Texas Non-Medical Home Care: How to Get Licensed and Bill Medicaid

Texas home care entrepreneurs: here's how you get from idea to billing Medicaid for non-medical care.

Non-medical home care is one of the most accessible ways to enter the care economy in Texas, because it doesn't require a nursing license. Here's the path.

Get your HCSSA license in the PAS category

Agencies providing personal assistance services must be licensed as a Home and Community Support Services Agency by Texas Health and Human Services, under the Personal Assistance Services category. Non-medical personal care, companion, and homemaker services don't require clinical licensure, so you don't have to be a clinician to start.

Then enroll in Medicaid and add MCOs

Once licensed, you can serve private-pay clients right away. To accept Medicaid, enroll as a Texas Medicaid provider, then contract with the managed care organizations that administer Medicaid long-term services in your area. License first, then enroll, then add plans.

Key takeaway: In Texas, get your HCSSA license in the PAS category from HHSC, no nursing license required, then enroll in Medicaid and add MCO contracts, in that order.

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