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Texas Aging & Accessibility Resource

Texas Area Agencies on Aging: All 28 Agencies, and the Money That Actually Pays for a Safer Bathroom

Every Area Agency on Aging in Texas, with phone numbers and the counties each one serves, plus the part most directories leave out: what these agencies genuinely pay for, the exact words to use when you call, and the state and federal programs that fund an accessible bathroom when the agency itself can't cover it.

Find my agency

Please read first: this is an information resource only

EverSafe Showers is a private bathroom remodeling company. We are not a government agency. We are not affiliated with, endorsed by, or authorized to act on behalf of any Area Agency on Aging, Texas Health and Human Services, TDHCA, the Department of Veterans Affairs, USDA, CMS, or any other program described on this page. We do not administer, approve, process, or influence any application or benefit.

This page is offered for general informational purposes only. It is not legal, financial, medical, tax, insurance, or benefits advice, and it does not create any professional or advisory relationship. Nothing here is a promise, guarantee, or representation that you will qualify for any program or receive any amount of funding.

Program amounts, eligibility rules, contact details, waitlists, and funding availability change frequently and vary by county. While this information was compiled from official agency sources, we make no warranty of any kind as to its accuracy, completeness, or currency, and it may be out of date by the time you read it. Eligibility determinations rest solely with the administering agencies.

Always verify directly with the agency or program before relying on anything here or making any decision. To the fullest extent permitted by law, EverSafe Showers disclaims all liability for any loss, damage, expense, or outcome arising from use of, or reliance on, this page or any third-party website it links to.

If you only do three things

  1. 1

    Find the agency that covers your county in the finder below, or call the statewide line at 1-800-252-9240.

  2. 2

    Call and ask for a benefits counselor, that job title specifically. Then ask for a care coordination assessment.

  3. 3

    Ask the two questions that unlock the real money: “Do you fund Residential Repair this year?” and “Is there an Amy Young Barrier Removal administrator in my county?”

Statewide numbers worth saving

Texas HHSC aging information line

1-800-252-9240

Routes you to the Area Agency on Aging that covers your county.

2-1-1 Texas

2-1-1

Free statewide referral line for any health or human service. Dial 2-1-1 from a Texas phone.

Eldercare Locator (national)

1-800-677-1116

U.S. Administration on Aging service, useful if you are helping a parent in another state.

What an Area Agency on Aging actually is

Area Agencies on Aging were created by the federal Older Americans Act. They are regional public agencies whose job is to help people 60 and older stay independent in their own homes. Texas has 28 of them. Most are housed inside a regional council of governments, and all of them are coordinated by Texas Health and Human Services.

Two things surprise most people. First, you do not have to be low income to call one. Information, referrals, and benefits counseling are open to anyone 60 or older. Second, an AAA is less a source of money than a navigator. Its most valuable function is usually telling you which of the dozen overlapping state, federal, and nonprofit programs you actually qualify for, and making referrals you are not allowed to make yourself.

What they can help you with

Benefits counseling

A trained counselor walks through what you qualify for across Medicare, Medicaid, SNAP, property tax exemptions, and housing programs. Free, and the single most useful thing most people get from their AAA.

Care coordination and assessment

Someone assesses what you need to stay safely at home and builds a plan. This assessment is often the document that unlocks other programs.

Residential repair and accessibility modifications

Where funded, up to $5,000 per residence per federal fiscal year, including structural adaptations for a disabling condition.

Referrals you cannot make yourself

Some programs, such as the Texas Ramp Project’s free wheelchair ramps, only accept referrals from a professional. An AAA can make that call for you.

Caregiver support

Respite care, training, and support groups for the family member doing the caregiving, not just the person being cared for.

Ombudsman services

A long-term care ombudsman advocates for residents of nursing homes and assisted living facilities.

Legal assistance

Help with wills, powers of attorney, advance directives, and benefit denials, usually free for those 60 and older.

Meals, transportation, and in-home care

Home-delivered and congregate meals, rides to medical appointments, and homemaker or personal care services.

Straight talk: what an AAA will and won't pay for

We install accessible showers for a living, so we will be direct with you about this: an Area Agency on Aging is unlikely to hand you the full cost of a shower conversion. Knowing that up front saves you weeks.

Realistic through an AAA

  • Grab bars and handrails
  • Smaller safety modifications
  • A free assessment documenting your need
  • Referrals to the programs with real money
  • Getting you onto Medicaid waiver interest lists
  • A free wheelchair ramp referral

Rarely from the AAA alone

  • A full tub-to-shower conversion
  • A curbless or roll-in shower system
  • Anything above $5,000 in one fiscal year
  • Cosmetic or beautification work
  • Work in a year the region did not fund repair

The cap is real. Texas rule 26 TAC §213.215 defines one unit of Residential Repair service as a residence receiving no more than $5,000 within the current federal fiscal year. An agency can exceed it only with prior written state approval. Treat the AAA as the front door to the larger programs below, not as the funding source itself.

How to call, and exactly what to ask for

The words matter more than they should. “Can you help me with my bathroom?” often gets a brochure. The phrases below get you routed to people with budgets.

1

“May I speak with a benefits counselor?”

This is the specific job title. Asking for one by name gets you past general intake to the person who can actually screen you for programs.

2

“I’d like to request a care coordination assessment.”

The assessment is what documents your need. Several funding programs want it before they will consider you.

3

“Do you fund Residential Repair this fiscal year, and is there a waitlist?”

Residential Repair is a local option under Title III. Asking this way tells you in one sentence whether the money exists in your region right now.

4

“Can you refer me to the Texas Ramp Project?”

They build free wheelchair ramps but accept referrals only from professionals, and an AAA is on their approved referral list. You cannot do this yourself.

5

“Is there an Amy Young Barrier Removal administrator covering my county?”

This is the largest Texas accessibility grant at $22,500, but it only operates where an approved administrator exists. Your AAA will know.

6

“Am I on any Medicaid waiver interest lists? If not, can you add me?”

CLASS, HCS, TxHmL and DBMD have multi-year waits. Getting your name on the list costs nothing and the wait is the hard part.

7

“What local nonprofits in this area do home modifications?”

AAAs keep current lists of which Habitat, Rebuilding Together, or Meals on Wheels affiliate is actually funded and open right now.

Find your agency

All 28 Area Agencies on Aging in Texas. Type your county to jump straight to the one that serves you.

Showing all 28 Area Agencies on Aging in Texas

  • Alamo Area Agency on Aging

    Alamo Area Council of Governments (AACOG)

    All 12 counties served

    Atascosa · Bandera · Comal · Frio · Gillespie · Guadalupe · Karnes · Kendall · Kerr · McMullen · Medina · Wilson

  • Ark-Tex Area Agency on Aging

    Ark-Tex Council of Governments (ATCOG)

    All 9 counties served

    Bowie · Cass · Delta · Franklin · Hopkins · Lamar · Morris · Red River · Titus

  • Bexar Area Agency on Aging

    Alamo Area Council of Governments (AACOG)

    All 1 counties served

    Bexar

  • Brazos Valley Area Agency on Aging

    Brazos Valley Council of Governments (BVCOG)

    All 7 counties served

    Brazos · Burleson · Grimes · Leon · Madison · Robertson · Washington

  • Area Agency on Aging of the Capital Area

    Capital Area Council of Governments (CAPCOG)

    All 10 counties served

    Bastrop · Blanco · Burnet · Caldwell · Fayette · Hays · Lee · Llano · Travis · Williamson

  • Area Agency on Aging of Central Texas

    Central Texas Council of Governments (CTCOG)

    All 7 counties served

    Bell · Coryell · Hamilton · Lampasas · Milam · Mills · San Saba

  • Area Agency on Aging of the Coastal Bend

    Coastal Bend Council of Governments (CBCOG)

    361-883-3935WebsiteCorpus Christi
    All 11 counties served

    Aransas · Bee · Brooks · Duval · Jim Wells · Kenedy · Kleberg · Live Oak · Nueces · Refugio · San Patricio

  • Area Agency on Aging of the Concho Valley

    Concho Valley Council of Governments (CVCOG)

    All 14 counties served

    Coke · Concho · Crockett · Edwards · Irion · Kimble · Mason · McCulloch · Menard · Reagan · Schleicher · Sterling · Sutton · Tom Green

  • Dallas Area Agency on Aging

    Community Council of Greater Dallas

    All 1 counties served

    Dallas

  • Area Agency on Aging of Deep East Texas

    Deep East Texas Council of Governments (DETCOG)

    All 11 counties served

    Angelina · Houston · Nacogdoches · Newton · Polk · Sabine · San Augustine · San Jacinto · Shelby · Trinity · Tyler

  • Area Agency on Aging of East Texas

    East Texas Council of Governments (ETCOG)

    All 14 counties served

    Anderson · Camp · Cherokee · Gregg · Harrison · Henderson · Marion · Panola · Rains · Rusk · Smith · Upshur · Van Zandt · Wood

  • Golden Crescent Area Agency on Aging

    Golden Crescent Regional Planning Commission (GCRPC)

    All 7 counties served

    Calhoun · DeWitt · Goliad · Gonzales · Jackson · Lavaca · Victoria

  • Harris County Area Agency on Aging

    Houston Health Department

    All 1 counties served

    Harris

  • Area Agency on Aging of the Heart of Texas

    Heart of Texas Council of Governments (HOTCOG)

    All 6 counties served

    Bosque · Falls · Freestone · Hill · Limestone · McLennan

  • Houston-Galveston Area Agency on Aging

    Houston-Galveston Area Council (H-GAC)

    All 12 counties served

    Austin · Brazoria · Chambers · Colorado · Fort Bend · Galveston · Liberty · Matagorda · Montgomery · Walker · Waller · Wharton

  • Area Agency on Aging of the Lower Rio Grande Valley

    Lower Rio Grande Valley Development Council (LRGVDC)

    All 3 counties served

    Cameron · Hidalgo · Willacy

  • Area Agency on Aging of the Middle Rio Grande

    Middle Rio Grande Development Council (MRGDC)

    All 8 counties served

    Dimmit · Kinney · La Salle · Maverick · Real · Uvalde · Val Verde · Zavala

  • North Central Texas Area Agency on Aging

    North Central Texas Council of Governments (NCTCOG)

    All 14 counties served

    Collin · Denton · Ellis · Erath · Hood · Hunt · Johnson · Kaufman · Navarro · Palo Pinto · Parker · Rockwall · Somervell · Wise

  • Area Agency on Aging of North Texas

    Nortex Regional Planning Commission

    All 11 counties served

    Archer · Baylor · Clay · Cottle · Foard · Hardeman · Jack · Montague · Wichita · Wilbarger · Young

  • Area Agency on Aging of the Panhandle

    Panhandle Regional Planning Commission (PRPC)

    All 26 counties served

    Armstrong · Briscoe · Carson · Castro · Childress · Collingsworth · Dallam · Deaf Smith · Donley · Gray · Hall · Hansford · Hartley · Hemphill · Hutchinson · Lipscomb · Moore · Ochiltree · Oldham · Parmer · Potter · Randall · Roberts · Sherman · Swisher · Wheeler

  • Area Agency on Aging of the Permian Basin

    Permian Basin Regional Planning Commission

    All 17 counties served

    Andrews · Borden · Crane · Dawson · Ector · Gaines · Glasscock · Howard · Loving · Martin · Midland · Pecos · Reeves · Terrell · Upton · Ward · Winkler

  • Rio Grande Area Agency on Aging

    Rio Grande Council of Governments (RGCOG)

    All 6 counties served

    Brewster · Culberson · El Paso · Hudspeth · Jeff Davis · Presidio

  • Area Agency on Aging of Southeast Texas

    South East Texas Regional Planning Commission (SETRPC)

    All 4 counties served

    Hardin · Jasper · Jefferson · Orange

  • Area Agency on Aging of the South Plains

    South Plains Association of Governments (SPAG)

    All 15 counties served

    Bailey · Cochran · Crosby · Dickens · Floyd · Garza · Hale · Hockley · King · Lamb · Lubbock · Lynn · Motley · Terry · Yoakum

  • Area Agency on Aging of the South Texas Development Council

    South Texas Development Council (STDC)

    All 4 counties served

    Jim Hogg · Starr · Webb · Zapata

  • Area Agency on Aging of Tarrant County

    United Way of Tarrant County

    All 1 counties served

    Tarrant

  • Area Agency on Aging of Texoma

    Texoma Council of Governments (TCOG)

    All 3 counties served

    Cooke · Fannin · Grayson

  • Area Agency on Aging of West Central Texas

    West Central Texas Council of Governments (WCTCOG)

    All 19 counties served

    Brown · Callahan · Coleman · Comanche · Eastland · Fisher · Haskell · Jones · Kent · Knox · Mitchell · Nolan · Runnels · Scurry · Shackelford · Stephens · Stonewall · Taylor · Throckmorton

Programs that pay for bathroom modifications

Ordered by how well they fit an accessible bathroom project. Amounts and rules come from each agency's own published materials. Verify current figures when you apply, since caps and funding availability change.

Residential Repair through your Area Agency on Aging

Older Americans Act Title III, administered by your local AAA

Grant

Best for

Anyone 60 or older. The starting point, and the reason to call your AAA first

Amount

Up to $5,000 per residence per federal fiscal year

Bathroom coverage

Texas rule 26 TAC §213.215 lists "accessibility modifications, structural adaptations to meet the needs of a program participant who has a disabling condition" as one of seven permitted categories, alongside plumbing and safety modifications. Purely cosmetic work is excluded by the same rule.

Who qualifies

  • Age 60 or older
  • The service is delivered at your residence
  • Each AAA sets its own local priority and income screening

How to apply

Call your Area Agency on Aging (find yours above) and ask for a benefits counselor or care coordinator. Ask specifically whether they fund Residential Repair this year.

Worth knowing: Residential Repair is a local option, not a guarantee. Not every AAA funds it every year, and where it is funded it is usually waitlisted. The $5,000 cap is a ceiling, not an entitlement.

Official program page →Source: Texas HHSC · 26 TAC §213.215

Amy Young Barrier Removal Program

Texas Department of Housing and Community Affairs (TDHCA)

Grant

Best for

The largest Texas accessibility grant, and the only major one open to renters

Amount

Up to $22,500, one time, per household

Bathroom coverage

Funds accessibility modifications generally; the program manual requires that at least 75% of the funds go to accessibility work, with no more than 25% toward eliminating life-threatening hazards. Modifications are designed against the 2010 ADA Accessibility Standards. The manual does not publish an itemized fixture list, so your scope is set by the initial inspection.

Who qualifies

  • Household includes a person with a disability
  • Income at or below 80% of area median family income (or 80% of the statewide limit, whichever is greater)
  • Renters and homeowners both qualify

How to apply

You cannot apply to TDHCA directly. Use the TDHCA "Help for Texans" tool, choose Home Repair/Accessibility Modifications, tick "Show only Home Modification for Accessibility providers," then enter your city or county to find the administrator near you.

Worth knowing: Not available in every part of Texas. It depends on whether an approved administrator covers your county. Statewide funding is limited, so timing matters.

(512) 936-7799Official program page →Source: TDHCA program page and program manual

Medicaid waiver Minor Home Modifications

Texas HHSC: STAR+PLUS HCBS, CLASS, HCS, TxHmL, DBMD, MDCP

Medicaid benefit

Best for

People already on a Texas Medicaid waiver, or willing to join a long interest list

Amount

$7,500 to $10,000 lifetime depending on the waiver

Bathroom coverage

The most explicit bathroom coverage of any program here. HHSC handbooks name "wheelchair accessible showers; sink modifications; bathtub modifications; toilet modifications," plus plumbing adaptations and turnaround space. CLASS and DBMD both name roll-in showers specifically, and grab bars are a listed item.

Who qualifies

  • Enrolled in the relevant Medicaid waiver
  • An occupational or physical therapy assessment is required for bathroom modifications
  • Written landlord approval required if you rent

How to apply

If you are on STAR+PLUS, call your managed care organization and ask your service coordinator. For CLASS, HCS, TxHmL, or DBMD, get on the HHSC interest list at 877-438-5658.

Worth knowing: The interest lists for CLASS, HCS, TxHmL and DBMD run multiple years. Get your name on the list now even if you are not ready to remodel. The wait is the hard part, not the approval.

877-438-5658Official program page →Source: Texas HHSC provider handbooks

VA HISA grant

VA Prosthetic & Sensory Aids Service

Grant

Best for

Veterans. The single best fit for a walk-in or roll-in shower

Amount

$6,800 or $2,000 lifetime

Bathroom coverage

Names the work directly: "Roll In Showers or walk in showers," widening bathroom doorways, lowering bathroom counters and sinks, and plumbing changes needed for sanitary equipment. Note that hot tubs and Jacuzzi-type tubs are excluded by name, which rules out walk-in tubs but not walk-in showers.

Who qualifies

  • $6,800 for a service-connected disability, or a non-service-connected condition if you are rated 50% or more
  • $2,000 for a non-service-connected disability without that rating
  • Works for a home you rent as well as one you own

How to apply

VA Form 10-0103 plus a VA physician prescription with the diagnosis and medical justification, a cost estimate, and photos. Submit to Prosthetic & Sensory Aids Service at your VA medical center.

800-698-2411Official program page →Source: VA Prosthetic & Sensory Aids Service

USDA Section 504 Home Repair loans and grants

USDA Rural Development

Grant / loan

Best for

Rural Texas homeowners, especially age 62 and older

Amount

Loan up to $40,000 at 1% for 20 years · Grant up to $10,000 (age 62+) · Up to $50,000 combined

Bathroom coverage

Funds repairs that remove health and safety hazards and modernize the home; accessibility work is financed on that basis. USDA does not publish an itemized bathroom fixture list, so confirm your specific scope with the Texas office before counting on it.

Who qualifies

  • Own and occupy the home
  • Unable to get affordable credit elsewhere
  • Income within the county very-low-income limit for the grant
  • Address must clear the USDA rural eligibility map

How to apply

Applications are accepted year-round through the USDA Rural Development Texas office. Check your address on the USDA eligibility map first.

Worth knowing: Grant funds must be repaid if you sell the property within three years.

254-742-9770Official program page →Source: USDA Rural Development

Housing for Texas Heroes

Texas Veterans Commission, Fund for Veterans’ Assistance

Grant

Best for

Lower-income Texas veterans and surviving spouses who own their home outright

Amount

Up to $35,000 per project

Bathroom coverage

Covers "accessibility modifications to walkways, doors, kitchen, and bathroom," and the modification must relate to the VA-recognized disability.

Who qualifies

  • Very low income (50% of county median) or low income (80%)
  • Listed as 100% owner with the County Appraisal District
  • Current on mortgage, home equity loans, and property taxes
  • Texas primary residence

How to apply

TVC does not fund individuals directly. Apply through one of its local grantee nonprofits or local governments, listed on the TVC grantees page.

Worth knowing: Work must be completed at no cost to the veteran, and a grantee may not collect any payment from you in any amount. Disabled veterans who meet the income test get the highest priority on waitlists.

Official program page →Source: Texas Veterans Commission grant requirements

VA SAH and SHA housing grants

U.S. Department of Veterans Affairs

Grant

Best for

Veterans with specific severe service-connected disabilities

Amount

SAH up to $126,526 · SHA up to $25,350 (FY 2026)

Bathroom coverage

These fund large-scale adaptation rather than a single room, and the VA describes them generically as ramps and widened doorways. Bathroom work is routine in practice, but the VA does not publish an itemized bathroom list for these grants, so treat the scope as a conversation with your VA rather than a checklist.

Who qualifies

  • SAH: loss or loss of use of more than one limb, blindness with 20/200 or worse in both eyes, certain severe burns, or certain post-9/11 lower-extremity injuries
  • SHA: loss or loss of use of both hands, certain severe burns, certain respiratory injuries
  • Usable up to six separate times over your lifetime, with unused balance carried forward

How to apply

VA Form 26-4555, online, at a VA regional office, or by mail to the VA Claims Intake Center.

Official program page →Source: va.gov disability housing grants

City and county home repair programs

Local governments using HUD Community Development Block Grant funds

Varies

Best for

Homeowners inside a participating city’s limits

Amount

Austin up to $20,000 · San Antonio up to $25,000 · Dallas up to $24,000

Bathroom coverage

Varies sharply by city. San Antonio’s Minor Repair Loan names "Accessible bathrooms" and ramps outright. Dallas’s Major Systems Repair Program covers "handicapped improvements & removal of barriers." Austin runs a separate plumbing grant of up to $15,000 that names showers, toilets, and sinks. Fort Worth’s Priority Repair program does not list accessibility work at all.

Who qualifies

  • Typically at or below 80% of area median income, though Dallas Area Habitat goes to 120% AMI
  • Own and occupy inside the city limits
  • Current on property taxes and mortgage

How to apply

Search your city’s housing department for "home repair program." Your AAA benefits counselor will usually know which local program is currently open and funded.

Worth knowing: These open and close with funding. The City of Houston’s general home repair program is currently closed with funding exhausted, and only its disaster-recovery track is accepting applications.

Official program page →Source: City of Austin, City of San Antonio, City of Dallas housing departments

Nonprofit repair programs

Rebuilding Together, Habitat for Humanity, Meals on Wheels, Texas Ramp Project

Grant

Best for

Anyone who qualifies. Much of this work is genuinely free

Amount

Usually free to the homeowner

Bathroom coverage

Rebuilding Together North Texas names "ADA bathroom modifications, grab bars and accessibility enhancements" and provides them free of charge across Denton, Dallas, Tarrant, Collin and Rockwall. Dallas Area Habitat names bathroom modifications and states the program is 100% free for qualified applicants. Austin Habitat names shower conversions and grab bars. Houston Habitat covers grab bars for veterans and homeowners 62 and older.

Who qualifies

  • Income limits vary by affiliate. Dallas Area Habitat accepts up to 120% AMI, the loosest test found
  • Most require you to own and occupy the home
  • Waitlists are common

How to apply

Contact the affiliate covering your county directly. For a wheelchair ramp, the Texas Ramp Project builds them free but accepts referrals only from a doctor, nurse, social worker, EMS, or your Area Agency on Aging.

Worth knowing: You cannot refer yourself to the Texas Ramp Project. Ask your AAA benefits counselor to make the referral. This is one of the concrete things an AAA can do for you in a single phone call.

(214) 558-0339Official program page →Source: Affiliate program pages

Veterans: we keep a separate plain-language walkthrough of the VA HISA application, form by form. Read the HISA grants guide →

What people actually receive

Below is what each program states in writing that it delivers. These are documented program benefits with the work named by the provider, not anonymous success stories, which are easy to write and impossible to check.

Rebuilding Together North Texas

Denton, Dallas, Tarrant, Collin and Rockwall counties

“ADA bathroom modifications, grab bars and accessibility enhancements,” plus ramps, and the affiliate states all repairs and modifications are offered free of charge.

Dallas Area Habitat NeighborCare & Repair

Dallas and Kaufman counties, excluding Garland

Ramp installations, grab bars and handrails, and bathroom modifications. The program states it is “100% free for qualified applicants,” and accepts incomes up to 120% of area median, the loosest income test of any program on this page.

Austin Habitat for Humanity Home Repair

Austin, Kyle, and Bastrop, Blanco, Caldwell, Hays and Travis counties

Names the work precisely: “Bathroom & accessibility modifications, such as installing grab bars & ramps, shower conversions, widening doorways.”

Houston Habitat Critical Home Repair

Houston area

Ramp access to the primary entrance, handrails, and grab bars in the bathroom, for veterans and homeowners 62 and older in low-income households.

Texas Ramp Project

Over 130 Texas counties

A wheelchair ramp, built by volunteers, always free to the client. Referrals only: a clinician, social worker, EMS, or your Area Agency on Aging has to make the call for you.

Texas Medicaid waivers

Statewide, for enrolled waiver participants

The most explicit bathroom language anywhere in Texas policy: wheelchair-accessible showers, sink, bathtub and toilet modifications, plumbing adaptations, and permanently attached grab bars. CLASS and DBMD name roll-in showers outright.

Housing for Texas Heroes (Texas Veterans Commission)

Statewide, through local grantee nonprofits

Up to $35,000 per project for accessibility modifications to walkways, doors, kitchen and bathroom, and program rules forbid the grantee from collecting any payment from the veteran in any amount.

Availability is the catch in every case. Waitlists are the norm rather than the exception, several of these programs serve only part of a county, and a program that was funded last year may not be this year. That is precisely why the first call goes to your Area Agency on Aging: they track which of these is actually open right now.

What does not pay, and gets repeated anyway

Five things people are told constantly that are wrong. Each one below sends families down a dead end, so it is worth knowing before you spend a morning on hold.

Medicare will pay for my walk-in shower or grab bars.

It will not. Original Medicare pays nothing toward bathroom remodeling, because structural work is not a Medicare benefit category at all. CMS national coverage determination 280.1 denies grab bars as a "self-help device; not primarily medical in nature," bathtub lifts as a "convenience item," and shower seats and raised toilet seats as "comfort or convenience item; hygienic equipment." The narrow exception is a Medicare Advantage plan offering Special Supplemental Benefits for the Chronically Ill, which can cover structural home modifications. Check your plan’s Evidence of Coverage, and note CMS’s own examples are doorways, ramps and faucets rather than showers.

Source: CMS NCD 280.1 · medicare.gov

Community Care Services Eligibility (CCSE) covers home modifications.

It does not, and this is one of the most commonly repeated errors. CCSE covers adult foster care, day activity and health services, emergency response, home-delivered meals, personal attendant services, residential care, and special services to persons with disabilities. No home modification service is on the list. The Medicaid channel for home modifications is the waiver programs.

Source: Texas HHSC CCSE handbook §1100

Community First Choice (CFC) will pay for bathroom modifications.

No. CFC covers exactly four things: personal care services, habilitation, emergency response services, and support management. Minor home modifications are a separate service category funded through the waivers, not through CFC.

Source: Texas HHSC STAR Kids handbook §4100

The Weatherization Assistance Program can help with my bathroom.

No. Weatherization funds insulation, caulking, weather-stripping, envelope repairs, ductwork, and heating and cooling system work. There is no accessibility or bathroom component.

Source: TDHCA Weatherization Assistance Program

The VA will pay for a walk-in tub.

HISA excludes "spa, hot tubs, or Jacuzzi type tubs" by name. It does cover roll-in and walk-in showers by name. If you are working from a VA grant, a shower conversion is the fundable path and a walk-in tub is not.

Source: VA Prosthetic & Sensory Aids Service

Documents to have ready

Nearly every program on this page asks for some subset of these. Gathering them once, before you start calling, is the difference between a two-week process and a two-month one.

  • Photo ID and proof of Texas residence
  • Proof of age (driver’s license or birth certificate) if the program is 60+ or 62+
  • Proof of income: a recent Social Security award letter, pension statements, or tax return
  • Proof you own and occupy the home (deed or a property tax statement), or a signed landlord letter if you rent
  • Current property tax and mortgage status, since many programs require you to be current on both
  • Documentation of the disability or medical need, ideally a physician’s note explaining why the modification is needed
  • Photos of the bathroom as it is today, before any work
  • A written contractor estimate that separates labor and materials

We provide the written estimate and the “before” photos free, whether or not you end up hiring us. Several of these applications require both, and there is no reason for that to be the thing holding you up.

Frequently asked questions

1What is an Area Agency on Aging?

An Area Agency on Aging is a regional public agency created under the federal Older Americans Act to help people 60 and older stay independent at home. Texas has 28 of them, most housed inside regional councils of governments, and they are coordinated by Texas Health and Human Services. Their services are free to access, and you do not have to be low income to call and get help.

2Will my Area Agency on Aging pay for a walk-in shower?

Sometimes, partially. Texas rule 26 TAC §213.215 permits AAAs to fund accessibility modifications under Residential Repair, capped at $5,000 per residence per federal fiscal year. That can cover meaningful safety work such as grab bars and modifications, but it rarely covers a full shower conversion on its own. The bigger money is in the Amy Young Barrier Removal Program ($22,500), Medicaid waiver Minor Home Modifications ($7,500 to $10,000), or a VA HISA grant ($6,800) for veterans. Your AAA is the right first call because they will tell you which of these you qualify for.

3How do I find the Area Agency on Aging for my county?

Search your county name in the finder on this page, or call the Texas HHSC aging information line at 1-800-252-9240 and they will route you to the agency covering your address. Dialing 2-1-1 from any Texas phone also works.

4Do I have to be low income to get help from an Area Agency on Aging?

No. Information, benefits counseling, referrals, and care coordination are open to anyone 60 or older regardless of income. Specific funded services such as Residential Repair usually do apply income and need screening, and most of the grant programs an AAA refers you to have income limits around 80% of area median income.

5Does Medicare pay for bathroom modifications?

No. Original Medicare pays nothing toward bathroom remodeling. CMS national coverage determination 280.1 explicitly denies grab bars as a self-help device, and denies bathtub lifts, shower seats, and raised toilet seats as convenience or hygienic items. The one exception is a Medicare Advantage plan offering Special Supplemental Benefits for the Chronically Ill, which can include structural home modifications. Check your plan’s Evidence of Coverage.

6Can renters get help with accessibility modifications in Texas?

Yes, though the options are narrower. The Amy Young Barrier Removal Program explicitly covers tenants as well as homeowners, and a VA HISA grant applies to a home you rent as well as one you own. Medicaid waiver modifications also work in a rental with written landlord approval. Most city home repair programs and USDA Section 504, by contrast, require ownership.

7How long does this take?

Plan for months, not weeks. Residential Repair and nonprofit programs are commonly waitlisted. The Texas Ramp Project quotes three to six months and longer in some areas. Medicaid waiver interest lists for CLASS, HCS, TxHmL and DBMD run multiple years. The practical strategy is to get on every list you qualify for now, then proceed with whichever comes through first.

8Are Area Agency on Aging services free?

Calling, information, referral, and benefits counseling are free. Some direct services ask for a voluntary contribution but cannot deny you service for not paying. Funded home modification work delivered through Title III or the grant programs above is generally provided at no cost to a qualifying household. Texas Veterans Commission rules, for instance, prohibit a grantee from collecting any payment from the veteran in any amount.

Related resources

A reminder of the disclaimer at the top of this page: EverSafe Showers is a private bathroom remodeling company, not a government agency, and we do not administer any program listed here. We put this guide together because our customers kept asking the same questions and no single page answered them. Everything above is general information only. Confirm current details with the administering agency before making any decision.

Need the estimate and photos for your application?

We provide a free written estimate broken out by labor and materials, plus the “before” photos most of these programs require, at no cost and no obligation. If your funding comes through, we install most accessible showers in as little as two days.

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