Community First Choice
Medicaid provides the Community First Choice program, which is exclusive to residents of Texas. CFC helps seniors who require long-term nursing care avoid further institutionalization. The program provides nurse visits and support services to those who reside in assisted living facilities or are receiving home care.
CFC is an entitlement program, which means that it has more flexible eligibility requirements than STAR+PLUS. Seniors who apply for this program must be 65 years of age or older, require long-term care and meet the financial eligibility requirements of the STAR+PLUS program. For more details regarding eligibility and how to apply, seniors can call 1-866-566-8989.
Optional State Supplement
In most cases, Medicaid programs only provide financial assistance with the cost of services in long-term care facilities. Seniors who require financial support to pay for the cost of room and board can apply for Texas’ optional state supplement. The supplement is intended to help low-income seniors afford costs not related to services while in long-term care such as assisted living facilities.
In order to receive OSS, seniors must already receive Supplemental Security Income payments and be residing in an approved facility. OSS benefits are calculated based on the senior’s budgetary needs and current SSI benefits. To apply, seniors can contact the Texas Department of Health and Human Services at 1-855-937-2372.
Community Care for the Aged and Disabled
Community Care for the Aged and Disabled is a Texas Department of Health and Human Services’ non-Medicaid program. CCAD offers several care options to seniors who are not eligible for or not receiving Medicaid but still require some financial assistance with the cost of care. Seniors participating in this program may be living in their own home and receiving home care services or in an assisted living facility.
To be eligible, seniors must be 65 years of age or older and require daily supportive care. They are also required to be financially eligible for this program, which means they may not have an income exceeding $2,250 per month and may not own assets valued at more than $5,000.
To apply, seniors can visit their local Aging and Disability Resource Center or call 1-855-937-2372.
Long-Term Care Insurance
Seniors and older adults who foresee the need for long-term care in their future may buy a long-term care insurance policy. Insured seniors who can claim the cost of assisted living through their insurance provider. In most cases, coverage comes with considerable deductibles, so it’s important to carefully consider the terms of the policy before purchasing.
The insurance company providing the policy determines eligibility. In most cases, current health status and health history play a role in determining eligibility and premiums.
Elderlife Bridge Loan
Seniors living in Dallas and other parts of Texas who are unable to receive Medicaid or OSS payments can apply for an elder bridge loan from Elderlife Financial Services. Bridge loans are paid directly to the senior’s care facility, and the senior and any applicable cosigners pay them back in monthly installments. Elderlife bridge loans offer low-interest rates and flexible terms.
Although eligibility is dependent on income and credit history, seniors are allowed up to six cosigners who are willing to help make payments on the loan, a feature that can drastically increase the likelihood of approval.