Programs and Services for Adults and Children with Medical/Physical Disabilities
For more information about the services listed below, click here to find your local Community Services Office. Not all services are offered in all areas.
Adult Foster Care (AFC)
Services such as assistance with personal care, activities of daily living and transportation provided in a 24-hour living arrangement with supervision for persons unable to independently function in their own homes.
Community Attendant Services (CAS)
Provides non-skilled, non-technical in-home attendant services to eligible individuals who have a medical condition resulting in a functional limitation in performing activities of daily living and whose income makes them ineligible for Primary Home Care (PHC).
Community Living Assistance and Support Services (CLASS)
Home and community-based services and supports, such as adaptive aids, dental treatment, minor home modifications, nursing, skilled and specialized therapies, behavioral support, respite, case management, support/continued family services and transition assistance services available to individuals diagnosed with a developmental disability classified as a related condition other than an intellectual disability as an alternative to institutional placement. Additional information can be obtained by calling 1-877-438-5658 (toll free).
Consumer Managed Personal Attendant Services (CMPAS)
Personal assistance services provided to persons with physical disabilities who can supervise their attendants or delegate the supervision. Services are available in the Lubbock, Dallas, Nacogdoches, Harris, Travis, Bexar and El Paso county areas and all of the lower 19 counties of south Texas.
Day Activity and Health Services (DAHS)
Structured program services designed to meet the needs of an adult by providing health, social and related services in a DAHS facility.
Deaf Blind with Multiple Disabilities (DBMD)
Home and community-based services for individuals diagnosed with deaf-blindness or a condition that leads to deaf-blindness, and an additional disability that results in an impairment in independent functioning. This program is an alternative to institutional care and offers services such as intervener, orientation and mobility, and assisted living. Additional information can be obtained by calling 1-877-438-5658 (toll free).
Emergency Response Services (ERS)
An electronic monitoring system for emergency assistance available for adults with functional impairments who spend significant time, at least 8 hours daily, alone or live with an incapacitated individual who could not call for help or otherwise assist in an emergency.
Family Care Services (FCS)
Non-skilled, non-technical attendant care services, such as home management or personal care services, available to individuals with functional limitations to assist with activities of daily living.
Home Delivered Meals (HDM)
Delivery of a nutritious meal to a person's home to ensure at least one healthy meal per day.
A program of palliative care consisting of medical, social and support services provided to individuals with a terminal illness and a physician's prognosis of six months or less to live.
Medically Dependent Children Program (MDCP)
Home and community-based services and supports to families caring for a medically dependent child in their home who is less than 21 years of age. These services may include adaptive aids, flexible family support services (such as those that support independent living, participation in child care and participation in post-secondary education), minor home modifications, respite, employment assistance, supported employment and transition assistance services.
Primary Home Care (PHC)
Provides non-skilled, personal care services for people with Medicaid whose chronic health problems impair their ability to perform activities of daily living.
Program of All-Inclusive Care for the Elderly (PACE)
Provides comprehensive community-based services and supports, including preventative, acute care and long-term services and supports. Services include adult day care services, inpatient and outpatient medical care, specialty services (e.g., dentistry, podiatry, physical therapy and occupational therapy), social services, in-home care, meals, transportation, day activity and housing assistance for individuals 55 or older as an alternative to nursing facility care. These services are currently available in the Amarillo, Lubbock and El Paso areas. Additional information about PACE can be obtained by calling 512-438-2013.
Residential Care (RC)
Access to 24-hour assistance, including personal care, home management and social and recreational services, for persons who do not require daily nursing intervention.>Click here to read more about RC.
Special Services to Persons with Disabilities (SSPD)
Services provided in a variety of settings designed to assist persons in developing the skills needed to live in the community as independently as possible. Services are available in the Dallas and Tyler areas.
Special Services to Persons with Disabilities/24-Hour Shared Attendant Care (SSPD-SAC)
Attendant care available 24 hours a day for persons living independently in a clustered living environment to achieve habilitative or rehabilitative goals. Services are only available in Houston.
Services for Adults Age 60+ and Caregivers
For more information about the services listed below, call 1-800-252-9240 and you will be routed to the area agency on aging (AAA) nearest you. Not all services are offered in all areas.
Access and Assistance Services
Access and assistance services are designed to provide access to information and assistance in identifying, supporting and meeting the needs of individuals who are older and their family caregivers. Access and assistance services include information, referral and assistance, care coordination, caregiver support and coordination, benefits counseling and awareness and advocacy for residents of long term care facilities through the Ombudsman program.
Caregiver Support Services
Caregiver support services are services for families to assist them in maintaining their caregiver roles. A caregiver is an adult family member or another individual who provides in-home and community care to an individual who is older or to an individual with Alzheimer's disease or a related disorder with neurological and organic brain dysfunction. Additionally, a grandparent or individual who is older who is a relative caregiver, who lives with the child, is the primary caregiver based on certain circumstances, and has a legal relationship to the child, or is raising the child informally, may be eligible for services when the child is 18 years of age or younger or has severe disabilities regardless of age. Services provided under this program include caregiver support coordination, caregiver information services, caregiver education and training, caregiver respite care-in-home, institutional and non-residential (such as the caregiver's day out program) support.
In-Home Support Services
In-home and community services are designed to assist individuals who are older in avoiding institutionalization, assist individuals who are older in long-term care institutions who are able to return to their communities and assist individuals who are older in living independently in a home environment. In-home and community services include homemaker and personal assistance services, chore maintenance, adult day care, residential repair, health screening, monitoring and maintenance, emergency response, instruction, training, transportation, hospice services and services provided in a senior center.
Nutrition programs are designed to reduce hunger and food insecurity, promote socialization of individuals who are older. Programs are also designed to promote the health and well-being of individuals who are older by assisting such individuals to gain access to nutrition and other disease prevention and health promotion services to delay the onset of adverse health conditions resulting from poor nutritional health or sedentary behavior. Nutrition programs provide meals and educational services to ensure individuals who are older have access to appropriate nutrition and] access to socialization. Services include congregate and home delivered meals, nutrition education and nutrition counseling.
Programs/Services for Adults and Children with an Intellectual and Developmental Disability (IDD)
Home and Community-based Services (HCS)
Services and supports available to individuals diagnosed with an intellectual disability or a related condition, who are living with their family, in their own home or in other community settings, such as small group homes. Services include residential assistance (host home/companion care, supervised living, residential support), adaptive aids, dental treatment, minor home modifications, professional therapies, behavioral support, nursing, day habilitation, employment assistance, supported employment and respite.
Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID)
24-hour residential and habilitation services provided in homes for groups ranging in size from six to more than 100 people. Click here to read more about ICF/ID.
IDD Community Services (Local Authority Services)
Services and supports, such as day habilitation, community support and respite provided to assist persons to live in the community.
State Supported Living Center (SSLC)
State-operated centers that provide 24-hour residential and habilitation services for people with a severe or profound intellectual disability, or those people with an intellectual disability who are medically fragile or have behavioral problems.
Texas Home Living Program (TxHmL)
Services and supports available to individuals diagnosed with an intellectual disability or a related condition, who live in their family homes or their own homes. Services include adaptive aids, dental treatment, minor home modifications, professional therapies, behavioral support, nursing, day habilitation, employment assistance, supported employment and respite.
Assistance available to individuals living in a nursing facility to transition back to their own homes or community setting. For more information, click here to find your DADS local office.
Texas Health Steps
Available through the Texas Department of State Health Services, this program provides periodic preventive medical checkups, diagnosis and treatment, including the activities that promote and support preventive health care, for Medicaid enrolled children through age 20. An expanded portion of the Texas Health Steps program, called the Comprehensive Care Program, includes treatment in freestanding psychiatric hospitals, developmental speech therapy, developmental occupational therapy, augmentative communication devises/systems and private duty nursing. For more information, call 1-877-847-8377.
STAR+PLUS Waiver Program
A Texas Medicaid program administered by the Health and Human Services Commission that provides services through a managed care system. STAR+PLUS serves specific areas of the state and provides an alternative to nursing facility placement. Covered services include doctor and hospital visits, prescription medication, adult day services, foster care, assisted living, personal attendant services (meal preparation, bathing, dressing, toileting, household chores, etc.), nursing services, therapies, medical supplies and minor home modifications.
Community First Choice
A state plan Medicaid entitlement program available to individuals who meet an institutional level of care (i.e., nursing facility, ICF/IID, hospital or Institution for Mental Disease) that provides personal assistance services, habilitation, emergency response services, support management, financial management services and support management to eligible individuals.