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Get paid as a family caregiver in Texas

Texas runs real Medicaid programs that pay family members to care for a loved one at home. Here is what they pay, who can be paid, and how to start.

Texas at a glance

Aged 65+
4.4 million

14% of the state

Counties
254

each with its own page

Programs
3

that can pay a relative

Spouse pay
No

see the full rule below

An older woman and her adult granddaughter in a bright sunroom
50 + DC
states covered
3,144
counties with local data
$0
it is always free to apply
2 min
to see if you qualify

Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program

What Texas pays family caregivers

$13–$15/hr

Rates vary — check with the program.

Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.

Source: Texas Medicaid program data · Updated September 2026

Waitlist in Texas

Waitlists here can be long. Apply as soon as you can.

severe — STAR+PLUS HCBS interest list wait is 'many years' (~5,034 reported); CLASS ~48,169 and MDCP ~27,012 on interest lists with waits reported up to ~13-15 years

The two big questions

Can a spouse be paid?

Not right now

Not right now — but other family members can often be paid.

The fine print: no — spouses cannot be paid attendants in Medicaid CDS programs; reported exception: state-funded CMPAS may allow a spouse

Can a parent be paid for a child?

Not right now

Not for young children right now — but parents of adult children can often be paid.

The fine print: no — a legally responsible parent (or foster parent, or spouse of a parent) cannot be the paid attendant for their minor child (e.g. CAS rule); parents of adult children CAN be paid

Texas's programs

Run by: Texas Health & Human Services Commission (HHSC)

Consumer Directed Services (CDS)

A program that can pay a family member for care at home.

2-min check →

STAR+PLUS HCBS

A program that can pay a family member for care at home.

2-min check →

CLASS & MDCP Waivers

A program that can pay a family member for care at home.

2-min check →

How to apply in Texas

  1. Check your match — 2 minutes, free.

    Our quick check tells you which programs fit your family before you talk to anyone.

  2. Start the state application.

    Call 877-438-5658 to join the CLASS or MDCP interest list, or 800-964-2777 for the STAR+PLUS HCBS interest list; benefits applications go through YourTexasBenefits.com or 2-1-1 Texas.

  3. We help at every step.

    Forms, phone calls, the enrollment visit — we walk you through it all, free.

See if you qualify →

Texas questions, answered honestly

Is this legit?

Yes. These are real Medicaid programs run by the state. In Texas, they are overseen by the Texas Health & Human Services Commission (HHSC). We help you enroll — applying costs you nothing.

Why would the government pay me?

Care at home costs Medicaid far less than a nursing home. So states pay family members to give that care at home. It's good for your loved one, and it's the law working the way it should.

Can I get paid to care for my spouse in Texas?

Not right now — but other family members can often be paid. The fine print: no — spouses cannot be paid attendants in Medicaid CDS programs; reported exception: state-funded CMPAS may allow a spouse

Can I get paid to care for my child in Texas?

Not for young children right now — but parents of adult children can often be paid. The fine print: no — a legally responsible parent (or foster parent, or spouse of a parent) cannot be the paid attendant for their minor child (e.g. CAS rule); parents of adult children CAN be paid

How much do family caregivers get paid in Texas?

Reported figures are around $13–$15/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.

Is there a waitlist?

Waitlists here can be long. Apply as soon as you can. Details: severe — STAR+PLUS HCBS interest list wait is 'many years' (~5,034 reported); CLASS ~48,169 and MDCP ~27,012 on interest lists with waits reported up to ~13-15 years

Do I have to work for an agency?

It depends on the program. In Texas: self-directed, but every CDS employer must use a financial management services agency (FMSA) for payroll, taxes, and background checks

Sources: hhs.texas.gov · medicaidplanningassistance.org · Updated September 2026. Program rules change — always confirm with the program.

Browse Texas by county

The programs are the same across Texas. Pick your county to see how they work where you live.

Across the line

States that border Texas

Each state writes its own rules, and they differ more than people expect — a spouse who can be paid on one side of the line often cannot be on the other.

Find out in 2 minutes

Answer 5 easy questions. See your programs and pay before you share any contact info.

See if you qualify