Home Care for the Elderly in Dallas-Fort Worth: What Families Should Know
10/17/2026
When your parent in Dallas-Fort Worth reaches the point where daily life requires help — the
shower is unsafe alone, meals go unprepared, medications get confused, the house isn’t
maintained — the family enters a new chapter. The good news: DFW has a Medicaid system
designed to keep your parent at home with daily support, often at no cost to your family. The
better news: a family member can be the one providing that care and earning a paycheck for it.
What Elderly Home Care Covers in DFW
Personal care — bathing, dressing, grooming, toileting, eating, mobility. Homemaker services
— meals, housekeeping, laundry. Medication reminders. Companionship and supervision.
Errands and transportation. These services are provided through STAR+PLUS HCBS via your
loved one’s MCO — Molina, Superior, or UnitedHealthcare in the DFW area.
The Family Caregiver Path
Through Consumer Directed Services, your elderly parent hires a family member as their paid
attendant. The adult daughter who’s been driving across Plano every morning to help Mom
bathe becomes a paid employee earning SIO.60-S15.OO/hour. Nothing changes about the care.
Something changes about the financial strain.
In our experience at CareChoice, the DFW families who benefit most from CDS are the ones
where the adult child was on the verge of quitting their job to provide full-time care. CDS
doesn’t replace that care — it compensates it, making it financially sustainable instead of
financially ruinous.
The Cost Picture
Option Monthly Cost to Family (30 hrs/week)
Medicaid (STAR+PLUS) $0
Medicaid + CDS family caregiver $0 cost + family receives $1,378-$1,950/month
Private pay $2,860-$3,900
Nursing home (semi-private) $5,500-$7,500
Medicaid is the clear winner. Check eligibility first — always.
Getting Started
YourTexasBenefits.com or 2-1-1 for Medicaid STAR+PLUS enrollment MCO assessment CDS or agency care CareChoice.
Written by Gary Murray, Chief Marketing Officer / CareChoice