San Antonio, TX · STAR+PLUS / Texas Medicaid HCBS
Medicaid Nursing Home & Assisted Living — San Antonio, TX
Medicaid nursing home coverage in San Antonio includes room, board, and skilled care when eligible — unlike assisted living. Use our nursing home ratings tool to compare CMS star scores for facilities in San Antonio.
Assisted living in San Antonio averages ~$3,800/month (near the TX state average of ~$3,869). STAR+PLUS / Texas Medicaid HCBS may cover care services for eligible residents, but room and board typically remains private pay. Texas uses Medicaid waivers like STAR+PLUS for long-term care services in the community.
Texas helpline: 1-855-937-2372
Key limits (screening estimates)
- Income: ~$2,829/mo
- Assets: ~$2,000 individual
Texas program notes
- • Texas uses Medicaid waivers like STAR+PLUS for long-term care services in the community.
- • Room and board in assisted living is typically still paid privately; waivers may cover care services.
- • A home is usually excluded from asset limits if it is the primary residence.
- • Waitlists are common — apply early even if not moving immediately.
Next steps in San Antonio
- Contact your local Texas Health and Human Services office or Area Agency on Aging.
- Ask about STAR+PLUS waiver availability in your county.
- Request a Medicaid eligibility screening with a caseworker.
AllyKin Affordability Gap Index
Medicaid vs Assisted Living Cost in San Antonio
Avg assisted living
$3,800/mo
STAR+PLUS / Texas Medicaid HCBS income limit
$2,829/mo
Affordability gap
1.3×
1.3× Medicaid income limit — verify waiver slots
Assisted living in San Antonio ($3,800/mo) is roughly 1.3× the STAR+PLUS / Texas Medicaid HCBS income limit (~$2,829/mo). Some families may qualify for waiver-covered care services, but room and board in assisted living typically remains private pay.
Annual AL cost equals ~16.1 months of the Medicaid income screening limit. Limits are estimates — verify with Texas Medicaid caseworker.
No phone number required. This screening tool is 100% free and private. Results are educational only — not legal or financial advice.
FAQs — San Antonio
Does Medicaid pay for nursing homes in San Antonio, TX?▾
Yes — Texas Medicaid (STAR+PLUS / Texas Medicaid HCBS) covers skilled nursing facility room, board, and care for eligible residents. Income limit ~$2,829/mo, assets ~$2,000, and a 60-month look-back apply statewide. Medicaid nursing home coverage in San Antonio includes room, board, and skilled care when eligible — unlike assisted living. Use our nursing home ratings tool to compare CMS star scores for facilities in San Antonio.
How do I qualify for Medicaid nursing home care in San Antonio?▾
Meet STAR+PLUS / Texas Medicaid HCBS income and asset limits, pass the 60-month look-back review, and receive a level-of-care assessment confirming nursing-facility need. Contact your local Texas Health and Human Services office or Area Agency on Aging. Compare CMS star ratings for San Antonio nursing homes before choosing a facility.
Does Medicaid pay for assisted living in San Antonio, TX?▾
Texas's STAR+PLUS / Texas Medicaid HCBS may cover care services for eligible residents in participating communities. Room and board in standard assisted living is usually private pay. At ~$3,800/mo local AL cost, waivers often cover care hours — not housing. Use our free checker below.
What is the Medicaid income limit in San Antonio?▾
Statewide screening limit is approximately $2,829/month for individuals and $2,000 in countable assets. San Antonio does not have separate limits — STAR+PLUS / Texas Medicaid HCBS rules apply across Texas.
What Medicaid waivers help with assisted living in Texas?▾
Texas uses Medicaid waivers like STAR+PLUS for long-term care services in the community. Room and board in assisted living is typically still paid privately; waivers may cover care services. Call 1-855-937-2372 for county-specific guidance.
How many assisted living facilities in San Antonio accept Medicaid?▾
The San Antonio area has approximately 110 licensed communities. Not all accept STAR+PLUS / Texas Medicaid HCBS waiver residents — always verify participation and waitlist status before touring.
What are the next steps to apply for STAR+PLUS / Texas Medicaid HCBS in San Antonio?▾
Contact your local Texas Health and Human Services office or Area Agency on Aging. Ask about STAR+PLUS waiver availability in your county. Request a Medicaid eligibility screening with a caseworker.
Can I afford assisted living in San Antonio while on Medicaid?▾
Assisted living in San Antonio averages ~$3,800/month (near the TX state average of ~$3,869). STAR+PLUS / Texas Medicaid HCBS may cover care services for eligible residents, but room and board typically remains private pay. Texas uses Medicaid waivers like STAR+PLUS for long-term care services in the community.
Assisted Living in San Antonio
Costs, neighborhoods, and free matching
Inspection Lookup — San Antonio
Verify license and violations before touring
Nursing Home Ratings — San Antonio
CMS star ratings for skilled nursing
Medicaid en español — Texas
Guía de elegibilidad en español
Sources & methodology
Cost estimates, demographics, and safety data are compiled from government sources. Verify current figures with official portals before making care decisions.