Senior benefits in Fayette County, Texas

Helps offset the cost of a break for an unpaid family caregiver. The Lifespan Respite Grant Program pays toward respite care for a person of any age with special needs, a disability, or a chronic condition — in the home through a home care agency, at an adult or child day-care center, through community activities, or at a camp — when the caregiver has difficulty finding respite and the care receiver is not already enrolled in another government or nonprofit respite program or a Medicaid waiver. Funding is limited and approved case by case. Contact the ADRC of the Capital Area at 855-937-2372 or adrc@capcog.org.

Fayette County's CEAP is delivered through Combined Community Action (CCA), a 501(c)(3) nonprofit Community Action Agency serving Austin, Bastrop, Colorado, Fayette, Fort Bend, Lee counties. The agency provides utility bill payment assistance for electric, gas, and propane bills; energy crisis assistance for shutoffs; and energy education. Eligibility at 150% FPL. Apply at https://www.ccaction.com/family-services or by calling 979-540-2980.

Estimated bill savings: $200–$1,600 a year

In this county: Combined Community Action (CCA) is the TDHCA CEAP subrecipient for Fayette County (TDHCA Help for Texans lookup and the TDHCA Subrecipient Contact List updated 2026-02-02, checked 2026-09-25). CCA's CEAP counties are Austin, Bastrop, Colorado, Fayette, Fort Bend and Lee. Funds are limited and run out during the program year, so apply early. Subrecipient assignments can change between program years — confirm with TDHCA at 800-525-0657 if unsure.

Fayette County operates a referral-and-coordination emergency aid model. The county does not run a single integrated direct-aid program at scale (appropriate for a smaller county); instead it coordinates with: (1) the CEAP nonprofit subrecipient for utility assistance (call 979-540-2980); (2) AAACAP for senior services (855-937-2372); (3) the Fayette County CIHCP for healthcare (979-968-3251); (4) faith-based partners (Salvation Army, Catholic Charities of Central Texas, local churches). Dial 211 for general emergency aid referrals.

Estimated bill savings: $100–$1,800 a year

The Fayette County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61 (the County Indigent Health Care and Treatment Act of 1985) because Fayette County does not maintain a public hospital district. The CIHCP provides medical and prescription drug coverage for eligible low-income Fayette County residents who don't qualify for other state or federal healthcare programs. Eligibility typically requires: Fayette County resident age 18+; household income less than 21% of the Federal Poverty Level (the Texas statutory minimum); not eligible for or receiving Medicaid. Services typically cover: physician services, lab and x-ray, three prescriptions per month, inpatient and outpatient hospital services. St. Mark's Medical Center (La Grange) is the primary partner hospital. Apply at Fayette County offices, La Grange TX 78945 or by calling 979-968-3251.

Estimated bill savings: $1,500–$25,000 a year

In this county: The 21% FPL gate is the Texas statutory minimum — extremely strict. Only Fayette residents at or near SSI income levels qualify. St. Mark's Medical Center is the practical hospital partner. For Fayette residents above 21% FPL, the dominant private hospital's own Patient Financial Assistance Program (typically at 200% FPL) is the broader pathway.

AAACAP serves Fayette County seniors as part of its 10-county Central Texas region. Services include Title III congregate meals, Home-Delivered Meals for homebound seniors age 60+, Care Coordination, Caregiver Support, In-Home Support, Benefits Counseling (HICAP/SHIP Medicare counseling), and ADRC of the Capital Area. Fayette is a smaller CAPCOG county so meal site density is lower than in Travis or Williamson; the local senior center serves as the practical hub. Apply by calling AAACAP at 855-937-2372 or emailing ADRCCAP@capcog.org.

Estimated service value: $1,200–$4,500 a year

CARTS serves Fayette County with Country Bus demand-response paratransit and Interurban Coach scheduled regional bus service connecting La Grange, Schulenburg, Flatonia to Austin and other CARTS district cities. Seniors AGE 65+ ride for HALF PRICE on all services. Fayette County's CARTS service uses ~60 mini-buses and vans operating across the 9-county district. Apply for CARTS senior fare ID at a local CARTS station or by calling 512-478-7433.

Estimated service value: $200–$2,000 a year