Get paid to care for someone you love.

Texas Medicaid can pay a family member or trusted friend to be the care attendant. Hometown makes it simple — we run the payroll, taxes, and paperwork behind you.

Enrollment opens soon.

Leave your number — a real person in Texas will call you back.

Join the waitlist How it works

What Hometown handles

The employer paperwork, done for you

Payroll, every period

Attendants submit time, we pay on schedule — with readable pay stubs.Your attendants submit time, we pay them on schedule — with pay stubs they can actually read.

Taxes and filings

Withholding, employer taxes, W-2s, quarterly filings — on time, every time.Withholding, employer taxes, W-2s, quarterly filings — filed correctly and on time.Withholding, employer taxes, W-2s, quarterly filings — filed correctly and on time, every time.

HHSC paperwork

Enrollment packets, budgets, and the records Texas HHSC expects.Enrollment packets, budgets, and the records Texas HHSC expects — kept clean so you never have to chase them.

✓ No cost to CDS employers✓ No cost to CDS employers — funded through Texas Medicaid✓ Texas-based team that answers the phone✓ Built accessible from day one

How it works

You choose CDS

With your case manager, you pick the CDS option in your Medicaid program.With your case manager, you pick the Consumer Directed Services option in your Medicaid program.

You pick Hometown

Name Hometown as your fiscal agent. We handle the packet with you, in plain language.Name Hometown as your fiscal agent (FMSA). We handle the enrollment packet with you, in plain language.

You hire, we run it

You choose and manage your attendants. We run payroll, taxes, and records behind you.

See the full walkthrough →

Learn more

What this is — getting paid to care, in plain English.New to this? A plain-English explanation of how getting paid to care works in Texas.How it works →Why Hometown — what makes us different.What makes us different from every other fiscal agent in Texas.Why Hometown →FAQs — pay, eligibility, enrollment, timing.Quick answers about pay, eligibility, enrollment, and timing.Read the FAQs →

Opening soon across Texas.

Join the waitlist and we'll call you the moment enrollment opens for your program.Join the waitlist and we'll call you the moment enrollment opens for your program — CLASS, HCS, TxHmL, STAR+PLUS and more.

Be first in line

We'll call you when enrollment opens in your program.

Prefer to talk? Call our Texas team. Hablamos español.