Nursing Homes That Accept Medicaid in Texas

1,135 of the 1,177 CMS-certified nursing homes in Texas meet this rule: CMS lists the home as certified for Medicaid (or for both Medicare and Medicaid). Certification means the home can bill Medicaid; ask whether a Medicaid bed is open.

By CMS's overall rating, then its inspection rating, Advanced Rehabilitation and Healthcare of Bowie in Bowie (5 stars), Allegiant Wellness and Rehab in Crowley (5 stars) and Amarillo Medical Lodge in Amarillo (5 stars) rank highest. Visit and check the latest inspection report before you decide.

Texas lists an income limit of $2,982 (individual), special income limit equal to or less than 300% of the SSI federal benefit rate, effective Jan. 1, 2026 and an asset limit of $2,000 (individual); $3,000 (couple), effective Jan. 1, 2026 for 2026. A Medicaid-certified home can still have no Medicaid bed open, so ask when you call.

Read its Care Compare page for the full inspection reports, visit at different times, and ask about staffing and openings. Texas's State Long-Term Care Ombudsman can answer questions about residents' rights.