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Revision 26-1; Effective Feb. 20, 2026
Assisted living facility (ALF) is a living arrangement that provides personal care services (PCS) to between four and 16 unrelated residents. These facilities provide a home-like environment for individuals who cannot live independently due to physical or mental limitations. ALFs offer services such as home management, supervision, meal services, transportation and escort, housekeeping, 24-hour supervision, and medication assistance. The member must live with an ALF licensed by the Texas Health and Human Services Commission (HHSC).
The managed care organization (MCO) determines AFC home services to develop the individual service plan (ISP) through completion of Form H6516, Community First Choice Assessment or Form H2060, Needs Assessment Questionnaire and Task/Hour Guide.
STAR+PLUS HCBS program ALF members must pay for their own room and board (R&B) charges and copayment charges, if applicable, to the AFC.