Texas care navigation • Built around real problems
Something Changed at Home. Start There.
You do not need to know whether the answer is PHC, CAS, STAR+PLUS, CFC, PAS, PCS, CDS, SRO, CLASS, DBMD, HCBS, or another Texas program before you ask for help.
Start with what is actually happening. We’ll use the acronyms to explain the system, not make the family translate the system first.
Planned Personal Assistance Services only; license pending.
What Valiynt is being built to do
Not just explain the problem. Help take the problem off your plate.
Families do not need another website that tells them caregiving is hard. Referral professionals do not need another agency that becomes one more follow-up task. The Valiynt model is being built around reducing the burden on both sides.
For families
Less scrambling. Fewer gaps. More confidence at home.
When daily life starts falling apart, the goal is to make the plan feel manageable again.
- Turn vague worry into a clear list of needs.
- Help the family understand what kind of support may fit.
- Build around the actual routine, not a generic checklist.
- Reduce the pressure on the one relative doing everything.
- Write down the routines, times of day, and tasks where support is missing.
For referral professionals
Give families a clearer next step when daily support is the missing piece.
When a family is struggling with bathing, meals, mobility, caregiver exhaustion, or the return home after discharge, use the matching guide to help them name the problem and prepare useful questions.
- Share the guide that matches the family’s immediate concern.
- Help separate nonmedical daily support from skilled home health.
- Encourage the family to write down difficult routines and coverage gaps.
- Use Professional Relations for general questions and future planning.
- Do not send names, diagnoses, records, or other protected information.
What is happening right now?
Choose the problem that sounds most like your family
These pages are written around the situation first. The Medicaid, waiver, payer, and service terms are inside each guide where they actually matter.
My parent has Medicaid, but we don’t know what home help they can get.
Start here if the family knows “Medicaid” but not PHC, CAS, STAR+PLUS, CFC, PAS, PCS, or the exact service plan.
Figure out the Medicaid pathwayMy parent refuses help even though everyday life is getting harder.
Start with the problem they will acknowledge—meals, falls, loneliness, bathing, transportation—rather than arguing about “home care.”
Start the conversation differentlyMeals are being skipped or the kitchen routine is falling apart.
See how meal preparation, shopping, eating support, homemaker help, PAS, or attendant tasks may fit the situation.
Plan around missed mealsMy parent is falling, struggling to stand, or having trouble getting around.
Use mobility, transfer, fall-prevention, PAS, and daily-routine guidance to identify the actual support gap.
Review mobility and transfer helpBathroom routines, bathing, or dressing are becoming difficult.
Find respectful planning guidance for toileting, hygiene, bathing, dressing, transfers, and personal assistance.
Start with personal-care needsMy parent is lonely, isolated, or spending most days alone.
Companion care, social routines, reminders, and scheduled presence may be the right first conversation before hands-on care.
Explore planned companion supportIt no longer feels safe for my parent to be alone all day or overnight.
Review safety signs, daytime coverage, overnight needs, extended-hour planning, and when a clinical or emergency professional belongs in the plan.
Review signs more help may be neededMemory changes, wandering, or nighttime confusion are changing the routine.
Plan familiar routines, supervision, caregiver relief, and nonmedical memory support without confusing it with skilled dementia care.
Explore planned memory supportThe family caregiver is hitting a wall
When one person cannot keep carrying the whole plan
I’m exhausted and I can’t keep doing all of this myself.
Recognize caregiver burnout, decide what tasks can be handed off, and explore respite or scheduled personal assistance.
Review caregiver burnout signsI live in another city or state and I’m trying to manage everything from far away.
Build a local coverage plan, identify MCO/LTSS contacts, and create a communication rhythm that works from a distance.
Build a long-distance care planCan I or another relative get paid to be the caregiver?
Learn where CDS, FMSA, STAR+PLUS, CFC, PHC, CAS, Family Care, and program-specific relative rules may come into the conversation.
See when family-paid care may be possibleThe caregiver called out, quit, or the family has no backup.
Understand how backup responsibility changes under Agency Option, CDS, and SRO and what to document when coverage breaks down.
Build the backup planMedicaid, waiver, and agency problems
When the service exists on paper but the family is still stuck
The hours are approved, but nobody is showing up.
Separate authorization from staffing and identify who should address the gap under STAR+PLUS, PAS, CFC, AO, CDS, or SRO.
Deal with uncovered authorized hoursWe have STAR+PLUS, but we don’t know who to call.
Find the MCO service coordinator and learn what to ask about LTSS, ISP, PAS, CFC, provider problems, or changing needs.
Find the right STAR+PLUS contactWe want to change agencies because the current one isn’t working.
Protect the authorization and continuity of care while asking about provider transfer, MCO coordination, AO, CDS, or SRO.
Plan an agency changeWe’re on a Texas Medicaid waiver waitlist and need help now.
Understand CLASS, DBMD, HCS, TxHmL, MDCP, STAR+PLUS HCBS, CSIL, and what other support questions to ask while waiting.
Make a plan while waitingWe finally got a CLASS or DBMD offer and don’t want to miss the next step.
Review current provider-choice deadlines, CMA/DSA or DBMD provider roles, CDS questions, and what happens during enrollment.
See what happens after the offerWe know we need help, but we don’t know whether it’s home care, home health, Medicaid, or private pay.
Sort nonmedical daily support from skilled care, insurance coverage, and payer questions before choosing a provider.
Compare home care and home healthHospital, rehab, and referral problems
When someone is going home but the daily support plan is still unclear
My loved one is coming home from the hospital or rehab and we are not ready.
Organize mobility, meals, household routines, transportation, family coverage, appointments, and the nonmedical help that may be needed.
Use the discharge planning guideHome health was ordered, but the family still needs everyday help.
Skilled home health and daily nonmedical support solve different problems. Families often need to understand both.
See the differenceMedicare isn’t paying for the daily help the family expected.
Understand the difference between Medicare-covered skilled home health and ongoing custodial or personal assistance, then explore other payer pathways.
See what Medicare does and does not coverI’m a discharge planner, case manager, social worker, or referral professional trying to give the family a useful next step.
Use plain-language resources families can actually understand and the professional-relations pathway for future nonmedical support planning.
Open Professional Relations
For referral partners
Make the handoff easier on your caseload
Help the family understand the next step without adding more confusion. Share the page that matches the problem they are facing today. If you want to learn about Valiynt’s planned nonmedical support after licensure, connect with Professional Relations.
Already know the program name?
Go straight to the guide that matches your question
Choose the Texas program or decision you are dealing with. Each guide explains what it means, what questions to ask, and what to do next.
Start with the situation at home
You do not need the right acronym before you can ask for help
Tell us what is becoming difficult, when the problem happens, and who is trying to cover it now. We can point you to the most useful guide and help you prepare for the next conversation.
For families and unpaid caregivers
Focus on what would make daily life more manageable
Maybe meals are being skipped, bathing feels unsafe, discharge day is coming, or one caregiver is exhausted. Start there. The guide can help you organize the problem before you call a program, health plan, provider, or Valiynt.
- Write down which routines are becoming difficult.
- Note the days and times when help is missing.
- Keep current program notices nearby.
- Use the matching guide to prepare your questions.
Choose the next step
You do not have to solve the whole care problem today
Start with the guide that sounds most like what is happening now. Families can organize the situation with the Home Support Checklist, and professionals can connect with Professional Relations for future planning.