Most of our clients don't pay out of pocket — discover what coverage you have
STAR+PLUS HCBS (Waiver)
The most important program in Cameron County. STAR+PLUS HCBS covers Personal Assistance, Companion, Respite, Adaptive Aids and more for adults 21+ qualifying for nursing facility level of care.
MCOs in Cameron County: Superior HealthPlan, UnitedHealthcare, Molina Healthcare, Wellpoint
We cover Agency Option — we are the employer
Contact your MCO coordinator to refer our agency
STAR+PLUS State Plan
For STAR+PLUS members who don't qualify for HCBS waiver — Personal Assistance Services under the Medicaid state plan.
PHC — Primary Home Care
Medicaid clients not on STAR+PLUS — Personal Assistance Services administered directly by HHSC/DADS. Referral process through HHSC contract.
Driscoll Health Plan
Driscoll Health Plan is a Texas Medicaid and CHIP managed care plan serving South Texas. We are an in-network provider accepting Driscoll for eligible children, adolescents, and families in the Rio Grande Valley.
Accepted for CHIP and Medicaid STAR members
Bilingual coordination with Driscoll case managers
Private Pay
For families that don't qualify for Medicaid programs. Local Brownsville market rate: ~$13–$25/hr depending on service level. We offer a free in-home assessment to determine a care plan within your budget.
Long-Term Care Insurance
We bill directly to your long-term care insurance company (Genworth, John Hancock, Mutual of Omaha, Northwestern Mutual, New York Life, and more). The family doesn't pay out of pocket.
CLASS / MDCP / HCS Waivers
For adults and children with related conditions (CLASS), medically dependent children (MDCP, ages 0–20), and persons with IDD (HCS). Check if you already have waiver approval.
What does Medicare NOT cover?
Medicare does NOT cover long-term non-skilled personal care. Medicare covers home health care (skilled nursing, therapies) but not routine Personal Assistance. Many families confuse Medicare with Medicaid — tell us your situation and we'll guide you.
Agency Option vs. Consumer Directed Services (CDS)
Understanding the difference before you choose
Azucena's recommends this option
Agency Option
Azucena's handles everything
We are the legal employer — you are NOT the employer
We handle hiring, firing, and background checks (DPS/EMR/NAR)
We manage payroll, tax withholding, and W-2 filings
We provide workers' comp and unemployment insurance
We supervise caregivers and respond to care issues 24/7
No HR burden on your family — ever
Consumer Directed Services (CDS)
You become the employer
You (or your family) become the employer of record
You are responsible for hiring, training, and terminating caregivers
You handle payroll processing and tax filings yourself
You carry employer liability under Texas labor law
HHSC provides an FMSA agency but HR decisions are yours
Significant administrative burden for families already managing care
Most families in Cameron County choose Agency Option to avoid the employer responsibilities. Call us to discuss which option fits your situation.
Free guidance resources
Your Texas Benefits / 211 Texas — to verify Medicaid eligibility