Texas

Texas currently has six Medicaid waivers that can serve children, and all of them are home and community based 1915(c) waivers. Five of these six waivers are based only on child income without regard to parent income. For a general overview of available services, see this list. This document compares the various programs.

Texas has shifted children in most waiver programs into managed care. In addition, Texas began implementing the Community First Choice Option in 2015, which means it can no longer have waiting lists for attendant care for children who qualify for Medicaid. However, it appears that only children and adults who are financially eligible for Medicaid by family income will be able to access this benefit.

Texas also has an adult-only waiver program, Community Based Alternatives.

Texas Advocacy Organizations:

Programs in Texas

MEDICALLY DEPENDENT CHILDREN PROGRAM (MDCP)
  • Target Population: Children who are medically fragile or technology dependent.
  • Ages: 0-20
  • Levels of Care: Nursing Facility; Hospital
  • Income Waiver: The waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 6831
  • Expiration Date: 8/31/2022
  • Description from medicaid.gov: Provides respite, supported employment, financial management services, adaptive aids, employment assistance, flexible family support services, minor home modifications, transition assistance services for medically fragile individuals ages 0 – 20.
  • Online State Information: Medically Dependent Children Program
  • Official Federal Information
  • How to Apply: Call 1-877-438-5658.
  • Waiting List: There are 186,627 people with developmental disabilities and 17,923 children on Texas' waiting list.
  • Advocacy/Support Group: Protect TX Fragile Kids
DEAF BLIND WITH MULTIPLE DISABILITIES
  • Target Population: Children and adults who are both deaf and blind and have multiple disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: The waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 163
  • Expiration Date: 2/28/2018
  • Description from medicaid.gov: Provides case management, day habilitation, residential habilitation, respite, supported employment, prescribed drugs, FMS, support consultation, adaptive aids and medical supplies, assisted living, audiology, behavioral support, chore, dental treatment, dietary, employment assistance, intervener, minor home mods, nursing, OT, orientation and mobility, PT, speech/hearing/language therapy, transition assistance for individuals with DD, ages 0 - no max age.
  • Online State Information: Deaf Blind with Multiple Disabilities Program
  • Official Federal Information
  • How to Apply: Call 877-438-5658 or contact your local office.
  • Waiting List: There are 186,627 people with developmental disabilities and 17,923 children on Texas' waiting list.
COMMUNITY LIVING ASSISTANCE & SUPPORT SERVICES (CLASS)
  • Target Population: Children and adults who have developmental disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: The waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 5253
  • Expiration Date: 8/31/2019
  • Description from medicaid.gov: Provides adult day health, case management, prevocational, residential hab, respite, supported employment, adaptive aids/medical supplies, dental, OT, PT, prescriptions, skilled nursing, speech/hearing/language, FMS, support consultation, behavioral support, continued family services, minor home mods, specialized therapies, support family services, for persons with DD, ages 0 - no max age.
  • Online State Information: CLASS Program
  • Official Federal Information
  • How to Apply: Call 877-438-5658 or contact your local office.
  • Waiting List: There are 186,627 people with developmental disabilities and 17,923 children on Texas' waiting list.
HOME LIVING PROGRAM (TXHML)
  • Target Population: Children and adults with developmental or intellectual disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: none
  • Waiver Type: 1915(c)
  • Spots: 6540
  • Expiration Date: 2/28/2022
  • Description from medicaid.gov: Provides day habilitation, respite, supported employment, prescription medications, financial management services, support consultation, adaptive aids, audiology services, behavioral support, community support, dental treatment, dietary services, employment assistance, minor home modifications, nursing, occupational therapy services, physical therapy services, speech-language pathology individuals with ID/DD, ages 0 - no max age.
  • Online State Information: Home Living Program
  • Official Federal Information
  • How to Apply: Call 877-438-5658 or contact your local office.
  • Waiting List: There are 186,627 people with developmental disabilities and 17,923 children on Texas' waiting list.
HCBS PROGRAM
  • Target Population: Children and adults who have developmental or intellectual disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: The waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 22,659
  • Expiration Date: 8/31/2018
  • Description from medicaid.gov: Provides day habilitation, respite, supported employment, adaptive aids, audiology, OT, PT, prescribed drugs, speech/language pathology, FMS, support consultation, behavioral support, cognitive rehab therapy, dental treatment, dietary services, employment assistance, minor home mods, nursing, residential assistance (host home/companion care/supervised living, residential support), social work, supported home living, transition assistance for individuals with ID/DD, ages 0 - no max age.
  • Online State Information: Home and Community Based Services
  • Official Federal Information
  • How to Apply: Contact your local office.
  • Waiting List: There are 186,627 people with developmental disabilities and 17,923 children on Texas' waiting list.
YOUTH EMPOWERMENT SERVICES (YES)
  • Target Population: Children who have serious emotional disturbance.
  • Ages: 0-18
  • Levels of Care: Hospital
  • Income Waiver: The waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 800
  • Expiration Date: 3/31/2018
  • Description from medicaid.gov: Provides respite, adaptive aids and supports, community living supports, family supports, minor home mods, non-medical transportation, paraprofessional services, specialized therapies, supportive family-based alternatives, transitional services for individuals with SED, ages 3-18.
  • Online State Information: Youth Empowerment Services
  • Official Federal Information
  • How to Apply: Contact your County Local Mental Health Authority.
  • Waiting List: There are 186,627 people with developmental disabilities and 17,923 children on Texas' waiting list.
OTHER PROGRAMS