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.

NumberTitleDate
IL 2011-123Individuals 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, 201212/09/2011
IL 2011-95Guidelines 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 2008-179Effective Dec. 1, 2008 – Change in the Texas Administrative Code (TAC), Title 40, Chapter 44, CMPAS, Relating to the Co-payment Chart1/08/2009
IL 2008-155Rates and Billing Procedure for Consumer Directed Services (CDS) in CMPAS12/03/2008
IL 2004-12Repeal of Chapter 48, Subchapter E, Client Managed Attendant Services, and Adoption of Chapter 44, Client Managed Personal Attendant Services, Effective March 16, 20043/16/2004
IL 2000-06Individual Client Cost Ceiling4/20/2000
IL 1999-05Client Managed Attendant Services Cost Ceiling3/26/1999

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.