Astrocare landing page concept for internal review. Stats verified against live Google profile (4.8★ · 97 reviews).

We treat people like family · Texas care since 1984

Home care that treats your loved one like family.

Compassionate, professional in-home care for Texas families — and in most cases, you can be paid to care for your own loved one yourself.

Speak with a care specialist today · Se habla Español

4.8

Rated 4.8 across 97 Google reviews

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The fastest way to get answers about your loved one’s care and coverage.

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Families served
0 +
No caregiver? Not a problem — positions filled in
< 1 week
Years licensed in Texas
0 +
Google rating (97 reviews)
0 ★
Care visits delivered weekly
~ 0 k
Why families choose Astrocare

Medicaid is complicated. We make it simple.

Deep Medicaid expertise

We know the system inside out

CLASS, STAR+PLUS, PHC, CDS — the programs, the paperwork, the rules. Since 1984 we’ve navigated Texas Medicaid for thousands of families, so you don’t have to untangle it alone.

Fast, quality staffing

No waitlists. Care that starts fast.

No caregiver yet? Not a problem. While other agencies leave families waiting weeks, we fill most positions in less than a week. We hire two vetted attendants every day — so a qualified, compassionate caregiver is matched to your loved one quickly.

Built on our values

We treat people like family

Compliant, audited, and accountable — but never just a checklist. Our team does the right thing, over-communicates, and goes the extra mile because we genuinely care about the families we serve.

What you get

Real support — not just a name on a schedule

A caregiver who feels like family

We match vetted, compassionate caregivers to your loved one’s specific needs and personality — so days at home feel supported, not supervised.

Someone to handle the Medicaid maze

Our team walks you through CLASS, STAR+PLUS, PHC, and CDS eligibility and paperwork, so the care your family qualifies for actually reaches you — without the headache.

A care plan built around your family

Together with you, your case manager, and your loved one, we design care that protects independence and keeps everyone informed at every step.

A benefit many families miss

Get paid to care for your own loved one

In most cases, Texas Medicaid lets you hire a family member — an adult child, grandchild, sibling, and others — as the paid attendant. Available across several programs, including STAR+PLUS, Community Attendant Services, and more. We set it up and handle the payroll and paperwork.

Some relationship rules apply (e.g. spouses are generally not eligible). We’ll confirm your situation on a quick call.

Trusted across Texas

Families trust us with the people they love most

"Caregiving is about people, not just tasks"

“What inspires me most is knowing that the little things I do every day truly matter. Being there for someone, helping them feel safe, comfortable, and respected, is incredibly rewarding. I’ve been with AstroCare for 17 years because they understand that caregiving is about people, not just tasks. I’m grateful to work for a company that values compassion, patience, and genuine care.”

Emily

[City], TX · STAR+PLUS

"Being a caregiver is a calling rooted in compassion"

“Being a caregiver isn’t just a job to me, it’s a calling rooted in compassion. What inspires me most is knowing that the people I care for are already carrying challenges most of us can’t see. If I can step in and make their day a little easier, a little lighter, or a little less lonely, then I’ve done something meaningful. “

"Important to provide safe and healthy environments for our most vulnerable"

“I happen to be an attendant for my own daughter. I appreciate that the state of Texas affords me the opportunity to stay home and actively participate in the care of my adult child. It’s important for our society to provide safe and healthy environments for our most vulnerable. I take pride in that my daughter can stay with those that she is comfortable with and gets the care she needs.”

Before you ask

Your questions, answered

How much does this cost us?

For most families, nothing. CLASS, STAR+PLUS, PHC, and CDS are Medicaid programs that cover in-home care at no out-of-pocket cost. If you’re not sure whether you qualify for Medicaid, we’ll help you find out — just call.

That’s our job, not yours. We’ve guided Texas families through enrollment since 1984 and handle the forms, approvals, and case-manager coordination for you, start to finish.

Yes. Through Consumer Directed Services you can select your own caregiver — even a trusted friend or relative — and we handle their payroll, training, and compliance behind the scenes.

Once eligibility is confirmed, we move quickly to match a vetted caregiver to your loved one’s needs. Many families are matched within days, not weeks. Call us today to get started.

You’re never left stranded. We maintain backup coverage and step in fast so your loved one’s care continues without a gap — that reliability is why families stay with us for years.

What we stand for

The values behind every visit

Since 1984, the same five principles have guided how we treat the families and caregivers we serve.

Treat People Like Family

We build trust, show compassion, and create real connections with everyone we serve.

Embrace Change Thoughtfully

We stay flexible and open-minded, always pushing to be better at what we do.

Do the Right Thing

Integrity is non-negotiable — honesty and fairness, even when no one is watching.

Go the Extra Mile

We over-communicate and exceed expectations because we care about the work.

Care

We listen, understand, and support one another to foster kindness and empathy.

What Our Customers Say

Real experiences and honest feedback from our valued customers on Google.
Posted on Google Google
ivanna Perini profile picture
ivanna Perini
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I highly recommend Astrocare as your agency. They dont only have caring staff who are always willing to go the extra mile for my son. They also have great therapist. Alexis is an outstanding massage therapist. She works with my son Leo and approaches every session with genuine kindness, compassion, and professional skill. She creates a calm, supportive environment where he feels completely at ease, and we have seen such positive results. If you are looking for a dedicated, intuitive, and caring therapist, Alexis is simply the best.
Posted on Google Google
Maryga profile picture
Maryga
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Jeanine just saved my life with the attendant services program.I had no clue I could receive help with my daily tasks. Astrocare is a gem for allowing Jeanine to come out and help. Thank you Astrocare
Posted on Google Google
Haydhielen Sarmiento profile picture
Haydhielen Sarmiento
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Prestan un excelente servicio!!! Ayudan a la comunidad de la mejor manera posible!!!
Posted on Google Google
Love Laugh profile picture
Love Laugh
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I love them so far ms Judith is the best she answered all my calls and texts and very patient and understanding I love her Thanks so much Judith can’t wait to Continue to work with you all with my kids ❤️❤️❤️❤️❤️❤️❤️
Posted on Google Google
ANiya Gillum profile picture
ANiya Gillum
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I cannot recommend the CNA program at Healthcare Global Institute enough! The instructors are incredibly supportive and break down complex concepts into easy-to-learn steps. The 4-week hybrid format is perfect for balancing life and study, and I felt 100% prepared for my state exam. 5 stars!
Posted on Google Google
Elizabeth Lemons profile picture
Elizabeth Lemons
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Very professional and nice person
Posted on Google Google
angel B profile picture
angel B
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It's okay

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