Primary Home Care
This program is a nontechnical, medically related, personal care service prescribed by a practitioner. It’s available to people whose health problems cause them to be functionally limited in performing activities of daily living.

Three types of help are available:

Personal care
Help with activities related to the care of the client’s physical health, such as bathing, dressing, grooming, routine hair and skin care, preparing meals, feeding, exercising, help with self-administered medication, toileting, and transferring/ambulating.

Home management
Assistance with housekeeping activities that support the client’s health and safety, such as changing bed linens, housekeeping, laundry, shopping, storing purchased items, and washing dishes.

Escort
Accompanying the client on trips to obtain medical diagnosis or treatment, or both. This service does not include the direct transportation of the client by the attendant.

All clients, except those under age 21, have limits on the number of services they may receive. People under age 21 may exceed program limits as long as their needs do not exceed their Texas Index Level of Effort.

Minimum program requirements

To be eligible for the program, you must meet the following criteria:

• There is no age limit
• Be a Medicaid recipient or meet CAS income and resource limits.
• Meet functional needs criteria and need help with at least one personal care task. Level of impairment is measured during a functional assessment interview with a DHS caseworker.
• Have unmet needs for services.
• Have a practitioner’s signature.
• Prior approval granted by DHS nurse for CAS Services

Clients must first call your local Department of Human Services office for screening. DHS will contact the agency of your choice following eligibility determination.

homehealth@spcaa.org