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Adult Day Care · Houston, Texas

Adult Day Care in Houston, TX

Houston's adult day programs serve thousands of families, with options ranging from social-only programs to full medical adult day health care. Texas Medicaid (STAR+PLUS) covers adult day care for eligible seniors at low or no cost.

Reviewed by the AllyKin Editorial TeamCMS data via Medicare.gov Care CompareLast updated: July 2026Methodology: How we research and rank →

$85–$130/day

Houston adult day care cost range (2025)

STAR+PLUS

Texas Medicaid waiver that covers adult day care

Harris County AAA

713-794-9001 — local referral resource

What to know about Houston adult day care

Texas Adult Day Care is licensed by HHSC

All adult day care centers in Texas must be licensed by the Texas Health and Human Services Commission (HHSC). Ask any center you're considering for their current license number and verify it at hhs.texas.gov. Licensed facilities are inspected regularly for health, safety, and programming standards.

STAR+PLUS is the key Medicaid pathway in Texas

Texas Medicaid's STAR+PLUS managed care program covers adult day care for eligible seniors (65+ or adults with disabilities who require a nursing-home level of care). Your managed care organization (Molina, UnitedHealthcare Community, or AmeriHealth Caritas, depending on your plan) coordinates adult day services as a 'home and community-based' benefit.

Veterans can access adult day care through the VA

Houston VA Medical Center (Michael E. DeBakey VAMC) and affiliated community-based programs provide adult day health care for eligible veterans. Contact the VA social work department at 713-791-1414 to ask about eligibility for VA community adult day care.

Transportation is widely available in Houston

Many Houston-area adult day centers operate their own van fleets within specific zip codes. Some use METRO Lift (Houston's ADA paratransit) or contracted transport companies. Always confirm transport availability and service area before choosing a center — this is often the deciding factor.

Find adult day care in Houston

Our advisors can connect you with adult day centers in your specific Houston neighborhood — including programs that accept Texas Medicaid (STAR+PLUS) and VA benefits.

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Frequently asked questions — Houston

How much does adult day care cost in Houston?

Adult day care in Houston, TX averages $85–$130 per day in 2025, depending on whether you choose a social-only or medical (ADHC) program. The lower end reflects social programs in suburban Houston areas; medical programs with nursing and therapy staff run $110–$145/day. This compares favorably to in-home care at $22–$26/hour in the Houston metro — a full day of adult day care is typically less expensive than 5–6 hours of in-home aide time.

Does Medicaid cover adult day care in Texas?

Yes — Texas covers adult day care through the STAR+PLUS managed care waiver program for Medicaid recipients who meet a nursing-home level of care. STAR+PLUS is administered by managed care organizations (MCOs) and includes adult day services as a covered benefit. Seniors must be enrolled in Texas Medicaid, meet functional eligibility (requiring assistance with daily activities at a level that would otherwise require nursing home care), and be served by a STAR+PLUS-contracted adult day center. Contact your local Area Agency on Aging or the Texas HHSC (2-1-1) to start the referral process.

Are there dementia-specific adult day programs in Houston?

Yes — Houston has several adult day centers that specialize in memory care programming for seniors with Alzheimer's and other dementias. These programs offer structured routines, reminiscence therapy, sensory engagement, and staff trained in dementia behavior support. When touring any program, ask specifically about their dementia experience, staff training certifications (e.g., CADDCT — Certified Alzheimer's Disease and Dementia Care Trainer), and their approach to behavioral symptoms.

What areas of Houston have adult day centers?

Adult day centers operate throughout the greater Houston area, including the Houston Medical Center area, the Heights, Midtown, Sugar Land, Katy, Pearland, Pasadena, and The Woodlands. Transportation availability varies by center — many offer van pickup within a defined service radius. Harris County Area Agency on Aging (713-794-9001) maintains a list of licensed adult day centers in the county.

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