Frequently Asked Questions

Who qualifies for adult day care?

Individuals who are on Medicaid and have disabilities and/or are elderly – they will have a medical need and have functional limitations. If an individual is a Star Plus client with a Medicaid HMO, they will qualify automatically. Additionally, private pay clients are accepted as well. All clients must be under the care of a Primary Care Physician who must provide directives for our Nursing Care staff by way of a Physician’s Order.

Do you have openings?

Yes, we certainly do, and would love to have you take a tour and see what Mother Earth is all about.

What does it take to get started?

The application process will take approximately 30 minutes. Make sure to bring the clients Medicaid, Medicare and Social Security Numbers; address and current telephone number; medical diagnoses; all medications (whether they will be administered at the Center or not); any known allergies; clients Physician’s Name, address and phone number; and emergency numbers. Many signatures will be required as well, on forms allowing us to bill for, feed, and care for the client.

Do you provide transportation?

We pay for transportation when clients are transported to us by VIAtrans. Should the client need to apply for services, we would be happy to answer any questions we can, and do everything we can to expedite services for the client once the application has been submitted to VIA. Please download and print an application at the VIA website at

How does one qualify?

This service can be paid for by a variety of sources, as listed below. Each payment source has its own unique requirements.

Texas Department of Aging and Disability Services (DADS): Client must be on the HCS waiver program, or be on or qualify for the state funded Title XX waiver program. Title XX clients have an income level that exceeds Medicaid income qualification with a resource limit of up to to $6000 and they must have a medical need to qualify for the DAHS program.

Star Plus HMO’s: Clients who qualify for Title XIX-Medicaid, who are 21 and older, and are not enrolled in any Family Care waiver programs, are enrolled in one of the three HMO’s who now provide care for Medicaid clients in and around the Bexar County area. Any client who is enrolled in an HMO qualifies for our service.

Veteran’s Administration: clients who qualify will be active at the Audie Murphy Veterans Administration Hospital, and will qualify within their system, but receive services at our facility. Please contact the VA Adult Day Care Office at 210-616-8480.

Private Pay: any individual who would benefit from this program, and does not qualify within any of the above programs, may qualify by paying the private pay rate. Current rate can be requested from Center Director.

Do we have to bring our own lunch?

No. Mother Earth is a part of the Child and Adult Care Food Program (CACFP), a program created by the USDA to standardize the quality, types and portions of foods served in childcare and adult day care centers around the US. We have an 8 week rotating menu, and our clients are served an AM snack, lunch and a PM snack daily. Snacks may include a breakfast tacos, a hash brown patty, cereal, cookies, cakes, sandwiches, etc. Lunch consists of a 2-4oz serving of meat, two ½ cup servings of vegetables/and or fruits, and 2 servings of bread/grains (serving size depending on what grain is served).

What does one do there?

HAVE FUN!! You’ll notice the most important things like the excellent nursing care and medication management, fabulous food, and caring aides to help you with all your functional limitations. But you’ll also have many activities to choose from – like playing pool, swimming in the pool, playing bingo or table games, arts and crafts, lotteria, puzzles, watching movies, dancing to DJ Willie’s great music, going to church services (Protestant and/or Catholic), and exercise classes, and many other choices.

What makes Mother Earth unique?

Without a doubt, it’s our property. With almost 3 acres of land, we have plenty of space to enjoy the beautiful outdoors, picnic tables to sit at and relax, listen to music, or play cards with your friends. We often have picnics in the spring, and will even hold our dances outside for Easter, Fiesta, Memorial Day and the Fourth of July, weather permitting.

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