Medicaid vs Medicare for Nursing Home Care in Texas

ElderCare Sift — ElderCare Sift is a free Texas nursing home directory using public CMS data. Not medical advice.

Frequently Asked Questions

What is the difference between Medicare and Medicaid for nursing home care in Texas?

Medicare covers short-term skilled nursing (up to 100 days after a hospital stay). Medicaid covers long-term custodial care for those who meet income and asset requirements. Most nursing home residents eventually transition to Medicaid. See our full comparison guide.

How do I qualify for Texas Medicaid nursing home coverage?

Texas Medicaid requires that you meet income limits (approximately $2,829/month in 2025), asset limits ($2,000 for individuals), and a medical necessity assessment. The application process can take months. See our Financial Planning Guide.

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