The Texas Medicaid Day Activity and Health Services (DAHS) program provides adult day care services on weekdays during daytime hours to eligible Texas residents, up to 10 hours per day. Services, such as personal care, snacks, congregate meals, and social activities, are provided at licensed centers throughout the state.
The objective is to allow participants who would otherwise require full-time nursing home care to receive care during normal business hours. This allows them to continue living at home or in the community with their primary caregivers on nights and weekends. This also allows family caregivers to continue to work during daytime hours.
To be eligible for the DAHS program, administered by the Health and Human Services Commission, Texas residents must be at least 18 years of age and have a medical diagnosis that requires a nursing home level of care. Although the age requirement is low for an elderly care program, this program is open to aged Texas residents as well, i.e. individuals 65 and over. Applicants must be willing to receive care in adult day centers instead of in skilled nursing homes.
In addition to the medical eligibility requirements, DAHS applicants must be financially qualified to obtain Medicaid. This is a complicated process that considers income and resources.
In 2023, the monthly individual income limit is $914, while the limit for couples is $1,371, regardless of whether both spouses are applying.
It is also possible to qualify for DAHS through Community Care Services Eligibility (CCSE). In that case, an individual must have income under $2,742 a month. The monthly limit for couples is $5,484.
Single applicants are allowed $2,000 in assets/resources. The asset limit for couples is $3,000
If applying through CCSE, the asset limit is $5,000 for a single applicant and $6,000 if married.
While Texas does not have a Medically Needy Medicaid program, persons whose finances exceed the limits can still likely qualify for Medicaid. However, they will need to retain the services of a Medicaid planning professional, such as an elder law attorney or other financial planner to do so. Learn more about this option.
Adult day care providers participating in the DAHS program must provide assistance in the areas listed below. Participants can receive care 5 days per week, up to 10 hours per day, dependent on need.
The Texas Health and Human Services Commission offers some additional information about the program on their webpage, including the current directory of all participating daytime care facilities throughout the state.