November 3, 2014
Home care in the state of Texas is delivered by licensed home and community support services agencies (HCSSAs) and regulated by the Texas Department of Aging and Disability Services (DADS). Services are provided in the client’s home or other settings where they participate in the community, such as school. Licensed home care agencies must comply with a number of state and federal regulations and are routinely surveyed to monitor the quality of care delivered to clients receiving home care services.
Home health includes a diverse array of skilled services. Nurses, therapists, and home health aides administer these health care services under physician’s orders.
Long-term Care Services
Personal assistance services are also provided by licensed home care agencies. Attendants provide help with activities of daily living such as bathing; dressing, grooming, meal preparation, feeding, transfer and ambulation, and toileting are just some of the services provided to individuals who require such assistance.
Frequently Asked Questions
Although eligibility rules vary, all home care clients under Texas Medicaid are low-income and have serious medical needs and/or physical limitations. All home care services are authorized based on medical or functional necessity.
Does home care replace care provided by family members?
No. People who receive care from home care agencies or other paid caregivers often receive some or most of their care from family members. Paid care normally supplements, rather than substitutes for, unpaid care provided by family members.
Is home care cost-effective?
Yes. Research has shown that carefully designed and efficiently administered home care programs are cost-effective. For example, one study reported a 50 percent reduction in the re-hospitalization rate of home care recipients and a cost savings of approximately $3,000 per patient over 24 weeks.
Is home care only for older Texans?
No. Home care is available to Texans regardless of age. Children receive pediatric nursing and medically necessary therapies, such as speech, occupational and physical therapy. Adults of all ages, but primarily those with disabilities and seniors, receive nursing, therapies, and personal assistance services.