This is the real 2026 picture for texas star+plus hcbs medicaid waiver in Irving, Dallas County — real local numbers and how families here actually pay, not a national average.
Irving in context
Irving sits between Dallas and the airport, with a growing mix of assisted living and memory care anchored by the master-planned Las Colinas and Valley Ranch communities.
Irving sits in Dallas County. Nearby hospitals include Medical City Las Colinas, Texas Health Presbyterian Dallas, which matters for discharge planning and for staying close to a parent's doctors. Families here commonly focus on areas such as Las Colinas, Valley Ranch, Heritage District, Hackberry Creek. Irving communities often price near the metro median.
Sources Irving families combine
Most families layer several sources rather than relying on one. Private savings and Social Security tend to lead the way, and a long-term-care insurance policy picks up next when the family holds one. Wartime veterans and surviving spouses should check VA Aid & Attendance through the Dallas VA Medical Center. And Texas's STAR+PLUS Medicaid (including the HCBS waiver) can cover care services — though not room and board — for seniors who meet the functional and financial tests, after an HHSC medical-necessity assessment. Irving communities often price near the metro median.
A free advisor can sort out which of these your family actually qualifies for, and which Irving-area communities will take them.
What shapes texas star+plus hcbs medicaid waiver here
The STAR+PLUS program is Texas's main public path to help with long-term-care costs, delivered through the STAR+PLUS Home and Community Based Services (HCBS) waiver. Eligibility has two tracks — an HHSC medical-necessity / level-of-care assessment confirming a nursing-facility level of care, and a financial test — and because it's a waiver rather than an entitlement, there can be a waitlist that prioritizes the most urgent cases. It's delivered through managed-care organizations such as Molina, UnitedHealthcare Community Plan, Superior HealthPlan, and Aetna Better Health.
Where to start
A free Dallas Senior Advisor advisor can shortlist options that fit your budget and timeline and set up tours. Reach out online — there's never a fee for families.
