with disabilities. Eligible members who meet a nursing facility level of care may receive home- and community-based services as an alternative to care in a nursing facility.[07,08,09]
Depending on the member’s assessed needs and individual service plan, services that may support someone at home include:[09]
STAR+PLUS members may receive some services through an agency or use Consumer Directed Services to hire, train, manage, and dismiss their own workers. Certain qualified relatives may be paid caregivers, but relationship restrictions apply, and a spouse generally cannot be paid to provide personal assistance services.[10,11]
Access depends on Medicaid financial eligibility, a nursing facility level-of-care assessment, and an approved individual service plan. Eligible STAR+PLUS members can be assessed for home- and community-based services without joining an interest list. [07,08,09]
Read more: Medicaid Home Health Care and Nonmedical Home Care: Your Questions, Answered
Medicare is a federal health insurance program for adults 65 and older and some younger people with disabilities. It may cover limited help with bathing, dressing, grooming, or toileting when your loved one is also receiving qualifying skilled care through Medicare’s home health benefit. Medicare generally doesn’t pay for ongoing personal care, companionship, meal preparation, or housekeeping when those are the only services needed.[12]
Read more: Does Medicare Cover Home Health Care?
Texas licenses home and community support services agencies through the Texas Health and Human Services Commission (HHSC). Nonmedical companies that provide personal assistance services, including help with personal care and household tasks, must hold the appropriate Home and Community Support Services Agencies (HCSSA) license category. Home health agencies that provide skilled medical services are licensed under separate service categories. Because A Place for Mom’s network consists of nonmedical home care providers, the information below focuses on licensed personal assistance services.[13,14,15]
Yes. A business may not provide or advertise personal assistance services in Texas without a home and community support services agency license from Texas Health and Human Services. To become licensed, agencies must complete required training, provide supporting documents, pay licensing fees, and complete the survey process.[14,15]
Yes. Texas Health and Human Services conducts an initial survey after an agency is licensed and generally surveys licensed agencies at least once every 36 months after that. The state may also investigate complaints and conduct other visits when needed to check compliance with licensing requirements. [16]
Use the Texas Long-Term Care Provider Search to confirm an agency’s license status, location, and approved service categories. The public search may not include every survey document, so families can ask the agency for its most recent findings or contact Texas Health and Human Services for additional information.[17] Licensed agencies must meet requirements related to:
Some agencies may also seek voluntary accreditation from organizations like The Joint Commission, which can indicate a commitment to meeting nationally recognized quality standards.[20]
Texas requires agencies to check applicable employee-misconduct and nurse-aide registries before hiring unlicensed staff and at least annually afterward. Agencies must also obtain required criminal history information for unlicensed workers who will have face-to-face contact with clients.[18]
A person who provides personal assistance services must be at least 18 and demonstrate competency for the tasks they will perform unless the agency has already established competency through the worker’s education, training, or experience.[19]
When comparing agencies, ask about background checks, registry checks, caregiver training, supervision, backup care, and how the agency handles complaints or missed visits.
Choosing a home care agency is easier when you understand how caregivers are selected, how care will be supervised, and what happens when plans change. Look for a provider that communicates clearly, explains its policies, and can offer the services and schedule your family needs. Consider the following as you compare agencies:
Read more: How to Choose a Home Care Agency
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
The average cost of home care in Texas is $29 per hour.
Medicare covers home health care and may cover nonmedical assistance, such as help with bathing, grooming, dressing, or toileting, when those services are medically necessary and provided along with qualifying skilled services. It generally doesn’t cover ongoing nonmedical help when that is the only care needed.
Yes. Texas Medicaid may cover nonmedical in-home support for eligible residents through STAR+PLUS home- and community-based services when the care is included in an approved individual service plan.
Possibly. STAR+PLUS Consumer Directed Services may allow certain qualified relatives to be paid caregivers, but relationship restrictions apply, and spouses generally cannot be paid personal assistance providers.
Eligibility depends on the program. STAR+PLUS home- and community-based services generally require Medicaid financial eligibility, a nursing facility level-of-care assessment, an approved individual service plan, and program availability.
Texas home care agencies may help with companionship, personal care, meal preparation, light housekeeping, laundry, errands, transportation, and support with daily routines.
Your parent may benefit from home care if everyday tasks are becoming more difficult or less safe, such as bathing, getting dressed, preparing meals, keeping up with housework, remembering to take medications, or moving around the home.
A Place for Mom. (2026). A Place for Mom Proprietary Data.
U.S. Department of Veterans Affairs. (2026, March 6). Geriatrics and Extended Care: Home and Community Based Services.
U.S. Department of Veterans Affairs. (2026, March 6). Geriatrics and Extended Care: Homemaker and Home Health Aide Care.
U.S. Department of Veterans Affairs. (2026, March 6). Geriatrics and Extended Care: Respite Care.
U.S. Department of Veterans Affairs. (2026, May 8). VA Aid and Attendance Benefits and Housebound Allowance.
Texas Veterans Commission. (2025, January). Federal and State Benefits for Veterans in Texas.
Texas Health and Human Services. STAR+PLUS.
Texas Health and Human Services. (2026, February 20). 1300, STAR+PLUS Services and Service Delivery Options.
Texas Health and Human Services. (2026, February 20). 4000, STAR+PLUS HCBS Program Services.
Texas Health and Human Services. Consumer Directed Services (CDS).
Texas Health and Human Services. (2026, May). Form 1734, Service Provider and Employer Certification of Relationship Status for Consumer Directed Services.
U.S. Centers for Medicare and Medicaid Services. Home Health Services. Medicare.gov.
Texas Health and Human Services. Home and Community Support Services Agencies (HCSSA).
Texas Health and Human Services. How to Become a Licensed HCSSA Provider.
Texas Health and Human Services. Personal Assistance Services Basics.
Texas Health and Human Services. Licensure, Certification, and Contracts: Licensure.
Texas Health and Human Services. Long-Term Care Provider Search.
Texas Health and Human Services. Unlicensed Personnel.
Texas Health and Human Services. Unlicensed Persons Performing Personal Assistance Services.
The Joint Commission. Home Care Accreditation Program.
Overview of Home Care in TX
The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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