Turnkey entry into Texas Medicaid home care. This Dallas-area agency holds an active HHSC Home and Community Support Services Agency (HCSSA) license for personal assistance services, is enrolled as a Texas Medicaid provider, and has two managed care organization (MCO) contracts in place — the credential most new agencies spend a year or more trying to obtain, with no guarantee of success given today’s closed provider networks.
The agency recently completed Medicaid revalidation, so the license and enrollment are clean and current. Operations are intentionally small: One active client and one W-2 caregiver, allowing a buyer to step in without inheriting legacy overhead, staffing issues, or payer concentration. Priced as a license-and-contracts acquisition, not on existing cash flow.
What a buyer acquires
Active HCSSA license (non-medical / personal assistance services), Dallas service area
Texas Medicaid provider enrollment, recently revalidated
Two executed Medicaid MCO contracts
Operating entity, policies and procedures, and compliance infrastructure already in place
Owner transition support
Why buy vs. build
Starting from scratch means HHSC licensing, Medicaid enrollment, and MCO credentialing in sequence — realistically 9 to 15 months and tens of thousands in consulting and carrying costs before the first billable hour, with MCO network admission far from assured. This acquisition compresses that timeline to a change-of-ownership and lets the new owner begin accepting Medicaid referrals from day one.
Ideal buyer
A nurse or clinician launching a home care business, an existing private-pay or VA-only agency unable to secure MCO contracts, an adult day, CDS/FMSA or NEMT operator adding a personal assistance line, or an out-of-state home care company entering Texas.
Asking price: $110,000 | Structure: Stock sale (contracts transfer with the entity) | Location: Dallas County, Texas (details on NDA)
Offered exclusively by Covenant Health Advisors, a Dallas-Fort Worth healthcare services M&A advisory firm. Serious inquiries will receive a confidential overview upon execution of a non-disclosure agreement.
