---
title: "STAR+PLUS Home and Community Based Services program: Definition"
description: "The STAR+PLUS Home and Community Based Services program is a Texas Medicaid waiver for adults who would otherwise need a nursing facility. Applicants must..."
url: https://homecare.preview.multisites.ai/glossary/star-plus-home-and-community-based-services-program/
publisher: HomeCare.com
phone: 800-974-3458
start: https://care.homecare.com/?source=homecare.com
---

State programs

# STAR+PLUS Home and Community Based Services (HCBS) program

The STAR+PLUS Home and Community Based Services program is a Texas Medicaid waiver for adults who would otherwise need a nursing facility. Applicants must be 21 or older, meet a nursing facility level of care, and be financially eligible for Medicaid. The Texas Health and Human Services Commission runs it.

## Why it matters for your family

Many people start on an interest list. Names are released first come, first served as slots open. People already on SSI or full Medicaid do not go on the list, according to the Texas handbook. Services can include adaptive aids, home-delivered meals, minor home changes, nursing, respite, and therapies. A common mistake is to wait to call. Join the list early. Ask HHSC or your health plan whether other help is available while you wait, and ask about Texas Primary Home Care or Community Attendant Services. The interest list phone number is on the HHSC website.

Source: [hhs.texas.gov](https://www.hhs.texas.gov/handbooks/starplus-program-support-unit-operational-procedures-handbook/1200-starplus-program-eligibility)

[Read more: Home care in Texas](https://homecare.preview.multisites.ai/state/texas/)

## Related terms

-   [**STAR+PLUS (Texas)**STAR+PLUS is a Texas Medicaid managed care program for adults with disabilities and adults age 65 or older.](https://homecare.preview.multisites.ai/glossary/star-plus/)
-   [**Medicaid waiver waitlist**A Medicaid waiver waitlist is a list of people who qualify for a home and community-based waiver but cannot enroll yet because the state has no open slot.](https://homecare.preview.multisites.ai/glossary/medicaid-waiver-waitlist/)
-   [**Level of care assessment**A level of care assessment is an evaluation that decides whether a person needs the level of care that a nursing facility provides.](https://homecare.preview.multisites.ai/glossary/level-of-care-assessment/)
-   [**Home and community-based services (HCBS) waiver**A home and community-based services (HCBS) waiver is a Medicaid program that pays for care at home or in the community instead of in a nursing home.](https://homecare.preview.multisites.ai/glossary/home-and-community-based-services-waiver/)
-   [**Texas Primary Home Care**Texas Primary Home Care, or PHC, is a Medicaid-funded personal care program run through the Texas Health and Human Services Commission.](https://homecare.preview.multisites.ai/glossary/texas-primary-home-care/)
-   [**Texas Community Attendant Services (CAS)**Texas Community Attendant Services, or CAS, is a Medicaid-funded personal care program run through the Texas Health and Human Services Commission.](https://homecare.preview.multisites.ai/glossary/texas-community-attendant-services/)

[All glossary terms](https://homecare.preview.multisites.ai/glossary/)

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