Start a Home Care Franchise in Texas
Grow Big While Doing Good
Join The Butterfly Home Care Family
Texas doesn’t do anything small, not population, not growth, and definitely not the need for care at home.
From booming metros like Dallas–Fort Worth, Houston, Austin, and San Antonio to fast-growing suburbs and smaller towns, families are looking for trusted help so loved ones can stay at home, safely and with dignity.
A home care franchise in Texas lets you build a serious, scalable business that:
- Creates stable, recurring revenue
- Provides meaningful jobs for local caregivers
- Delivers real relief to families who can’t do it all alone
With Butterfly Home Care, you don’t have to piece it together yourself. You get:
- A proven non-medical care model
- Systems for staffing, scheduling, and quality
- Guidance from people who understand how to grow home care in real markets
Why Texas is a High-Growth Home Care Market
Texas checks almost every box for a strong home care opportunity:
- Rapid population growth, including older adults who want to age in place
- Large numbers of families raising children with disabilities or autism
- Many households where both adults work full-time
- Big distances that make “doing it all” for relatives across town or in another city almost impossible
In practical terms, that means:
- Seniors who would rather stay in their homes in Katy, Plano, or New Braunfels—but can’t do it safely without support
- Parents in Round Rock or McKinney trying to balance a career with caring for a child with extra needs
- Adult children in Houston or San Antonio worrying about parents still living independently in smaller towns
There are already home care providers in Texas, but in many areas, demand is still ahead of supply, especially for:
- Reliable, consistent non-medical care
- Agencies that understand autism and disability support
- Providers that feel professional, not “gig-based.”
For the right owner, that equals:
- Room to enter and grow
- Ability to build out from a single territory over time
- A business built on repeat visits, not one-off transactions
I started Butterfly because I couldn't find the kind of care I knew families needed. Every franchise we award is an extension of that original commitment.
What a Butterfly Home Care Franchise Can Look Like in Texas
Think of Butterfly Home Care as a structured, non-medical support system for Texas families.
In a given week, your team could be:
- Helping a senior in Frisco with personal care, meals, and safe mobility
- Providing routine and companionship for an adult with disabilities in Sugar Land
- Supporting a child with autism in Cedar Park with after-school structure and calming routines
Your agency focuses on:
- Personal care and daily living help
- Safety, supervision, and gentle redirection
- Routines that reduce stress for the whole household
- Social connection so people don’t feel isolated
As the owner, you’re not the one making every visit. Your job is to:
- Build and lead a strong caregiver team
- Keep schedules full and reliable
- Maintain quality and client satisfaction
- Decide when and how to expand within your area or into additional territories
Texas makes it possible to think bigger than one neighborhood—you can design your growth plan from the beginning.
Why Franchise Owners Choose Butterfly
The home care space is crowded with generalist brands. Here's why operators building for the long term choose Butterfly.
High-Demand Market Segments
High-Demand Market Segments
Proven Expertise and Reputation
Proven Expertise and Reputation
Built for the Hardest Cases
Built for the Hardest Cases
Comprehensive Support System
Comprehensive Support System
Community Impact and Purpose
Community Impact and Purpose
What You Get When You Franchise With Butterfly
Butterfly Certified Caregiver Training

Butterfly Certified Caregiver Training
Full Operational Support

Full Operational Support
Protected Territory

Protected Territory
The Franchise Journey
$58K
Franchise Fee
*$96K–$158K
Investment Range
*Single Territory price
6%
Royalty
* Veterans and active service members receive a $5,000 discount
Medicaid Waiver Programs in Texas
Texas has a strong waiver program infrastructure, particularly for individuals with developmental disabilities and complex care needs, populations that align directly with Butterfly’s specialty model. These programs provide a stable, government-funded revenue stream that isn’t dependent on household income. Your agency can participate in:
- Community Living Assistance and Support Services (CLASS) Waiver
- Home and Community-Based Services (HCS) Waiver
- Deaf-Blind with Multiple Disabilities (DBMD) Waiver
- STAR+PLUS Home and Community-Based Services (HCBS) Program / Waiver
Butterfly provides state-specific enrollment guidance and billing support so you’re navigating Texas’s waiver system with full support behind you from the start.
Your Path to Success with Butterfly Home Care
How to Open a Butterfly Home Care Franchise in Texas
Connect & Explore
Connect & Explore
Secure Your Texas Territory
Secure Your Texas Territory
Texas Setup, Training & Go-Live
Texas Setup, Training & Go-Live
Grow, Then Grow Again
Grow, Then Grow Again
Your Earning & Growth Potential in Texas
Home care in Texas isn’t a one-time job. Once a family finds a caregiver they trust, they often stay for the long term.
In Texas, that can look like:
- A senior in Dallas who needs help with bathing, meals, and transportation several days a week
- An adult with disabilities in Houston who relies on a steady morning and evening routine
- A child with autism in Austin who benefits from consistent in-home support and behavior-focused structure
Each new client can lead to:
- Recurring weekly hours instead of one-time visits
- Referrals to siblings, neighbors, church members, or coworkers
- Added services over time as needs change
Because Texas has many fast-growing communities, a strong reputation in one area makes it easier to:
- Attract clients in nearby suburbs and towns
- Recruit caregivers who want to work close to home
- Build a solid presence in your protected territory
We can’t promise specific income or outcomes, but the recurring nature of home care and the growing senior and disability population in Texas give driven owners a strong base to grow from.
Getting Set Up in Texas: Big Market, Real Responsibilities
Texas is pro-business, but care is still serious work. When you send caregivers into people’s homes, the state expects you to meet certain standards.
When launching your franchise, you should be ready to:
- Form and register your business in Texas
- Work within the state’s framework for home- and community-based services
- Put clear policies, procedures, and expectations in writing
- Complete background checks and screening for your staff
- Maintain documentation and oversight that matches the services you provide
The details depend on your exact service mix and structure, and rules can change. You’ll always lean on your own legal and accounting advisors to interpret what applies to you.
Butterfly Home Care helps by:
- Providing a structured startup roadmap
- Sharing sample manuals, policies, and forms to adapt with your advisors
- Helping you prioritize tasks so you’re not trying to handle everything at once
You’re in charge of your business. We help make sure you’re not flying blind.
Who Makes A Great Butterfly Home Care Franchise Owner In Texas?
Texas rewards people who are driven, steady, and practical.
Owners who thrive often have backgrounds in:
- Teaching or education
- Nursing or allied health fields
- Military or law enforcement
- Managing a household or working from home with big responsibilities
- Supporting a loved one with autism, disabilities, or long-term health needs
What matters most is not your job title—it’s how you operate. Successful owners:
- Take responsibility instead of waiting for someone else to fix things
- Lead small teams without drama
- Stay on top of schedules, follow-up, and basic numbers
- Are coachable and willing to follow a proven playbook
Butterfly by the Numbers
Active Franchise Locations
Target Agencies by End of 2026
Families Served
FAQs
Does Texas require licensing for non-medical home care?
Texas licenses home care agencies through the Home and Community Support Services Agency (HCSSA) framework. Agencies providing personal assistance services — which is the category most non-medical home care falls under — need an HCSSA license with the Personal Assistance Services (PAS) service category, issued by the Texas Health and Human Services Commission (HHSC). The licensing process involves application, background checks, policy documentation, and state review. Butterfly provides a step-by-step Texas setup roadmap and startup documentation — but you’ll want to work with your own legal advisors to ensure full compliance with current HHSC requirements.
Which Texas metros are the strongest markets for a Butterfly franchise?
Texas has several strong markets. The Dallas-Fort Worth metroplex is the largest and most diverse opportunity — high population density, strong demographics, and significant demand for both senior and disability care across dozens of suburban communities. Houston is similarly large with strong IDD and autism care demand. Austin and San Antonio are fast-growing metros with younger family populations and rising autism diagnosis rates. Smaller metros like El Paso, Lubbock, and Amarillo have meaningful underserved populations with less competition. Territory selection is something we evaluate together based on your target area and available markets.
How do Texas Medicaid waiver programs like HCS and CLASS work operationally?
Texas’s HCS (Home and Community-Based Services) Waiver and CLASS (Community Living Assistance and Support Services) Waiver are the two most directly relevant programs for a Butterfly franchise. HCS serves individuals with intellectual and developmental disabilities and is one of the largest IDD waiver programs in the country — but it also has a significant waitlist, which means many eligible clients are not yet receiving funded services. CLASS serves individuals with related conditions and functional limitations. Both require provider enrollment with HHSC and ongoing compliance with documentation and billing standards. Butterfly provides enrollment guidance and billing support specific to Texas’s waiver structure so you understand what’s required before you open.
Is Texas a competitive home care market and how does Butterfly differentiate?
Texas is a large and growing home care market with established national brands present in most major metros. However, the same pattern holds as in other states — most agencies are built around senior care. Butterfly’s specialty focus on autism, IDD, and complex behavioral needs addresses a population that is growing faster than the senior population in Texas and is significantly underserved by existing providers. In a state where 1 in 31 children are diagnosed with autism, families looking for trained, specialized in-home support often have few real options. That’s where Butterfly competes — and it’s a position very few agencies in any Texas market can credibly claim.
How long does it typically take to open in Texas?
Most candidates go from initial inquiry to opening day in approximately 5–6 months. Texas’s HCSSA/PAS licensing process adds setup steps that we factor into your pre-launch timeline so licensing runs in parallel with your other preparation rather than delaying your opening. The pre-launch period — building referral relationships with physicians, therapists, school districts, and disability service organizations — is especially important in Texas given the size of most territory markets. Franchisees who invest in pre-launch outreach open with a pipeline rather than starting from zero.
Can I build a viable franchise outside the major Texas metros?
Yes — though the approach differs. Major metros offer higher population density and faster initial ramp. Smaller and mid-size Texas markets often have less competition, stronger word-of-mouth potential, and communities where a well-run agency can become the trusted local provider relatively quickly. Several of our strongest franchise opportunities nationally are in markets that aren’t major metros. If you have a specific Texas community in mind, bring it to the Discovery Call — territory evaluation is something we do together.
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Franchise territories are limited. If you’re serious about building a purpose-driven home care agency with full support behind you, let’s talk.


