Cities/Texas

San Antonio, TX

In-Home Dementia Care in San Antonio

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What in-home dementia care costs in San Antonio

Real local rates - no hidden fees.

Light supervision

$1600/mo

~20 hrs/week

Full-time care

$3200/mo

~40 hrs/week

Live-in / 24-hour

$12,000+/mo

Around-the-clock

Local rate range: $20-$30/hr.

Dementia in San Antonio: what families should know

Real local data, not generic national averages.

Local senior population

190,908

Residents 65+ in San Antonio

22,716

Residents 85+ (highest dementia risk group)

U.S. Census Bureau, American Community Survey 5-Year Estimates.

Who this affects locally

52,868 senior households in San Antonio have someone 65 or older living alone - exactly the situation where in-home supervision matters most. With 22,716 residents aged 85 and over, the group at highest risk of dementia, the need for local care is concentrated and growing.

TX Medicaid

STAR+PLUS Home and Community Based Services (STAR+PLUS HCBS)

Administered by the Texas Health and Human Services Commission, through managed care organizations that carry out the eligibility determination and coordinate services.

Dementia-specific eligibility

Assessment for STAR+PLUS HCBS begins only when a person's name reaches the top of the program interest list; the managed care organization then carries out the eligibility determination. The cited page does not describe any dementia-specific eligibility route, so ask the office that administers the programme how a dementia diagnosis is weighed in that assessment.

Asset limits: This state does not publish asset limits on its own program page. Confirm the current figures with the office that administers the program.

What makes TX different: Texas runs the programme from an interest list rather than open enrolment, and the wait is the defining feature of applying - families who assume they can apply when care is needed find the assessment cannot even begin until their turn comes.

How to apply: Ask to be placed on the STAR+PLUS HCBS interest list by contacting the HHSC Interest List Management unit, or the managed care organization directly if the person is already enrolled in STAR+PLUS. Nothing else happens until the name reaches the top of that list, so getting on it early is the step that matters.

Sources: Medicaid Planning Assistance - Texas STAR+PLUS HCBS · Texas Health and Human Services - STAR+PLUS HCBS Eligibility · STAR+PLUS HCBS program details

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More resources for San Antonio families

Home health providers in San Antonio

From Medicare's own provider records, with the quality rating Medicare publishes. We do not rank these and we have no relationship with any of them.

ProviderTypeMedicare ratingTelephone
AMERICAN MEDICAL HOME HEALTH SERVICES - SAN ANTONIO LLC5805 CALLAGHAN RD. SUITE 300, SAN ANTONIO, TX 78228home health agency4.5 of 52107356225
S. A. NURSES HOME HEALTH AGENCY4414 CENTERVIEW DRIVE SUITE 210, SAN ANTONIO, TX 78228home health agency4.5 of 52107982199
CHRISTUS VNA HOMECARE SAN ANTONIO5253 PRUE ROAD, SUITE 100A, SAN ANTONIO, TX 78240home health agency4 of 52107855200
MMCARE404 E RAMSEY RD STE 105, SAN ANTONIO, TX 78216home health agency4 of 52107341300
PRIME HOME HEALTH, LLC7800 W IH-10 SUITE 100, SAN ANTONIO, TX 78230home health agency4 of 52102514973
CASA LINDA HOMECARE INC5555 FREDERICKSBURG ROAD SUITE # 200, SAN ANTONIO, TX 78229home health agency3.5 of 52103495515

Dementia specialists practising in San Antonio

Listed in the federal NPI registry with a dementia-relevant specialty. This is public reference information: none of these clinicians is affiliated with us or endorses this service.

Where our numbers come from

Last verified August 27, 2026

Every San Antonio figure on this page comes from a public record you can open yourself - not from an estimate and not from us. Every figure links back to the source it came from.

These are the public records we cite. They are sources of data, not partners, and none of them endorses this service. See how we use them city by city.

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