What Is Title XIX (Medicaid) and How Does It Help With Home Care in Texas?
If you or a loved one needs help at home, you may have heard the term Title XIX and wondered what it means. While it sounds technical, Title XIX is simply the federal name for Medicaid , a program designed to help eligible individuals receive necessary care, including certain in-home services.
What Does “Title XIX” Mean?
Title XIX is the section of federal law that established Medicaid. When you see “Title XIX,” it simply refers to Medicaid-funded services.
In Texas, Medicaid helps eligible adults and seniors receive support that allows them to remain safely in their homes instead of moving into a facility.
What Are Personal Assistance Services (PAS)?
Personal Assistance Services (PAS) are non-medical, in-home services that support daily living. These services are often essential for individuals who need help due to age, disability, or chronic conditions.
PAS may include:
Assistance with bathing and dressing
Help with toileting and mobility
Meal preparation
Light housekeeping related to the client’s care
Companionship and supervision
These services are focused on maintaining independence and quality of life at home.
Can Medicaid (Title XIX) Cover PAS?
Yes ! Medicaid (Title XIX) can cover Personal Assistance Services for individuals who meet eligibility and authorization requirements.
Coverage depends on factors such as:
Medicaid eligibility status
Program enrollment
Medical and functional need
Service authorization
Before services begin, eligibility and coverage are always verified to ensure services are properly authorized.
Medicaid Managed Care vs. Title XIX Fee-for-Service
Medicaid services in Texas are delivered in different ways, and families often hear confusing terms.
Managed Care Medicaid: Services are coordinated through a health plan (also called an MCO).
Title XIX (Fee-for-Service Medicaid): Certain individuals receive Medicaid services outside of managed care plans.
Both fall under Medicaid, but how services are authorized can differ. A provider will help determine which type of Medicaid applies during the intake process.
How Do Families Get Started?
If you believe you or a loved one may qualify for Medicaid-covered Personal Assistance Services, the first step is to speak with a provider who can:
Discuss care needs
Review Medicaid status
Verify eligibility and coverage type
Explain next steps clearly and compassionately
Every situation is different, and guidance can make the process feel far less overwhelming.
Our Commitment to Families
We understand that navigating Medicaid terminology can feel confusing. Our goal is to make the process clear, respectful, and supportive from the very first conversation.
We currently provide Personal Assistance Services and accept private pay and Medicaid (Title XIX) for eligible clients. Coverage and authorization are always confirmed prior to the start of services.
If you have questions about home care or Medicaid eligibility, we’re happy to talk through your options.
