Consumer Managed Personal Attendant Services Provider Manual
1000, Program Overview
1100 Introduction
Revision 13-0; Effective September 3, 2013
The Consumer Managed Personal Attendant Services (CMPAS) Provider Manual is administered by the Department of Aging and Disability Services (DADS) under contracts with licensed agencies to provide personal assistance services (PAS) to individuals who have physical disabilities and who are able to supervise an attendant or have someone who can supervise the attendant for them. The individual interviews, selects, trains, supervises and releases (fires) his/her personal assistants. Health-related tasks are prescribed by the individual’s physician.
Licensed PAS agencies come under the rule-making authority for the Home and Community Support Services (HCSSA) licensure. The PAS agency determines eligibility and the amount of care needed, develops a pool of potential personal assistants and provides emergency backup personal assistants.
1200 Service Delivery Options
Revision 13-0; Effective September 3, 2013
Consumer Managed Personal Attendant Services offers two options for service delivery:
- The traditional service option in which the provider agency is the employer of record of attendant and substitute attendants; and
- The Consumer Directed Services (CDS) option in which the individual is the employer of record of attendants and substitute attendants and is supported by a financial management services agency to provide financial management services to the individual.
1300 Program Rules
Revision 15-2; Effective February 12, 2015
The Consumer Managed Personal Attendant Services program is governed by the following chapters:
- 40 Texas Administrative Code (TAC), Chapter 44, Client Managed Personal Attendant Services
- 40 TAC Chapter 49, Contracting for Community Care Services
- 40 TAC Chapter 97, Licensing Standards for Home and Community Support Services Agencies
1400 License Renewal Requirement
Revision 13-0; Effective September 3, 2013
A provider of Consumer Managed Personal Attendant Services must maintain a Home and Community Support Services Agency (HCSSA) license under the personal assistance services (PAS) category in order to retain an active contract with the Department of Aging and Disability Services (DADS). Application documents to renew an HCSSA-PAS license can be found on the DADS website for Renewal Applications.
1500 Reporting a Complaint
Revision 13-0; Effective September 3, 2013
The Department of Aging and Disability Services (DADS) Consumer Rights and Services (CRS) is the point of contact concerning complaints about situations that may have violated state law or DADS program rules.
1510 When to Call DADS CRS
Revision 13-0; Effective September 3, 2013
Consumer Rights and Services (CRS) receives complaints from individuals, family members, providers and the general public about the care, treatment or services provided to an individual. Individuals receiving services or family members of the individual may prefer to call CRS to assist in resolving an issue rather than speaking with their personal assistance services representative.
A complaint may be reported by anyone at any time to CRS at DADS by calling 1-800-458-9858. A complaint may be made online at crscomplaints@dads.state.tx.us.
Information about CRS can also be located on the DADS website at www.dads.state.tx.us. Click on the "abuse/complaints" navigation tab to link to CRS from the DADS home page, or direct your web browser to www.dads.state.tx.us/services/crs/index.html.
Written complaints may be mailed to:
Department of Aging and Disability Services
Consumer Rights and Services, Mail Code E-249
P.O. Box 149030
Austin, TX 78714-9030
1520 CRS Website
Revision 13-0; Effective September 3, 2013
The DADS CRS website provides useful information regarding:
filing a complaint;
locating consumer rights booklets;
reporting abuse, neglect and exploitation; and
locating community services.
Visit the website at Comprehensive Rehabilitation Services (CRS).
1530 Provider Agency Complaint Process
Revision 13-0; Effective September 3, 2013
The provider is required to have processes for receiving and resolving complaints about the provision of Consumer Managed Personal Attendant Services (CMPAS). The process by which a complaint may be filed with a provider regarding CMPAS program services must be provided to the individual or legally authorized representative at the time of enrollment and at least annually thereafter.
1600 CMPAS Online Mailbox
Revision 13-0; Effective September 3, 2013
Providers can submit questions related to the CMPAS program at cmpas@dads.state.tx.us.
2000, Copayment Schedule
Revision 23-1; Effective May 2, 2023
To determine the individual’s copayment percentage, refer to the following copayment schedule. The copayment schedule is based on paying a copayment when the income limit exceeds 300 percent of Supplemental Security Income.
Copayment Schedule
| Net Monthly Income From | Net Monthly Income To | Net Monthly Income Percentage |
|---|---|---|
| $0 | $2,742.00 | 0% |
| $2,742.01 | $3,084.75 | 3% |
| $3,084.76 | $3,199.00 | 5% |
| $3,199.01 | $3,656.00 | 7% |
| $3,656.01 | $4,113.00 | 9% |
| $4,113.01 | $4,570.00 | 12% |
| $4,570.01 | $5,026.99 | 15% |
| $5,027.00 | $5,483.99 | 20% |
| $5,484.00 | $5,940.99 | 30% |
| $5,941.00 | $6,397.99 | 40% |
| $6,398.00 | $6,854.99 | 50% |
| $6,855.00 | $7,540.49 | 60% |
| $7,540.50 | $8,225.99 | 70% |
| $8,226.00 | $9,139.98 | 80% |
| $9,139.99 | $10,053.98 | 90% |
| $10,053.99 | Higher | 100% |
3000, Provider Responsibilities
Revision 16-1; Effective February 1, 2016
3100 Interest List Referrals
Revision 16-1; Effective February 1, 2016
A person may request that an applicant’s name be added to a Consumer Managed Personal Attendant Services (CMPAS) interest list in a Department of Aging and Disability Services (DADS) region by contacting a CMPAS provider, a DADS regional office or the 2-1-1 Texas Program.
If a person contacts a CMPAS provider, the provider must request the important information below from the applicant. Asking for each item of information and repeating the information provided by the applicant back to the applicant will prevent follow-up calls with individuals to clarify or correct data, and will prevent duplicate records in Community Services Interest List (CSIL).
- First and last name;
- Physical address in Texas and a mailing address;
- Birth date;
- Area code and phone number;
- Social Security number;
- Current living arrangements, including whether the applicant resides in an active military household;
- Employment status;
- DADS individual number; and
- Status regarding receipt of Supplemental Security Income (SSI).
Note: The first and last name, physical address in Texas and a mailing address, and the birth date are required fields in CSIL and must be provided to DADS in order for an applicant to be added to a DADS interest list. If the CMPAS provider is not able to obtain all of the items listed above, the provider must proceed with sending the applicant’s referral to a DADS regional office.
The provider must inform the applicant of the following information regarding the applicant providing his/her Social Security number:
- Providing the Social Security number is voluntary; and
- The Social Security number will be used to track the individual’s name in order to avoid duplicate records on the DADS interest list.
If the caller does not wish to provide his/her Social Security number, proceed with obtaining the rest of the applicant’s information.
Within five working days after the contact, the CMPAS provider must send to a DADS regional office:
- the applicant information obtained above; and
- date and time the person contacted the provider.
Appendices
Appendix I, DADS Contract Management
Appendix II, HIV/AIDS in the Workplace
Appendix III, Mutually Exclusive Services
Appendix IV, Waiver Programs and Special Services – Consumer Managed Personal Attendant Services
Revision 14-1; Effective September 19, 2014
Consumer Managed Personal Attendant Services (CMPAS) provides personal attendant services (PAS) to individuals with physical disabilities who are willing and able to supervise the attendant. Individuals interview, hire, train, supervise and release their attendants. The contract agencies determine individual eligibility, the amount of attendant care needed, develop a pool of potential attendants and provide emergency backup attendant capability.
Services through this project are available to a limited number of individuals.
CMPAS Services
The maximum number of hours an individual may receive varies by contract and is dependent upon the contracted unit rate. The cost cannot exceed the case mix weighted nursing facility rate. The current rate can be determined by contacting the contract manager at the local Department of Aging and Disability Services (DADS) office.
CMPAS Eligibility
To be eligible, the individual must:
- be 18 years or older.
- have a physician's statement that the physical disability is permanent or is expected to last for at least six months from the date of intake. If the disability is not expected to be permanent, the physician's statement must specify the expected duration of the disability.
- not receive the following DADS community care services: Community Based Alternatives, Primary Home Care, Family Care, Assisted Living, Adult Foster Care, Special Services to Persons with Disabilities or Residential Care while receiving PAS through this program.
- need assistance with at least one personal care task (bathing, dressing, grooming, transfer, ambulation, exercising, toileting, feeding or meal preparation).
- need at least five hours of PAS per week.
- be mentally and emotionally capable of self-directing attendant care or have a relative or friend willing to share responsibility for directing the care.
- reside in one of the geographical areas described below.
CMPAS Referral
In some regions, the CMPAS provider takes referrals for the CMPAS interest list. In other regions, the referral is taken by regional office staff. In either case, all names are entered into the Community Services Interest List by regional staff. The regional contract manager releases names from the interest list as funding is available.
CMPAS services are available in the following counties:
Region 01
| County |
|---|
| Lubbock |
| Potter |
| Randall |
Region 03
| County |
|---|
| Collins |
| Dallas |
| Denton |
| Ellis |
| Hood |
| Johnson |
| Kaufman |
| Parker |
| Rockwall |
| Tarrant |
| Wise |
Region 05
| County |
|---|
| Angelina |
| Hardin |
| Houston |
| Jasper |
| Jefferson |
| Nacogdoches |
| Newton |
| Orange |
| Polk |
| Sabine |
| San Augustine |
| San Jacinto |
| Shelby |
| Trinity |
| Tyler |
Region 06
| County |
|---|
| Fort Bend |
| Harris |
| Montgomery |
| Wharton |
Region 07
| County |
|---|
| Travis |
Region 08
| County |
|---|
| Atascosa |
| Bexar |
| Comal |
| Guadalupe |
| Kendall |
| Medina |
| Wilson |
Region 10
| County |
|---|
| El Paso |
Region 11
| County |
|---|
| Aransas |
| Bee |
| Brooks |
| Cameron |
| Duval |
| Hidalgo |
| Jim Hogg |
| Jim Wells |
| Kenedy |
| Kleberg |
| Live Oak |
| McMullen |
| Nueces |
| Refugio |
| San Patricio |
| Starr |
| Webb |
| Willacy |
| Zapata |
Appendix V, Retired Information Letters
Revision 13-1; Effective September 13, 2013
The Department of Aging and Disability Services (DADS) deployed the Consumer Managed Personal Attendant Services (CMPAS) Provider Manual on Sept. 3, 2013. This manual contains all contract guidelines that were formerly found in Information Letters (ILs), as well as relevant Texas Administrative Code references.
This manual supersedes any previous ILs or similar guidance published by DADS. The ILs retired as a result are listed below. DADS recommends that providers remove the ILs from their records to ensure they reference the most current information.
| Number | Title | Date |
|---|---|---|
| IL 2011-123 | Individuals Receiving Services through the Client Managed Personal Assistance Services Program who Receive Medicaid Services and Live in New Managed Care Service Areas Effective March 1, 2012 | 12/09/2011 |
| IL 2011-95 | Guidelines for Income Amounts Dedicated to Disability-Related Equipment – This is now found in 40 Texas Administrative Code, Chapter 44, §44.501(j)(7); adopted Oct. 1, 2013. | 8/19/2011 |
| IL 2008-179 | Effective Dec. 1, 2008 – Change in the Texas Administrative Code (TAC), Title 40, Chapter 44, CMPAS, Relating to the Co-payment Chart | 1/08/2009 |
| IL 2008-155 | Rates and Billing Procedure for Consumer Directed Services (CDS) in CMPAS | 12/03/2008 |
| IL 2004-12 | Repeal of Chapter 48, Subchapter E, Client Managed Attendant Services, and Adoption of Chapter 44, Client Managed Personal Attendant Services, Effective March 16, 2004 | 3/16/2004 |
| IL 2000-06 | Individual Client Cost Ceiling | 4/20/2000 |
| IL 1999-05 | Client Managed Attendant Services Cost Ceiling | 3/26/1999 |
If there are questions about the new CMPAS provider manual or any of the ILs that were retired, send an email to cmpas@dads.state.tx.us.
Appendix VI, List of Excluded Individuals Entities (LEIE)
Forms
Revisions
23-1, Section 2000 Copayment Schedule
Revision Notice 23-1; Effective May 2, 2023
The following change(s) were made:
| Section | Title | Change |
|---|---|---|
| 2000 | Copayment Schedule | Updates the amounts to reflect Social Security Cost of Living Adjustment (COLA) increase. |
22-1, Section 2000 Copayment Schedule
Revision Notice 22-1; Effective March 1, 2022
The following change(s) were made:
| Section | Title | Change |
|---|---|---|
| 2000 | Copayment Schedule | Updates the amounts to reflect Social Security Cost of Living Adjustment (COLA) increase. |
21-1, Section 2000 Copayment Schedule
Revision Notice 21-1; Effective March 5, 2021
The following change(s) were made:
| Section | Title | Change |
|---|---|---|
| 2000 | Copayment Schedule | Updates the amounts to reflect Social Security Cost of Living Adjustment (COLA) increase. |
20-1, Section 2000 Copayment Schedule
Revision Notice 20-1; Effective April 10, 2020
The following change(s) were made:
| Section | Title | Change |
|---|---|---|
| 2000 | Copayment Schedule | Updates the amounts to reflect Social Security Cost of Living Adjustment (COLA) increase. |
CMPAS-PM Contact Us
For questions about the Consumer Managed Personal Attendant Services Provider Manual, email cmpaspolicy@hhsc.state.tx.us
For technical or accessibility issues with this handbook, email: form.handbook.request@hhs.texas.gov