Senior couple photo.

Frequently Asked Questions

What is home care?

Home care is a broad range of professional health care and support services provided in peoples' homes. Treatment varies from patient to patient but usually fits into two types: skilled professional care and personal assistance services. People who are recovering from an illness or accident, disabled, chronically or terminally ill, most often use skilled professional care. As hospital stays decrease, increasing numbers of patients need highly skilled services when they return home. Typically home care is appropriate when a person can safely stay at home but still needs ongoing care that cannot easily or effectively be provided solely by family and friends. Personal assistance services is most appropriate for those who may need help with activities of daily living (ADLs) or instrumental activities of daily living (IADLs). This includes: bathing, dressing, ambulating or light housekeeping and cooking.

Who provides home care?

Home care services are usually provided by home care agencies. Agencies typically include: Medicare certified home health agencies (LifeSpan); hospices; area agencies on aging, homemaker agencies; staff and private duty nursing agencies. Other agencies may be utilized to deliver specialized services and products such as medical equipment and supplies, pharmaceuticals, and drug infusion therapy.

What services do home health care agencies provide?

LifeSpan’s services range from skilled nursing, physical, occupational and speech-language therapy, home health aide services, and medical social services to community services such as attendants.

Who can receive home health care?

People of all ages with acute and chronic health care needs can receive home health care services. Home health care is for persons who require health care from a professional or who need personal assistance in the home through attendants. The payor for these services typically determines the level of care and those who qualify. In most cases medical orders from a physician are required for home health care. It is best to call LifeSpan and ask for assistance. Our telephone number is (210) 798-6701.

When are home health care services available?

Home health care services provided by LifeSpan are available 24/7.

Will my insurance cover home health care?

If the care is medically necessary and the patient meets certain coverage requirements, Medicare, Medicaid and most private insurance plans will usually pay for home health care services. Service may vary for Medicaid depending on the county in which you reside and private insurance carriers have different policies (please refer to your Certificate of Coverage). For services that are not covered, patients may choose to pay out of their own pocket.

How do I choose the right home health care agency?

There are many important factors to consider in choosing the best agency to meet your needs. Assess what types of services you will need and find an agency that offers those services. Survey the agencies you are considering about licenses and certifications. You'll also want to evaluate the quality of care, and the skills and training of personnel at the agencies under consideration.

Accepted Insurance

  • Medicaid Replacement Plans
  • Medicare
  • Medicare Advantage Plans
  • Molina
  • PacifiCare
  • Secure Horizons
  • Superior
  • United Healthcare

Definitions of Core Services Offered

  • Aide: Assistance with personal care needs and hygiene needs.
  • Occupational therapy: Provides assistance in household management skills, energy conservation, and work simplification. This therapist uses methods that attempt to improve a patients cognitive and functional ability to perform basic activities of daily living.
  • Physical therapy: Provides goal directed approaches to rehabilitation of a patient with decreased ambulation, gait difficulties, weakness, balance disturbances, etc.
  • Skilled Nursing: Evaluation and assessment is done by a nurse. Ongoing skilled needs such as wound care, medication administration, IV therapy, and disease management teaching is done.
  • Social work: Assesses social, emotional, financial, and personal problems related to illness and recovery. Referrals to appropriate community resources.
  • Speech therapy: Can provide assessment and evaluation of neurological/cognitive disorders and developmental delays which cause difficulty with communication.

Not all services available in all locations. Call Central Intake to confirm service availability.

Helpful Links

Informational Links

  • Department of Aging and Disability Services (DADS)
  • NAHC – "NAHC is committed to representing the interests of the home care and hospice community."
  • TAHC – "The purpose of the Texas Association for Home Care (TAHC) is as a non-profit association that promotes quality and economic viability of licensed providers of home and community support services in Texas. TAHC is over 500 members strong and speaks with a strong, unified voice for the interests of home care throughout the state of Texas."
  • CSHCN – The Texas Department of State Health Services – Children with Special Health Care Needs (CSHCN) page offers information about the Comprehensive Care Program (CCP) and Medically Dependent Children's Program (MDCP).
  • DFPS – Texas Department of Family and Protective Services site that includes links to Child Protective Services and Adult Protective Services.
  • - This website is especially for families and parents of children with disabilities or special health care needs and is designed to offer support, inspiration, resources, and links to services available.
  • Variety of Texas: Stories - We envision a world without isolation and stigma for children with special needs and their families.

Information About Specific Disorders:

Bills We Support:

Call your representatives and voice your support for these bills that benefit our clients and employees. Click this link to find your representative:


BREAKING: House Adds Zero Funding for Waitlist Reduction

We need YOU and/or your clients/families to make phone calls!

Although we applaud the House Appropriations Committee's decision to fully fund promoting independence (transition and diversion) slots, we are devastated to share that they have not allocated funds for the waitlist. This is unacceptable to the over 153,000 Texans waiting for necessary community-based support and services.

It's not over! Your voice is needed. Both the Senate and House have a long way to go before they finalize the state budget. We need you to follow the steps below and make calls to let legislators know not funding the waitlist is NOT AN OPTION!

Step One: Call the legislators below and share with them that not funding the waitlist is unacceptable. Use the talking points provided below.

  • Speaker Dennis Bonnen: (512) 463-1000
  • Representative John Zerwas: (512) 463-0657
  • Representative Sarah Davis: (512) 463-0389

Step Two: Follow this link and look up both your State Representative and State Senator. Call their offices and share the talking points provided.

Talking Points:

  • Community-based waivers provide many services such as personal attendant care, nursing, some therapies, and more. Without these services, many individuals are not able to get in and out of bed, bathe, go to the store, or participate fully in the community.
  • There are over 153,000 Texans with disabilities waiting as long as 14 years for critical supports.
  • It is important for the legislature to fully fund HHSC's request for waivers to reduce the interest list and support transition and diversion from institutions, known as Promoting Independence.
  • HHSCs request this session was less than it has been historically, however they stated that it is their top priority.
  • There was no funding for interest list reduction last session.
  • If the legislature once again decides not to fund the interest list, Texas will truly be a crisis-driven system. This is not what Texans stand for.
  • Texas has done tremendous work to build community capacity and can continue to build on that. Don't let us take steps backward by putting individuals and families in crisis.
  • Not funding the waitlist should not be an option.
  • Thank you for your time.

Step Three: Copy and paste the message below and post to your social media accounts.

"There are too many Texans with disabilities waiting for a community-based waiver. We cannot go another year without interest list reduction. Please include full funding for @TexasHHSC request. @RepJohnZerwas @SarahforHD134 @RepDennisBonnen #txlege #disabilities"

You can be a powerful agent in the push towards increased accessibility to Medicaid waivers and community integration for Texans with IDD. Thank you for all you do!

If you have any questions, do not hesitate to reach out to Kyle Piccola or Ginger Mayeaux.

Community Health Accreditation Program Logo
Texas Association for Home Care and Hospice
2016 HHCAHPS Fazzi Seal