How to Start A PAS Agency in Texas 2025

How to Start A PAS Agency in Texas 2025

Thinking about launching your own PAS agency in Texas? You're in the right place. This guide will walk you through the essential steps to get licensed, build your foundation, and begin serving clients in one of the most in-demand industries in the U.S.

 

Why now?

Personal Attendant Services (PAS) is among the fastest-growing segments in the care industry, both in Texas and across the country. With over 73 million baby boomers currently receiving or preparing to receive in-home care, the need for reliable services is only increasing.

 

That means real opportunity for new agency owners who are ready to do things right from the start.

 

We’re Telescope HR, your partner in caregiver recruitment and retention. We help home care agencies build strong teams, reduce turnover, and grow with confidence. If you're looking to build a reliable agency that clients and caregivers can trust, you're in the right place.

What Is PAS?

Personal Attendant Services (PAS) is the non-medical side of home care. In Texas, PAS falls under the HCSSA (Home and Community Support Services Agency) license, regulated by Texas HHSC (Health and Human Services Commission).

 

Outside Texas, you might hear it called non-medical home care or personal care. Either way, it focuses on helping individuals remain safe and independent at home, without needing skilled nursing services.

Types of PAS Agencies in Texas

PAS agencies offer in-home support to individuals living in:

 

  • Private homes

  • Independent living communities

  • Assisted living facilities

The goal? To help clients stay in control of their daily routines while receiving dependable support.

 

Common types of PAS providers in Texas:

 

  1. Private Pay Agencies (clients pay out-of-pocket)

  2. Home Health Agencies (offer both skilled and non-skilled services)

  3. Medicaid Providers (serve clients referred by state caseworkers)

  4. MCO-Contracted Agencies (work with organizations like Molina, Superior, Amerigroup, UnitedHealthcare, and the VA)

Many new agency owners today choose to specialize in private-pay non-medical care—it’s flexible and increasingly in demand.

 

What Services Do PAS Agencies Offer?

Services typically fall into two categories:

1. ADLs (Activities of Daily Living)

  • Bathing

  • Dressing

  • Eating

  • Toileting

  • Walking

  • Transferring (e.g., bed to chair)

  • Medication reminders

2. IADLs (Instrumental Activities of Daily Living)

  • Meal prep

  • Light housekeeping

  • Shopping

  • Running errands

  • Transportation

  • Managing medications

How Do PAS Agencies Get Paid?

Let’s answer the big question: How do you make money?

 

Here’s a breakdown of common payer sources (from highest-paying to lowest):

 

  1. VA Clients – Rates can exceed $30/hour depending on your location.

  2. Private Pay Clients – Typically pay $25–$30/hour.

  3. Long-Term Care Insurance – Clients are reimbursed or agencies are paid directly.

  4. Managed Care Organizations (MCOs) – Lower rates, but reliable volume.

  5. Medicaid – Pays $12–$16/hour, often for care provided by family members or close friends through the CDS model.

Rates change frequently based on state policies and funding, so keep an eye on updates.

Where Do You Start?