For Families

What to expect, how it works, and how it gets paid for.

What to expect

The first 30 days

The first month with a new caregiver is when trust is built — or not. We take this seriously.

Initial assessment within 3 business days of your call
Written care plan you approve before any shift begins
Caregiver introduction in your home, with you present
Weekly check-in calls during the first month
Direct line to the Supervisor for anything urgent
Adjustments to the care plan as we learn your loved one

Our caregivers

Who we hire

Every caregiver who enters your home has been carefully vetted.

Background check and clean record
Reference verification
State-required PAS training
Annual competency evaluations
Bilingual caregivers available (Spanish)
Continuously supervised by our care leadership team

Payment

How care is paid for

We work with families in a variety of payment situations. We will help you understand your options before any commitment.

Private Pay

Straightforward hourly rates. No insurance approval needed. You pay directly; we bill weekly.

Texas Medicaid (PHC)

Primary Home Care is a Texas Medicaid benefit. If your loved one qualifies, the state covers it. We help you navigate the application.

Coming Soon

VA Benefits

Veterans and surviving spouses may qualify for Aid & Attendance benefits that cover personal care at home. Available in the near future.

Coming Soon

Long-Term Care Insurance

Most LTC policies cover in-home PAS. We will be able to help you understand and submit claims under your policy soon.

FAQ

Common questions

How quickly can care begin?

In most cases, within 3 to 5 business days of your first call. Urgent situations (post-hospital discharge, family emergency) can often be accommodated faster.

What is the minimum number of hours per visit?

Our standard minimum is 4 hours per visit. This ensures the caregiver has time to complete care thoroughly and not feel rushed. Longer visits, 24-hour care, and live-in arrangements are all available.

Can we request a specific caregiver?

Yes. Once you have a caregiver you are comfortable with, we work to keep them assigned to your family consistently. Continuity matters, and we know it.

What if our caregiver is sick or unavailable?

We have backup coverage. You will not be left without care because someone called in. The Supervisor coordinates substitute caregivers as needed.

Do you provide skilled nursing or medical care?

No. Alteza is licensed for Personal Assistance Services, which is non-medical. For skilled nursing (wound care, IV management, etc.), we coordinate with home health agencies that provide those services and complement our care.

Are services available in Spanish?

Yes. We have bilingual caregivers and bilingual administrators. Care plans, family communications, and conversations with caregivers can all happen in English or Spanish.

How are caregivers supervised?

Our care leadership team conducts in-home visits, regular check-ins, and reviews documentation. Caregiver performance and any concerns from families are reviewed continuously.

What if we want to stop services?

You can stop or pause services at any time, no long-term contracts. We only ask for 24 hours notice when possible, so we can adjust caregiver schedules respectfully.