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Alzheimer's Certification in Texas

Memory care is not a license type in Texas. It is a certification, and it is inspected.

Home›Texas Rules›Alzheimer's Certification in Texas

“Memory care” is a regulated claim in Texas

Short answer

Memory care is not a license type in Texas. A facility that advertises or markets specialized Alzheimer's or dementia care must hold a separate Alzheimer's certification, and to be certified it must be licensed Type B. Certification is verified by on-site health and Life Safety Code inspection and caps the maximum number of residents.

This is the single most useful thing an Austin family can know before touring. Any community can paint a hallway, call a wing “the neighborhood,” and market to families of someone with dementia. Only a community holding an Alzheimer's certification on a Type B license has been inspected against the physical plant standards that certification requires.

Certification is not required to advertise medication reminders, escort service, or care for short-term memory loss. So a community can advertise those specific services without holding certification at all.

Ask for the certificate by name. Not the license — the Alzheimer's certification. A community that holds one will produce it without hesitation.

Source: 26 TAC 553.27 full text

What certification actually requires

Certification is not paperwork. A community must meet the physical plant requirements for Alzheimer's units, comply with the construction and life-safety subchapters, and pass both an on-site health inspection and a Life Safety Code inspection. The certificate then caps the maximum number of residents the unit may serve.

The marketing gap

An uncertified community can still legally advertise a great deal. Medication reminders, escort service, and care for short-term memory loss all sit outside the certification requirement. A brochure can therefore describe something that reads like memory care without the community holding certification at all.

This is not necessarily bad faith. Plenty of good assisted living communities care well for residents with mild cognitive impairment and do not market dementia care. The problem arises when a family assumes certification because the language sounded like it.

The one question

May I see your Alzheimer's certification? Not the licence. A certified community produces it without hesitation, because it is the thing they invested in.

Questions Austin families ask

Can an Austin assisted living facility make my parent leave if their needs increase?

Possibly. If a Type A community can no longer meet your parent's evacuation or nighttime care needs, they may require a move to a Type B community. Improper transfer or discharge is exactly what a long-term care ombudsman handles. Call Capital Area at 512-916-6054 before agreeing to move.

Does Medicare pay for assisted living in Texas?

No. Medicare does not pay for assisted living room, board, or custodial care anywhere, including Austin. Medicare covers limited skilled nursing facility stays after a qualifying hospital admission, plus home health and hospice. Assisted living in Texas is paid privately, through long-term care insurance, or via Medicaid STAR+PLUS.

Does Texas Medicaid pay for assisted living?

Partially. The STAR+PLUS HCBS waiver covers assisted living care services but explicitly does not cover room and board, which comes from the resident's own income. You must meet nursing facility level of care, income under $2,982 monthly, and assets under $2,000, and usually wait on an interest list.

What's the Medicaid income limit for a nursing home in Texas in 2026?

For a single applicant in 2026, monthly income must be under $2,982 and countable assets under $2,000. Your home and one vehicle are generally exempt. You must also meet Nursing Facility Level of Care. A community spouse may keep a separate resource allowance.

How much money can my spouse keep if I go into a nursing home in Texas?

Texas allows a Community Spouse Resource Allowance so the at-home spouse isn't impoverished, reported at $162,660 for 2026. The applicant spouse is limited to $2,000. Because these figures change annually and the calculation is complex, confirm current amounts with HHSC or a Texas elder law attorney.

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