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Medicaid Planning · Texas

Texas Long-term-care Medicaid eligibility

Long-term-care Medicaid eligibility rules for Texas.

Published: September 4, 2026. Last checked: September 2, 2026.

Income limits

Individual income limit

$2,982 per month

Pathway: institutional-long-term-care; setting: nursing-facility and HCBS-waiver services; applies to: applicant (individual applicant); measure: cap.

Source: Texas HHS Appendix XII, Nursing Facility and HCBS Waiver Information [state-medicaid-agency] — Revision 26-1 effective March 1, 2026; figures effective January 1, 2026

Couple income limit

$5,964 per month

Pathway: institutional-long-term-care; setting: nursing-facility and HCBS-waiver services; applies to: household (couple when both spouses apply); measure: cap.

Source: Texas HHS Appendix XII, Nursing Facility and HCBS Waiver Information [state-medicaid-agency] — Revision 26-1 effective March 1, 2026; figures effective January 1, 2026

Asset limits

Individual resource limit

$2,000

Pathway: institutional-long-term-care; setting: nursing-facility and HCBS-waiver services; applies to: applicant (individual applicant); measure: cap.

Source: Texas HHS Appendix XII, Nursing Facility and HCBS Waiver Information [state-medicaid-agency] — Revision 26-1 effective March 1, 2026; figures effective January 1, 2026

Couple resource limit

$3,000

Pathway: institutional-long-term-care; setting: nursing-facility and HCBS-waiver services; applies to: household (couple when both spouses apply); measure: cap.

Source: Texas HHS Appendix XII, Nursing Facility and HCBS Waiver Information [state-medicaid-agency] — Revision 26-1 effective March 1, 2026; figures effective January 1, 2026

Community spouse resource allowance (CSRA)

Community-spouse resource allowance

$32,532 minimum to $162,660 maximum

Pathway: spousal-impoverishment; setting: long-term-care services; applies to: community-spouse (institutionalized applicant with a community spouse); measure: range.

Source: Texas HHS Appendix XII, Nursing Facility and HCBS Waiver Information [state-medicaid-agency] — Revision 26-1 effective March 1, 2026; figures effective January 1, 2026

Monthly maintenance needs allowance (MMMNA)

Community-spouse minimum monthly maintenance-needs allowance

$2,705 per month

Pathway: spousal-impoverishment; setting: long-term-care services; applies to: community-spouse (institutionalized applicant with a community spouse); measure: minimum.

Source: Texas HHS J-7400, Spousal Impoverishment Dependent Allowance [state-medicaid-agency] — Revision 26-3 effective September 1, 2026; base effective July 1, 2026

Community-spouse maximum monthly maintenance-needs allowance

$4,066.50 per month

Pathway: spousal-impoverishment; setting: long-term-care services; applies to: community-spouse (institutionalized applicant with a community spouse); measure: maximum.

Source: Texas HHS Appendix XII, Nursing Facility and HCBS Waiver Information [state-medicaid-agency] — Revision 26-1 effective March 1, 2026; figures effective January 1, 2026

Home-equity limits

Home-equity limit

$752,000

Pathway: institutional-long-term-care; setting: long-term-care services; applies to: applicant (applicant without a spouse or qualifying child in the home); measure: cap.

Source: Texas HHS F-3600, Substantial Home Equity [state-medicaid-agency] — Revision 26-1 effective March 1, 2026; amount effective January 1, 2026

Sources and update policy

Methodology & sources

Checked at least annually and whenever the state or CMS publishes new long-term-care eligibility figures.

This page is educational and is not legal advice.