Texas STAR+PLUS home and community-based services

Texas STAR+PLUS is a Medicaid managed care program for adults with disabilities and adults 65 or older, including long-term services and supports through managed care.

Texas · Effective · Implementation Jan 1, 2026

What it is

What changed: Texas continues to route many older adults and adults with disabilities through STAR+PLUS managed care for acute care and long-term services and supports, with separate HCBS waiver pathways for additional community supports.
Why it matters: Caregivers in Texas need to understand managed-care plan choice, service coordination, HCBS interest-list steps, and what supports can keep someone out of an institution.
Who it touches: Family caregivers, Care providers and plans, People receiving careolder adults, adults with disabilities, Medicaid members, family caregivers, managed care plans
Topics: Home and community services

Sources

Last reviewed Jun 19, 2026. This is information, not legal advice; check the source for the current text.