Alzheimer’s & Dementia Caregiver Guide for Texas Families






Alzheimer’s & Dementia Caregiver Guide for Texas Families



Denys Kurganskyi, Author at Meet DANNY - Page 5 of 11



Alzheimer’s & Dementia Caregiver Guide for Texas Families

Texas has over 400,000 people living with Alzheimer’s disease, with projections showing that number growing significantly as the state’s older population increases. Texas caregivers navigate a large and geographically diverse elder care system — from robust urban networks in Houston, Dallas-Fort Worth, San Antonio, and Austin, to significantly more limited resources in rural West Texas and the Panhandle.


The Texas Memory Care Landscape

Texas memory care facility costs typically range from $3,500 to $7,500 per month, with major metros running higher. Texas regulates assisted living facilities (including memory care communities) through the Texas Health and Human Services Commission (HHSC). The facility search tool at hhs.texas.gov allows families to search licensed facilities and review inspection history.

Texas also has a significant residential care home sector — smaller settings with 3-16 residents that are often more affordable than large communities and can be appropriate for mild-to-moderate dementia.

Geographic access challenges: Large portions of rural Texas — the Permian Basin, the Panhandle, South Texas — have limited memory care options, and families in these areas often face significant travel for specialist care or must make placement decisions further from home than they’d prefer.


Texas Medicaid for Memory Care: STAR+PLUS

Texas’s primary Medicaid managed care program for long-term care is STAR+PLUS, administered through managed care organizations (MCOs). STAR+PLUS covers nursing facility care and, through the STAR+PLUS Home and Community Based Services (HCBS) waiver, may cover some in-home and community-based services.

Key Texas Medicaid facts:

  • Asset limit: $2,000 for individuals; spousal protections apply
  • Income: Texas uses the income cap rule; a Miller Trust is required if income exceeds the monthly cap
  • Applications through Texas HHSC: hhs.texas.gov/medicaid
  • Five-year look-back applies to asset transfers

Texas PACE: PACE sites in Texas include locations in the DFW area, San Antonio, and other metros. Check pace4you.org for current Texas sites.


Texas Alzheimer’s Resources

Alzheimer’s Association Texas Chapters:

  • Greater Dallas Chapter: alz.org/greaterdallas | 214-996-9960
  • Greater Houston Chapter: alz.org/houston | 713-314-1316
  • Heart of Texas Chapter (Austin area): alz.org/heartoftexas | 512-241-0420
  • South Texas Chapter: alz.org/southtexas | 210-822-6449
  • North Central Texas Chapter: alz.org/northcentraltexas | 325-695-3555

Texas HHS Elder Hotline: 1-800-252-9240

Aging and Disability Resource Centers (ADRCs): Texas has ADRCs throughout the state that help connect older adults and people with disabilities to available services: adrc.hhs.texas.gov


Ask Danny

Danny says: Texas Medicaid (STAR+PLUS) for memory care has its own application process and managed care organization network that’s different from other states. I can help you understand whether it’s an option for your family and what Texas elder law attorneys specialize in this area.

Talk to Danny →

Help me find memory care facilities in my Texas areaExplain Texas STAR+PLUS Medicaid for my situation


FAQ


Texas memory care ranges from approximately $3,500 to $7,500 per month. Major metros (Houston, DFW, Austin) tend to be on the higher end. Rural Texas often has fewer options, which can limit choices even when cost is less of a factor.


Texas STAR+PLUS covers nursing home-level care. Coverage of assisted living memory care depends on whether the specific facility participates in Medicaid. The STAR+PLUS HCBS waiver can cover some community-based services. A Texas elder law attorney can help navigate which facilities accept Medicaid in your area.


The Alzheimer’s Association has chapters throughout Texas with support groups, educational programs, and a 24/7 helpline (800-272-3900). Texas HHS administers caregiver support programs through local AAAs. Aging and Disability Resource Centers (adrc.hhs.texas.gov) can help identify local services.


Apply through Texas HHSC at hhs.texas.gov/medicaid. The process involves both financial eligibility determination (assets, income) and functional eligibility (level of care assessment). Working with a Texas elder law attorney before applying significantly improves outcomes.





ALS Caregiver Guide for Pennsylvania Families






ALS Caregiver Guide for Pennsylvania Families



Denys Kurganskyi, Author at Meet DANNY - Page 5 of 11



ALS Caregiver Guide for Pennsylvania Families

An ALS diagnosis in Pennsylvania requires connecting immediately with a multidisciplinary clinic and initiating SSDI. Pennsylvania’s major academic medical centers have strong ALS programs; rural access is more limited.


ALS Clinics in Pennsylvania

Penn Medicine ALS Center (Philadelphia), UPMC ALS Clinic (Pittsburgh), Penn State Hershey ALS Program

ALS Association Greater Philadelphia Chapter (als.org/greater-philadelphia) maintains a current clinic directory.


SSDI for Pennsylvania ALS Families

Apply immediately at ssa.gov/disability. ALS is a Compassionate Allowances condition — applications are processed in weeks. Medicare begins upon SSDI approval with no 24-month wait.


Pennsylvania ALS Resources

ALS Association Greater Philadelphia Chapter (als.org/greater-philadelphia) — equipment loans, social work support, support groups throughout Pennsylvania.

LINK (1-800-753-8827) — Pennsylvania’s aging services helpline

Voice Banking: Begin immediately — ModelTalker (modeltalker.org) and VocaliD (vocalid.ai).


Ask Danny

Danny says: ALS requires moving fast on multiple fronts at once. I can help you prioritize — clinic access, SSDI, Medicaid planning, voice banking, and equipment — in the right order for your situation.

Talk to Danny →

Help me understand ALS priorities in PennsylvaniaFind an ALS clinic near me in Pennsylvania


FAQ


Penn Medicine ALS Center (Philadelphia), UPMC ALS Clinic (Pittsburgh), Penn State Hershey ALS Program. ALS Association Greater Philadelphia Chapter (als.org/greater-philadelphia) maintains a current directory.


Apply at ssa.gov/disability immediately. ALS is a Compassionate Allowances condition with expedited processing. Medicare begins upon approval with no waiting period.


ALS Association Greater Philadelphia Chapter (als.org/greater-philadelphia) provides equipment loans, social work services, and support groups throughout Pennsylvania.





ALS Caregiver Guide for Ohio Families






ALS Caregiver Guide for Ohio Families



Denys Kurganskyi, Author at Meet DANNY - Page 5 of 11



ALS Caregiver Guide for Ohio Families

An ALS diagnosis in Ohio requires connecting immediately with a multidisciplinary clinic and initiating SSDI. Ohio’s major academic medical centers have strong ALS programs; rural access is more limited.


ALS Clinics in Ohio

Cleveland Clinic ALS Center, Ohio State University ALS Clinic, UC Health ALS Program (Cincinnati)

ALS Association Buckeye Chapter (als.org/buckeye | 800-672-6347) maintains a current clinic directory.


SSDI for Ohio ALS Families

Apply immediately at ssa.gov/disability. ALS is a Compassionate Allowances condition — applications are processed in weeks. Medicare begins upon SSDI approval with no 24-month wait.


Ohio ALS Resources

ALS Association Buckeye Chapter (als.org/buckeye | 800-672-6347) — equipment loans, social work support, support groups throughout Ohio.

Ohio Benefits hotline (1-800-324-8680) and Ohio Department of Aging (1-800-266-4346)

Voice Banking: Begin immediately — ModelTalker (modeltalker.org) and VocaliD (vocalid.ai).


Ask Danny

Danny says: ALS requires moving fast on multiple fronts at once. I can help you prioritize — clinic access, SSDI, Medicaid planning, voice banking, and equipment — in the right order for your situation.

Talk to Danny →

Help me understand ALS priorities in OhioFind an ALS clinic near me in Ohio


FAQ


Cleveland Clinic ALS Center, Ohio State University ALS Clinic, UC Health ALS Program (Cincinnati). ALS Association Buckeye Chapter (als.org/buckeye | 800-672-6347) maintains a current directory.


Apply at ssa.gov/disability immediately. ALS is a Compassionate Allowances condition with expedited processing. Medicare begins upon approval with no waiting period.


ALS Association Buckeye Chapter (als.org/buckeye | 800-672-6347) provides equipment loans, social work services, and support groups throughout Ohio.





ALS Caregiver Guide for North Carolina Families






ALS Caregiver Guide for North Carolina Families



Denys Kurganskyi, Author at Meet DANNY - Page 5 of 11



ALS Caregiver Guide for North Carolina Families

An ALS diagnosis in North Carolina requires connecting immediately with a multidisciplinary clinic and initiating SSDI. North Carolina’s major academic medical centers have strong ALS programs; rural access is more limited.


ALS Clinics in North Carolina

Duke ALS Clinic (Durham), UNC ALS Program (Chapel Hill), Wake Forest Baptist ALS Center

ALS Association NC Chapter (als.org/nc | 919-783-3383) maintains a current clinic directory.


SSDI for North Carolina ALS Families

Apply immediately at ssa.gov/disability. ALS is a Compassionate Allowances condition — applications are processed in weeks. Medicare begins upon SSDI approval with no 24-month wait.


North Carolina ALS Resources

ALS Association NC Chapter (als.org/nc | 919-783-3383) — equipment loans, social work support, support groups throughout North Carolina.

NC SHIIP (Seniors’ Health Insurance Information Program) for Medicare counseling; NC DHHS Aging and Adult Services (919-855-3400)

Voice Banking: Begin immediately — ModelTalker (modeltalker.org) and VocaliD (vocalid.ai).


Ask Danny

Danny says: ALS requires moving fast on multiple fronts at once. I can help you prioritize — clinic access, SSDI, Medicaid planning, voice banking, and equipment — in the right order for your situation.

Talk to Danny →

Help me understand ALS priorities in North CarolinaFind an ALS clinic near me in North Carolina


FAQ


Duke ALS Clinic (Durham), UNC ALS Program (Chapel Hill), Wake Forest Baptist ALS Center. ALS Association NC Chapter (als.org/nc | 919-783-3383) maintains a current directory.


Apply at ssa.gov/disability immediately. ALS is a Compassionate Allowances condition with expedited processing. Medicare begins upon approval with no waiting period.


ALS Association NC Chapter (als.org/nc | 919-783-3383) provides equipment loans, social work services, and support groups throughout North Carolina.





ALS Caregiver Guide for New York Families






ALS Caregiver Guide for New York Families



Denys Kurganskyi, Author at Meet DANNY - Page 5 of 11



ALS Caregiver Guide for New York Families

An ALS diagnosis in New York requires immediate action on clinic access and SSDI. New York’s academic medical centers have strong ALS programs.


ALS Clinics in New York

Columbia University Irving Medical Center ALS Center (NYC), NYU Langone ALS Program, Weill Cornell ALS Clinic, University of Rochester ALS Center

ALS Association Greater New York Chapter (als.org/greater-new-york | 212-619-1400) maintains a current clinic directory.


SSDI for New York ALS Families

Apply immediately at ssa.gov/disability. ALS Compassionate Allowances means processing in weeks. Medicare begins upon approval — no 24-month wait.


New York ALS Resources

ALS Association Greater New York Chapter (als.org/greater-new-york | 212-619-1400) — equipment loans, social work support, support groups statewide.

NY State Office for the Aging (1-800-342-9871) and NY HIICAP (Health Insurance Information, Counseling & Assistance Program) for Medicare counseling

Voice Banking: Begin immediately — ModelTalker (modeltalker.org) and VocaliD (vocalid.ai).


Ask Danny

Danny says: ALS requires moving fast. I can help you prioritize what matters most right now — clinic access, SSDI, equipment, voice banking — in the right order.

Talk to Danny →

Help me prioritize ALS next steps in New YorkFind an ALS clinic near me in New York


FAQ


Columbia University Irving Medical Center ALS Center (NYC), NYU Langone ALS Program, Weill Cornell ALS Clinic, University of Rochester ALS Center. ALS Association Greater New York Chapter (als.org/greater-new-york | 212-619-1400) maintains a current directory.


Apply at ssa.gov/disability immediately. ALS is a Compassionate Allowances condition. Medicare begins upon SSDI approval with no waiting period.


ALS Association Greater New York Chapter (als.org/greater-new-york | 212-619-1400) has an equipment loan program for New York families.





ALS Caregiver Guide for Illinois Families






ALS Caregiver Guide for Illinois Families



Denys Kurganskyi, Author at Meet DANNY - Page 5 of 11



ALS Caregiver Guide for Illinois Families

An ALS diagnosis in Illinois requires immediate action on clinic access and SSDI. Illinois’s academic medical centers have strong ALS programs.


ALS Clinics in Illinois

Northwestern ALS Clinic (Chicago), Rush University ALS Center, UI Health (UIC) ALS Program (Chicago)

ALS Association Jim ‘Catfish’ Hunter Chapter (als.org/jim-catfish-hunter | 630-250-8LS) maintains a current clinic directory.


SSDI for Illinois ALS Families

Apply immediately at ssa.gov/disability. ALS Compassionate Allowances means processing in weeks. Medicare begins upon approval — no 24-month wait.


Illinois ALS Resources

ALS Association Jim ‘Catfish’ Hunter Chapter (als.org/jim-catfish-hunter | 630-250-8LS) — equipment loans, social work support, support groups statewide.

Illinois Department on Aging (1-800-252-8966) and IL SHIP (Senior Health Insurance Program) for Medicare counseling

Voice Banking: Begin immediately — ModelTalker (modeltalker.org) and VocaliD (vocalid.ai).


Ask Danny

Danny says: ALS requires moving fast. I can help you prioritize what matters most right now — clinic access, SSDI, equipment, voice banking — in the right order.

Talk to Danny →

Help me prioritize ALS next steps in IllinoisFind an ALS clinic near me in Illinois


FAQ


Northwestern ALS Clinic (Chicago), Rush University ALS Center, UI Health (UIC) ALS Program (Chicago). ALS Association Jim ‘Catfish’ Hunter Chapter (als.org/jim-catfish-hunter | 630-250-8LS) maintains a current directory.


Apply at ssa.gov/disability immediately. ALS is a Compassionate Allowances condition. Medicare begins upon SSDI approval with no waiting period.


ALS Association Jim ‘Catfish’ Hunter Chapter (als.org/jim-catfish-hunter | 630-250-8LS) has an equipment loan program for Illinois families.





ALS Caregiver Guide for Georgia Families






ALS Caregiver Guide for Georgia Families



Denys Kurganskyi, Author at Meet DANNY - Page 5 of 11



ALS Caregiver Guide for Georgia Families

An ALS diagnosis in Georgia requires immediate action on clinic access and SSDI. Georgia’s academic medical centers have strong ALS programs.


ALS Clinics in Georgia

Emory ALS Center (Atlanta), Augusta University ALS Program, Medical College of Georgia

ALS Association Georgia Chapter (als.org/georgia | 404-636-9798) maintains a current clinic directory.


SSDI for Georgia ALS Families

Apply immediately at ssa.gov/disability. ALS Compassionate Allowances means processing in weeks. Medicare begins upon approval — no 24-month wait.


Georgia ALS Resources

ALS Association Georgia Chapter (als.org/georgia | 404-636-9798) — equipment loans, social work support, support groups statewide.

Georgia Division of Aging Services (1-866-552-4464) and Georgia SHIP for Medicare counseling

Voice Banking: Begin immediately — ModelTalker (modeltalker.org) and VocaliD (vocalid.ai).


Ask Danny

Danny says: ALS requires moving fast. I can help you prioritize what matters most right now — clinic access, SSDI, equipment, voice banking — in the right order.

Talk to Danny →

Help me prioritize ALS next steps in GeorgiaFind an ALS clinic near me in Georgia


FAQ


Emory ALS Center (Atlanta), Augusta University ALS Program, Medical College of Georgia. ALS Association Georgia Chapter (als.org/georgia | 404-636-9798) maintains a current directory.


Apply at ssa.gov/disability immediately. ALS is a Compassionate Allowances condition. Medicare begins upon SSDI approval with no waiting period.


ALS Association Georgia Chapter (als.org/georgia | 404-636-9798) has an equipment loan program for Georgia families.





ALS Caregiver Guide for Florida Families






ALS Caregiver Guide for Florida Families



Denys Kurganskyi, Author at Meet DANNY - Page 5 of 11



ALS Caregiver Guide for Florida Families

An ALS diagnosis in Florida puts a family into contact with one of the most consequential medical and caregiving systems they will ever navigate. Florida has strong ALS clinical infrastructure — multiple multidisciplinary clinics, an active ALS Association chapter, and a PACE program in some areas — but the disease moves faster than most families expect, and knowing where to turn matters urgently.


ALS Multidisciplinary Clinics in Florida

The most important care decision after an ALS diagnosis is connecting with a multidisciplinary ALS clinic. These clinics bring together neurologists, respiratory therapists, speech pathologists, physical and occupational therapists, nutritionists, social workers, and palliative care specialists in coordinated visits. Research consistently shows better outcomes and longer survival for ALS patients seen at multidisciplinary clinics.

Florida ALS Clinics:

  • University of Florida (Gainesville): UF Health ALS Center — comprehensive multidisciplinary program
  • University of Miami: Comprehensive ALS Program, Leonard M. Miller School of Medicine
  • Mayo Clinic Florida (Jacksonville): ALS and motor neuron disease program
  • USF Health (Tampa): ALS clinic through the Department of Neurology
  • University of Central Florida / AdventHealth (Orlando): Partnered ALS program

The ALS Association Southeast Chapter (covering Florida) maintains a clinic directory and can help connect families to the nearest center: als.org/southeast.


SSDI for ALS: Florida Families Get Expedited Approval

If the person diagnosed with ALS was working, SSDI (Social Security Disability Insurance) should be applied for immediately. ALS is a Compassionate Allowances condition — Social Security processes ALS applications in weeks rather than months, and Medicare begins immediately upon SSDI approval (no 24-month waiting period for ALS).

Apply online at ssa.gov/disability or at any Florida Social Security office. The application requires medical documentation of the ALS diagnosis.


Florida Medicaid and ALS

Florida Medicaid’s SMMC-LTC program can cover nursing home care for ALS patients who meet financial eligibility criteria. Given ALS’s rapid progression, Florida elder law attorneys who specialize in Medicaid planning can help families position assets quickly. The same $2,000 asset limit and 5-year look-back applies, but attorneys experienced with ALS understand the urgency.

The Florida PACE program (sites in Tallahassee, Pensacola, and other areas) can be appropriate for ALS patients who meet nursing-home level of care but want to remain in the community with comprehensive support.


Ask Danny

Danny says: ALS moves fast, and the decisions Florida families face in the first months after diagnosis are among the most consequential. I can help you understand what to prioritize right now — whether that’s clinic access, SSDI, Medicaid planning, or equipment. Tell me where you are.

Talk to Danny →

Help me find an ALS clinic near me in FloridaHelp me understand SSDI and Medicare for ALS


Florida ALS Resources

ALS Association Southeast Chapter: als.org/southeast | 800-672-6347 Covers all of Florida. Provides equipment loans, social work services, support groups, and care coordination assistance.

ALS Association Equipment Loan Program: The Southeast Chapter has an equipment loan program that can provide wheelchairs, communication devices, and other durable medical equipment while insurance and Medicare processes are pending. This is a critical resource given ALS’s pace.

Florida Elder Helpline: 1-800-963-5337 Connects to local aging services including hospice resources, caregiver support, and community services.

Voice Banking — Start Immediately: Voice banking — recording the natural voice for use in a speech-generating device — should begin as soon as possible after diagnosis, while speech is still strong. ModelTalker (modeltalker.org) and VocaliD (vocalid.ai) are the two primary programs. The ALS Association Southeast Chapter can assist.


Ask Danny

Danny says: Hospice timing for ALS is one of the most important decisions Florida families face — and most families start later than would have served them better. I can help you understand what hospice looks like for ALS in Florida and what to ask the care team.

Talk to Danny →

Help me understand hospice for ALS in FloridaFind ALS hospice providers near me in Florida


FAQ


Florida has ALS clinics at the University of Florida (Gainesville), University of Miami, Mayo Clinic Florida (Jacksonville), USF Health (Tampa), and UCF/AdventHealth (Orlando). The ALS Association Southeast Chapter (als.org/southeast) maintains a current directory and can help connect families to the nearest clinic.


ALS is a Social Security Compassionate Allowances condition, meaning SSDI applications are processed in weeks rather than months. Florida families should apply immediately after diagnosis at ssa.gov/disability. Medicare begins upon SSDI approval for ALS — with no 24-month waiting period — making prompt application critical for healthcare coverage.


Yes. The ALS Association Southeast Chapter has an equipment loan program that provides wheelchairs, communication devices, hospital beds, and other equipment to Florida ALS patients while insurance processes are pending. Contact the Southeast Chapter at 800-672-6347.


Hospice should be considered when the prognosis is six months or less, typically indicated by significant respiratory decline (FVC below 50% with ventilator refusal or below 30%), severe dysphagia, or rapid functional decline. Most Florida ALS families start hospice later than would have been beneficial. The ALS clinic’s palliative care team is the best resource for timing this conversation.





ALS Caregiver Guide for California Families






ALS Caregiver Guide for California Families



Denys Kurganskyi, Author at Meet DANNY - Page 5 of 11



ALS Caregiver Guide for California Families

An ALS diagnosis in California requires immediate action on clinic access and SSDI. California’s academic medical centers have strong ALS programs.


ALS Clinics in California

California Pacific Medical Center ALS Center (San Francisco), UCLA ALS Program, UC San Diego ALS Clinic, USC Keck ALS Center

ALS Association Golden West Chapter (als.org/golden-west | 818-824-2247) maintains a current clinic directory.


SSDI for California ALS Families

Apply immediately at ssa.gov/disability. ALS Compassionate Allowances means processing in weeks. Medicare begins upon approval — no 24-month wait.


California ALS Resources

ALS Association Golden West Chapter (als.org/golden-west | 818-824-2247) — equipment loans, social work support, support groups statewide.

California Department of Aging (1-800-510-2020) and CA HICAP (Health Insurance Counseling & Advocacy Program) for Medicare counseling

Voice Banking: Begin immediately — ModelTalker (modeltalker.org) and VocaliD (vocalid.ai).


Ask Danny

Danny says: ALS requires moving fast. I can help you prioritize what matters most right now — clinic access, SSDI, equipment, voice banking — in the right order.

Talk to Danny →

Help me prioritize ALS next steps in CaliforniaFind an ALS clinic near me in California


FAQ


California Pacific Medical Center ALS Center (San Francisco), UCLA ALS Program, UC San Diego ALS Clinic, USC Keck ALS Center. ALS Association Golden West Chapter (als.org/golden-west | 818-824-2247) maintains a current directory.


Apply at ssa.gov/disability immediately. ALS is a Compassionate Allowances condition. Medicare begins upon SSDI approval with no waiting period.


ALS Association Golden West Chapter (als.org/golden-west | 818-824-2247) has an equipment loan program for California families.





ALS Caregiver Guide for Arizona Families






ALS Caregiver Guide for Arizona Families



Denys Kurganskyi, Author at Meet DANNY - Page 5 of 11



ALS Caregiver Guide for Arizona Families

An ALS diagnosis in Arizona requires immediate action on clinic access and SSDI. Arizona’s academic medical centers have strong ALS programs.


ALS Clinics in Arizona

Mayo Clinic Arizona ALS Program, University of Arizona ALS Clinic (Tucson), Banner Health ALS Program (Phoenix)

ALS Association Arizona Chapter (als.org/arizona | 602-297-3800) maintains a current clinic directory.


SSDI for Arizona ALS Families

Apply immediately at ssa.gov/disability. ALS Compassionate Allowances means processing in weeks. Medicare begins upon approval — no 24-month wait.


Arizona ALS Resources

ALS Association Arizona Chapter (als.org/arizona | 602-297-3800) — equipment loans, social work support, support groups statewide.

Arizona Department of Economic Security (1-602-542-4446) and SHIP Arizona for Medicare counseling

Voice Banking: Begin immediately — ModelTalker (modeltalker.org) and VocaliD (vocalid.ai).


Ask Danny

Danny says: ALS requires moving fast. I can help you prioritize what matters most right now — clinic access, SSDI, equipment, voice banking — in the right order.

Talk to Danny →

Help me prioritize ALS next steps in ArizonaFind an ALS clinic near me in Arizona


FAQ


Mayo Clinic Arizona ALS Program, University of Arizona ALS Clinic (Tucson), Banner Health ALS Program (Phoenix). ALS Association Arizona Chapter (als.org/arizona | 602-297-3800) maintains a current directory.


Apply at ssa.gov/disability immediately. ALS is a Compassionate Allowances condition. Medicare begins upon SSDI approval with no waiting period.


ALS Association Arizona Chapter (als.org/arizona | 602-297-3800) has an equipment loan program for Arizona families.