Attendant Care Services Across South Texas

Habilitation Attendant Services

Americare’s habilitation attendants work with patients across the Rio Grande Valley to develop and reinforce daily living skills — supporting greater independence for individuals with physical or developmental needs.

Day Activity and Health Services (DAHS) Coordination

For patients eligible for Day Activity and Health Services in Hidalgo County, Americare coordinates attendant support to complement structured daytime programming — ensuring continuity between the programme and the home environment.

Frequently Asked Questions

How Our Attendant Care Services Work in San Juan, TX

Personal Attendant Services (PAS)

Hands-on daily support that preserves dignity at home

Personal Attendant Services from Americare provide the consistent, one-on-one daily living assistance that enables patients across San Juan and the Rio Grande Valley to remain safely in their homes — without placing the full burden of care on family members managing their own responsibilities. Americare’s PAS attendants assist with bathing, grooming, dressing, oral hygiene, safe transfers, mobility support, toileting, incontinence care, medication reminders, meal preparation, and light housekeeping — all guided by a supervising Registered Nurse’s care plan and the patient’s personal preferences. For elderly patients and adults with disabilities across the 78589 area and wider Hidalgo County, consistent daily attendant support is one of the most impactful ways to maintain independence, comfort, and quality of life at home. Attendants are matched to each patient based on language preference and cultural background — ensuring that Spanish-speaking patients receive support from someone who communicates naturally and respectfully in their primary language.

Community Attendant Services (CAS)

Medicaid-funded attendant care for eligible patients in Hidalgo County

Community Attendant Services (CAS) is a Texas Medicaid-funded programme that provides eligible low-income elderly and disabled individuals with in-home attendant support — enabling them to remain in their homes and communities rather than entering a nursing facility. Americare’s CAS attendants provide assistance with personal hygiene, dressing, mobility, meal preparation, and other daily living activities, under the supervision of a Registered Nurse and in full compliance with Texas HHSC programme requirements. For families in San Juan and across Hidalgo County navigating Medicaid eligibility and programme enrolment for the first time, Americare’s intake team provides clear, patient guidance through the process — reducing the confusion and delays that often accompany Medicaid service access. CAS services are coordinated with any concurrent Americare clinical programmes to ensure a seamless, integrated care experience for every patient.

Habilitation Attendant Services

Building daily living skills and greater independence at home

Habilitation attendant services are designed for patients — particularly individuals with physical or developmental disabilities — who benefit not only from daily living assistance but from active support in developing, maintaining, and reinforcing independent living skills over time. Americare’s habilitation attendants work alongside patients in San Juan and across the Rio Grande Valley to encourage greater self-sufficiency in personal hygiene, meal preparation, household management, communication, and community participation — within a structured, goal-oriented care plan developed by the supervising Registered Nurse. For families throughout Hidalgo County caring for a child or adult with complex needs, habilitation attendant support can make a meaningful difference in the patient’s long-term trajectory and the family’s capacity to sustain care at home. All habilitation services are coordinated with the patient’s broader clinical and support team, and attendance notes are documented in compliance with HIPAA and applicable Texas HHSC programme standards.

Respite Attendant Services

Planned relief for the family carer behind the scenes

The demands of serving as a primary caregiver for a loved one — whether elderly, disabled, or medically complex — are significant, and without regular, planned relief, family carers in San Juan and across Hidalgo County face serious risks of burnout, health deterioration, and diminished capacity to provide quality care. Americare’s respite attendant service places a qualified, vetted attendant in the home for a defined period — whether a few hours, a full day, or several consecutive days — giving the primary carer the space to rest, attend to personal and professional responsibilities, or simply take a breath without anxiety about their loved one’s safety. Respite attendant services are available across the Rio Grande Valley, with bilingual attendants matched to each patient’s language preference and personal care needs. The National Alliance for Caregiving recognises respite care as a cornerstone of sustainable family caregiving — and Americare’s respite programme is designed to make that relief accessible, reliable, and clinically supervised for RGV families.

Consumer-Directed Services (CDS) Support

Empowering families to direct their own attendant care

The Texas Consumer Directed Services (CDS) option gives Medicaid-eligible individuals and their families greater control over their home attendant care — including the ability to hire, train, schedule, and manage their own attendant as the employer of record. While this level of control can be empowering, navigating the responsibilities of the CDS employer role — including payroll, tax obligations, and compliance with Texas HHSC requirements — can be complex and time-consuming for families simultaneously managing the demands of daily caregiving. Americare’s team supports families across San Juan and Hidalgo County who are considering or currently using the CDS option, providing clear guidance on programme structure, employer responsibilities, and the ongoing support mechanisms available to them under the programme. For families who prefer a more directly managed care arrangement without the administrative burden of CDS, Americare’s standard PAS / Provider Attendant Services programme provides a fully supervised, agency-managed alternative.

Day Activity and Health Services (DAHS) Coordination

Seamless support between day programmes and home care

Day Activity and Health Services (DAHS) provide structured therapeutic and social programming for eligible elderly and disabled individuals at approved community centres — and for patients attending these programmes in Hidalgo County, maintaining continuity between the daytime programme environment and the home care setting is essential to consistent, effective support. Americare coordinates attendant care for DAHS participants across San Juan and the wider Rio Grande Valley — ensuring that the assistance, routines, and care plan elements established in the day programme are reflected and reinforced in the patient’s home environment. Our attendants are briefed on the patient’s DAHS activity plan and any relevant clinical notes from the programme team, and all home-based care is supervised by an Americare Registered Nurse to maintain quality and consistency throughout. For families in the 78589 area and across Hidalgo County whose loved ones participate in DAHS, coordinated home attendant support from Americare ensures that no gap in care falls between the programme and the front door.

Americare Nursing Services is available Monday through Friday, 7:00 AM to 7:00 PM, and Saturday through Sunday, 9:00 AM to 5:00 PM — with a locally based team ready to respond to your family’s attendant care needs across San Juan and the Rio Grande Valley. Our intake staff work efficiently to assess your loved one’s needs and arrange a matched PAS attendant placement as quickly as possible. Trust your family’s daily care to a bilingual, RN-supervised Provider Attendant Services team already serving patients across Hidalgo County.

Get Started Today: Compassionate Home Health Support When You Need It Most

• Fast home health evaluations available
• Guidance for patients and families
• Help understanding home health care options
• 24/7 on-call home health support