How to Apply for STAR+PLUS Assisted Living in Texas

The path to STAR+PLUS assisted living has a few moving parts. Here is the order that keeps families from getting stuck.

Step 1: Confirm Medicaid financial eligibility

STAR+PLUS HCBS requires Medicaid financial eligibility. If your family member is not already on Medicaid, you can apply through Your Texas Benefits. See the documents you will need to prepare in advance.

Step 2: Ask about STAR+PLUS HCBS and the interest list

There can be an interest list (waitlist) for HCBS services. Getting on it early matters. Ask HHSC or your MCO how to be added and what to expect for timing.

Step 3: Complete the medical-necessity assessment

A nurse assessment determines whether the applicant meets nursing-facility level of care. This is required for HCBS services.

Step 4: Work with your MCO service coordinator

Once enrolled, a service coordinator helps build the care plan and arrange services at a participating facility. Reunion Inn coordinates directly with MCOs to help make this smooth.

Frequently asked questions

How do I apply for STAR+PLUS assisted living?

Confirm Medicaid financial eligibility, ask HHSC or your MCO about STAR+PLUS HCBS and the interest list, complete the medical-necessity assessment for nursing-facility level of care, and work with your MCO service coordinator to arrange services.

Is there a waitlist for STAR+PLUS HCBS?

There can be an interest list for HCBS services. Ask HHSC or your MCO how to get added and what timing to expect, and get on it as early as possible.