A modern, easy to use and welcoming FMSA
Hometown is a Financial Management Services Agency (FMSA) for Texas Medicaid's Consumer Directed Services (CDS) option. We run the payroll, taxes and state paperwork, so the people you hire are paid on time and you can focus on the care.
We always answer the phone
Our team is always available in English and Spanish. If a timesheet or paycheck goes sideways, you talk to someone who can fix it that day.
Payday comes first
The people you hire count on their paychecks, so we run payroll on schedule every pay period and treat a late or short check as an emergency rather than a ticket in a queue.
Paperwork made simple
We explain each form in plain English or Spanish, tell you what goes where, and check it over before it's filed, so nothing comes back for a missing signature.
Built for every family
Many of the people we serve have disabilities, so our site is built to work with screen readers and keyboards, and our colors pass the strictest contrast standard for low vision (WCAG AAA). Read our accessibility statement.
Mistakes caught early
Our software checks each timesheet against the approved hours and budget before payroll runs, so an error gets fixed before it holds up a paycheck or causes trouble with the state.
And it costs your family $0.
Every FMSA is paid directly by Texas Medicaid, so pick the one that treats you best.
Switching FMSAs is allowed, too.
Already in CDS and unhappy with your FMSA? You can switch. Join the waitlist and we'll walk you through it when we open.
Be first in line
We'll call you when enrollment opens in your program. Joining is free and doesn't commit you to anything.
Prefer email? Write to us. Hablamos español.