Texas Home and Community-Based Supports and Services

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Disability Rights Texas Handout

Last updated: 4/7/2017
Publication Code: n/a

Texas Home and Community-Based Supports

This handout is available in Braille and/or on audio tape upon request.

COMMUNITY LIVING AND ASSISTANCE AND SUPPORT SERVICES (CLASS)

CLASS provides home- and community-based services to people with related conditions as a cost- effective alternative to placement in an intermediate care facility for individuals with an intellectual disability or a related condition (ICF/IID). A related condition is a disability, other than an intellectual disability, that originated before age 22 and that affects a person’s ability to function in daily life.

Note: This service may not be available right away. Your name may be placed on an interest list. You will be contacted when services are available. If you are a current nursing facility resident and want to transition to the community using CLASS services, you will not have to be placed on an interest list.

A. What services are available?
  • Adaptive aids and medical supplies
  • Behavioral support services
  • Case management
  • Cognitive rehabilitative therapy
  • Continued Family Services
  • Dental and dental sedation
  • Employment assistance
  • Habilitation
  • Minor home modifications
  • Nursing
  • Occupational therapy
  • Physical therapy
  • Pre-vocational habilitation
  • Respite care
  • Specialized therapies
  • (auditory enhancement/auditory integration training, dietary, therapeutic horseback riding, and massage, recreational, music, aquatic and hippo therapies)
  • Speech and language pathology
  • Supported employment
  • Support Family Services
  • Transition Assistance Services

In the CLASS program, the Consumer Directed Services (CDS) option is available to individuals who choose to self-direct one or more of the following program services:

  • Habilitation
  • Cognitive rehabilitative therapy
  • Employment assistance
  • Nursing services
  • Occupational therapy
  • Physical therapy
  • Respite care
  • Speech and language pathology
  • Support consultation
  • Supported employment
  • Transition Assistance Services

When individuals select the CDS option, they are required to use Financial Management Services (FMS) and may access support consultation at https://hhs.texas.gov/laws-regulations/handbooks/community-living-assistance-support-services-provider-manual/class-pm-section-4000-consumer-directed-services-cds.

B. Who can get services?
  • You must be diagnosed with a related condition that manifested before age 22.
  • You must be eligible for Medicaid in the community and not be enrolled in another Medicaid waiver program.
  • You must meet level of care criteria for placement in an ICF/IID.
  • You must need habilitation and case management services.
  • You must live in your own or your family’s home.
  • Your income and resources may not exceed specified limits.
  • You cannot be enrolled in another waiver program.
C. How do I apply for services?

Call toll-free to 1-877-438-5658. Please be prepared to provide Social Security and Medicaid numbers, type of disability, age of the onset of the disability, date of birth, address and telephone number of the person needing services.

II. HOME AND COMMUNITY-BASED SERVICES (HCS)

Note: This service may not be available right away. Your name may be placed on an interest list. You will be contacted when services are available. Certain individuals transitioning from or at risk of entering an institution may qualify for transition or diversion services without waiting.

The Home and Community-based Services (HCS) program provides individualized services and supports to people with intellectual disabilities who are living with their families, in their own homes or in other community settings, such as small group homes where no more than four people live. The local authority provides service coordination.

A. What services are provided?
  • Adaptive aids
  • Audiology
  • Behavioral support services
  • Cognitive rehabilitation therapy
  • Day habilitation
  • Dietary
  • Dental treatment
  • Employment assistance
  • Minor home modifications
  • Nursing
  • Occupational therapy
  • Physical therapy
  • Residential assistance
  • Respite
  • Speech and language pathology
  • Supported employment
  • Transition Assistance Service

In the HCS program, the Consumer Directed Services (CDS) option is available only to those who live in their own home or family home. Individuals who receive foster/companion care, Residential Support or Supervised Living are not eligible to use the CDS option.

The HCS services currently available for self-direction are:

  • Supported Home Living (SHL)
  • Employment Assistance
  • Nursing
  • Supported Employment
  • Cognitive Rehabilitation Therapy
  • Respite

When individuals select the CDS option, they are required to use Financial Management Services (FMS) and may access support consultation. https://hhs.texas.gov/laws-regulations/handbooks/home-community-based-services-handbook/section-13000-consumer-directed-services.

B. Who can get services?
  • You can of be any age.
  • You must qualify for care in an intermediate care facility for individuals with an intellectual disability or related conditions (ICF/IID).
  • You must have:
    • a determination of an intellectual disability in accordance with state law,
    • have a diagnosis of a related condition with an IQ of 75 or below, or
    • be an individual with a related condition who meets medical necessity for a nursing facility level of care, have a moderate to extreme deficit in adaptive behavior, and may or may not have an intellectual disability.
  • You cannot be enrolled in another waiver program.
  • Your income and resources may not exceed specified limitations.
C. How do I apply for services?

Contact your Local Intellectual and Developmental Disabilities Authority (LIDDA) https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/local-idd-authority-lidda

III. TEXAS HOME LIVING

The Texas Home Living (TxHmL) program provides selected essential services and supports to people with an intellectual disability or a related condition who live in their own home or their family’s home.

A. What services are available?
  • Adaptive aids
  • Audiology
  • Behavioral support services
  • Community support services
  • Day habilitation
  • Dental treatment
  • Dietary
  • Employment assistance
  • Minor home modifications
  • Nursing
  • Occupational therapy
  • Physical therapy
  • Respite
  • Speech and language pathology
  • Supported employment

In the TxHmL program, the Consumer Directed Services (CDS) option is available for all services.

B. Who can get services?
  • There is no age limit.
  • You must be determined eligible for Medicaid services before enrolling in the program.
  • You must meet specified functional criteria, including having a determination of an intellectual disability made in accordance with state law or having been diagnosed by a physician as having a related condition with an IQ of 75 or below.
  • You must live in your own home or your family’s home.
  • You cannot be enrolled in another Medicaid waiver program.
  • Your income and resources may not exceed specified limits.
C. How do I apply for services?

Contact your Local Intellectual and Developmental Disabilities Authority (LIDDA) https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/local-idd-authority-lidda

IV. DEAF BLIND WITH MULTIPLE DISABILITIES (DBMD)

Note: This service may not be available right away. Your name may be placed on an interest list. You will be contacted when services are available. If you are a Texas nursing facility resident you may qualify with our being on an interest list.

The Deaf Blind with Multiple Disabilities (DBMD) program provides home and community- based services to people who are deaf blind and have another disability. This is a cost-effective alternative to an intermediate care facility for individuals with an intellectual disability or related conditions (ICF/IID). The DBMD program focuses on increasing opportunities for consumers to communicate and interact with their environment.

A. What services are provided?
  • Adaptive aids and medical supplies
  • Assisted living (licensed up to six beds)
  • Audiology
  • Behavior support services
  • Case management
  • Chore provider
  • Day habilitation
  • Dental treatment
  • Dietary services
  • Employment assistance
  • Environmental accessibility
  • Intervener
  • Minor home modification
  • Nursing services
  • Occupational therapy
  • Orientation and mobility
  • Physical therapy
  • Residential habilitation
  • Respite
  • Speech, hearing and language therapy
  • Support consultation
  • Supported employment
  • Transition assistance services

You can access the following services through the consumer-directed option:

  • Residential habilitation
  • Employment assistance
  • Intervener
  • Respite
  • Supported employment
B. Who can get services?
  • You must have a diagnosis of deafblindness (or a related condition that will result in deafblindness) as well as another disability resulting in a demonstrated need for one or more service on a monthly basis.
  • Your related condition must have manifested before age 22.
  • You must meet level of care criteria for placement in an ICF/IID.
  • Your income and resources may not exceed specified limits.
  • You cannot be enrolled in another waiver program.
C. Where can I get services?

The program is available statewide.

D. How do I apply for services?

Call 1-877-438-5658 and ask for the DBMD program. Please be prepared to provide the Social Security and Medicaid numbers, type of disability, age of the onset of the disability, date of birth, and address and telephone number of the person who needs services.

V. MEDICALLY DEPENDENT CHILDREN PROGRAM (MDCP)

Note: This service may not be available right away. Your name may be placed on an interest list. You will be contacted when services are available. If you are a nursing facility resident, you may qualify without going on an interest list. If you are medically fragile and qualify for a short term nursing facility stay, you may qualify without going on an interest list.

The Medically Dependent Children Program (MDCP) provides services to support families caring for children who are medically dependent and encourages the transition of children in nursing homes back to the community.

A. What services are provided?
  • Adaptive aids
  • Employment assistance
  • Flexible family support services — individualized and disability-related services, including personal care supports for basic activities of daily living (ADL), instrumental ADL, skilled care and delegated care supports, to:
    • assist a child to participate in child care;
    • assist a person to participate in post-secondary education; or
    • increase a person’s independence.
  • Minor home modifications
  • Financial management services
  • Respite
  • Supported employment
  • Transition assistance services

The MDCP services currently available for consumer- direction are:

  • Employment Assistance
  • Flexible Family Support
  • Supported Employment
  • Respite

When individuals select the CDS option, they are required to use Financial Management Services (FMS) and may access support consultation.

B. Who can get services?
  • You must be under 21. If under 18, you must live with an adult family member (such as a parent, guardian or sibling) or with a foster family that includes no more than four children unrelated to you.
  • You must be a U.S. citizen or an alien with approved status who lives in Texas.
  • You must meet Medicaid eligibility guidelines including:
    • be a low-income family with children, as provided in 1931 of the Social Security Act;
    • be receiving Supplemental Security Income;
    • be eligible for Medical Assistance Only; or
    • meet eligibility for all other mandatory and optional Temporary Assistance for Needy Families criteria in the Texas Medicaid State Plan.
  • You must meet the medical necessity determination for nursing home care.
  • You cannot be enrolled in another waiver program.
C. How do I apply for services?

Call 1-877-438-5658 to get on the interest list.

VI STAR+PLUS WAIVER

STAR+PLUS is a Texas Medicaid managed care program for people who have disabilities or are age 65 or older. People in STAR+PLUS get Medicaid healthcare and home and community based services and supports through a managed care organization’s health plan that they choose in their service deliver area.

Long-term services and support includes things like:

  • Help in your home with basic daily activities.
  • Help in making changes to your home so you can safely move around.
  • Short-term care to provide a break for caregivers.
  • Help with things that need to get done.

Another feature of STAR+PLUS is service coordination. A STAR+PLUS staff member works with the member, the member’s family and the member’s doctors and other providers to help the member get the medical and long-term services and support they need.

A. Who can get services?

To get services through STAR+PLUS you must:

(1) be approved for Medicaid, (2) live in a STAR+PLUS service area, and (3) be one or more of the following:

  • Age 21 or older, getting Supplemental Security Income (SSI) benefits, and able to get Medicaid due to low income.
  • Not getting SSI and able to get STAR+PLUS Home and Community-Based Waiver Services.
  • Age 21 or older, getting Medicaid through what are called “Social Security Exclusion programs” and meet program rules for income and asset levels.

The following people can’t be in the STAR+PLUS Waiver program:

  • People who get other Medicaid 1915(c) waiver.
  • Those who live in facilities for people with Intellectual Developmental Disabilities (IDD).
  • People who are not able to get full Medicaid benefits, such as Frail Elderly program members, Qualified Medicare Beneficiaries, Specified Low-Income Medicare Beneficiaries, Qualified Disabled Working Individuals and illegal immigrants.
  • People who aren’t able to get Medicaid.
  • Children in state foster care.

Important notes for those covered by Medicare:

  • You can get STAR+PLUS even if you get Medicare.
  • If you are covered by both Medicare and Medicaid (also known as “dual eligible”) and you join STAR+PLUS, you will keep getting regular health-care services through your Medicare STAR+PLUS does not change the way you get Medicare services.

B. What services are provided?

The following is an overview of the services STAR+PLUS offers. Medicaid managed care plans must have a service coordinator visit with the member within 30 days of enrolling in the program. The coordinator must find out the member’s needs and develop a plan of care.

Long-term services and supports can include:

  • Day Activity and Health Services (DAHS)
  • Primary Home Care (PHC)

Other services under the STAR+PLUS Home and Community-Based Services Waiver include:

  • Personal assistance services, including protective supervision
  • Adaptive aids
  • Adult foster care
  • Assisted living
  • Cognitive Rehabilitation Therapy
  • Dental
  • Emergency Response Services
  • Employment Assistance
  • Home delivered meals
  • Medical supplies
  • Minor home modifications
  • Nursing
  • Respite
  • Unlimited Prescriptions
  • Professional Therapies (occupational, physical, and speech-language)
  • Transitional assistance services

The Star + Plus services currently available for consumer-direction are:

  • Employment Assistance
  • Cognitive Rehabilitation Therapy
  • Nursing
  • Personal Assistance Services
  • Professional Therapies (occupational, speech, physical therapy)
  • Supported Employment
  • Respite
C. How do I apply for services?

Call 1-877-438-5658 and ask for the Star + Plus Waiver program.

VII. COMMUNITY FIRST CHOICE

A. What is Community First Choice?

Community First Choice (CFC) provides certain services and supports to individuals living in the community who are enrolled in the Medicaid program and meet CFC eligibility requirements. Services and supports may include:

  • activities of daily living (eating, toileting, and grooming), activities related to living independently in the community, and health-related tasks (personal assistance services);
  • acquisition, maintenance, and enhancement of skills necessary for the individuals to care for themselves and to live independently in the community (habilitation);
  • providing a backup system or ways to ensure continuity of services and supports (emergency response services); and
  • training people how to select, manage and dismiss their own attendants (support management).

In Texas, CFC may be available to people enrolled in Medicaid, including those served by:

  • 1915 (c) waiver programs such as CLASS, TxHmL, DBMD, MDCP, HCS and Star+Plus;
  • Medicaid managed care; and
  • personal care services for children.

Individuals may use the Consumer Directed Services (CDS) option for certain CFC services.

CFC as a state plan Medicaid service is available to individuals with a need for habilitation, personal assistance or emergency response services who receive services in the following HHS Medicaid waiver programs:

  • Community Living Assistance and Support Services (CLASS);
  • Deaf Blind with Multiple Disabilities (DBMD);
  • Certain individuals in Star+Plus waiver,
  • Home and Community-based Services (HCS); and
  • Texas Home Living (TxHmL).

CFC is also available through managed care organizations for individuals who meet eligibility criteria. Information about https://hhs.texas.gov/services/health/medicaid-chip/programs/community-first-choice

B. Who can get Community First Choice services?

To be eligible for Community First Choice services an individual must:

  • Be eligible for Medicaid.
  • Need help with activities of daily living, such as dressing, bathing and eating.
  • Need an institutional level of care.
C. Community First Choice Services

Community First Choice Services include:

  • Help with activities of daily living and health- related tasks through hands-on assistance, supervision or cueing.
  • Services to help the individual learn how to care for themselves.
  • Backup systems or ways to ensure continuity of services and supports.
  • Training on how to select, manage and dismiss attendants.
D. Texas began the Community First Choice program on June 1, 2015. This means:
  • Individuals on a 1915(c) waiver interest list who meet eligibility and coverage requirements may be eligible to get Community First Choice services.
  • Individuals already getting services through a 1915(c) waiver will continue to get those services as they do today from their existing providers.

VIII. COMMUNITY ATTENDANT SERVICES

Community Attendant Services (CAS) is a non-technical, non-skilled service providing in-home attendant services to people who need help with personal care tasks. CAS is available to eligible adults and children whose health problems cause them to be functionally limited in performing activities of daily living.

A. What services are provided?
  • Escort: Accompanying a person to a medical This service does not include direct transportation by an attendant.
  • Home management: Help with housekeeping activities to support the person’s health and safety, including cleaning, laundry, shopping and other household tasks.
  • Personal care: Help with activities related to physical health, including bathing, dressing, grooming, routine hair and skin care, preparing meals, feeding, exercising, helping with self- administered medication, toileting, and transferring/ambulating.
B. Who can get services?
  • You can be of any age.
  • You must be functionally limited in performing at least one personal care task, based on your medical condition.
  • You must have a practitioner’s statement of medical need.
  • You must have an unmet need for home management and personal care.
  • Your income and resources may not exceed specified limits.
  • You must not be Medicaid eligible.
C. How do I apply for services?

Contact your local Texas Health and Human Services (HHS) office. 855-937-2372

IX. PRIMARY HOME CARE

Primary Home Care (PHC) provides non-technical, non-skilled, in-home attendant services to people who have an approved medical need for assistance with personal care tasks. PHC is available to eligible people whose health problems cause them to be functionally limited in performing activities of daily living according to a practitioner’s statement of medical need. Attendants provide PHC services.

A. What services are provided?
  • Escorting a person to medical appointments for diagnosis and/or treatment.
  • Home management to help with housekeeping activities that support the person’s health and safety.
  • Personal care related to the care of the person’s physical health.
B. Who can get services?
  • You must be 21 or older
  • You must have an unmet need for help with home management and personal care tasks.
  • You must have a practitioner’s statement of medical need.
  • You must be eligible for Medicaid.
  • You must meet a specified functional assessment score and have a functional limitation with at least one personal care task based on your medical condition.
C. How do I apply for services?

Contact your local Texas Health and Human Services (HHS) office. 855-937-2372

X. CONSUMER MANAGED PERSONAL ATTENDANT SERVICES

Under the Consumer Managed Personal Attendant Services (CMPAS) program, the Texas Health and Human Services Commission (HHSC) contracts with licensed agencies to provide personal assistance services to people with physical disabilities who are mentally and emotionally competent and willing to supervise their own attendant or who have someone who can supervise the attendant for them.

Licensed personal assistance services agencies determine eligibility and the amount of care needed, develop a pool of potential personal assistants, and provide emergency back-up personal assistants.

A. What services are provided?
  • Health-related tasks prescribed by a physician.
  • Personal assistance, as needed, by personal attendants selected and supervised by the person getting services.
B. Who can get services?
  • You must be 18 or older.
  • You must need help with at least one personal care
  • You must be able to direct your own task.
  • Your doctor must verify you have a current medical need for help with personal care tasks and other activities of daily
  • You have a copay after $2,199.00 of income.
  • There are no resource limits.
C. How do I apply for services?

Contact your local Texas Health and Human Services (HHS) office. 855-937-2372

D. Where can I get services?

Services are available in these counties.

  • Region 1: Lubbock, Potter and Randall
  • Region 3: Collin, Dallas, Denton, Ellis, Hood, Johnson, Kaufman, Parker, Rockwall, Tarrant and Wise
  • Region 5: Angelina, Hardin, Houston, Jasper, Jefferson, Nacogdoches, Newton, Orange, Polk, Sabine, San Augustine, San Jacinto, Shelby, Trinity and Tyler
  • Region 6: Fort Bend, Harris, Montgomery and Wharton
  • Region 7: TravisRegion 8: Atascosa, Bexar, Comal, Guadalupe, Kendall, Medina and Wilson
  • Region 10: El Paso
  • Region 11: Aransas, Bee, Brooks, Cameron, Duval, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, Live Oak, McMullen, Nueces, Refugio San Patricio, Starr, Webb, Willacy and Zapata

XI. FAMILY CARE

Family Care is a non-skilled, non-technical attendant care service available to eligible adults who are functionally limited in performing activities of daily living. Services are provided by an attendant and do not require the supervision of a registered nurse.

A. What services are provided?
  • Escort: Accompanying a person to a medical This service does not include direct transportation by an attendant.
  • Home management: Help with housekeeping activities to support the person’s health and safety, including cleaning, laundry, shopping and other household tasks.
  • Personal care: Help with activities related to physical health, including bathing, dressing, grooming, routine hair and skin care, preparing meals, feeding, exercising, helping with self- administered medication, toileting, and transferring/ambulating.
B. Who can get services?
  • You must be 18 or older.
  • You must have an unmet need for home management and/or personal care tasks.
  • Your income and resources may not exceed specified limits.
  • You must meet a specified functional assessment score.
C. How do I apply for services?

Contact your local Texas Health and Human Services (HHS) office. 855-937-2372

XII. HOME-DELIVERED MEALS

The Home Delivered Meals program provides a nutritious meal delivered to the person’s home to ensure he or she gets at least one healthy meal per day.

A. Who can get services?
  • You must be 18 or older.
  • You must be functionally limited in preparing meals.
  • You must meett a specified functional assessment score.
B. How do I apply for services?

Contact your local Texas Health and Human Services (HHS) office. 855-937-2372

XIII. DAY ACTIVITY AND HEALTH SERVICES

Licensed day activity and health services (DAHS) facilities provide daytime services to people who live in the community as an alternative to living in a nursing home or other Services, which usually are provided Monday through Friday, address physical, mental, medical and social needs. Sometimes, this is called adult day care or adult day services.

A. What services are provided?
  • Noon meal and snacks
  • Nursing and personal care
  • Physical rehabilitation
  • Social, educational and recreational activities
  • Transportation
B. Who can get services?
  • You must be at least 18.
  • You must have a functional disability related to medical diagnosis.
  • You must have a medical diagnosis and physician’s order requiring care or supervision.
  • You must need help with one or more personal care tasks.
  • You must meet these eligibility criteria:
    • you must be a Medicaid recipient to get Title XIX services; and
    • your income and resources may not exceed specified limits to get Title XX services.
C. How do I apply for services?

Contact your local Texas Health and Human Services (HHS) office. 855-937-2372

XIV. IN-HOME AND FAMILY SUPPORT

The In-Home and Family Support program provides direct grant benefits to people with physical disabilities and/or their families to choose and purchase services that help them to remain living in their own homes.

A. What services are provided?

  • Access to counseling and training programs to help people provide proper care to a person with a disability.
  • Attendant care, home health services, home health aide services, homemaker services, chore services to provide instruction/training and assistance with routine body functions, dressing, preparing and consuming food, and ambulating.
  • Medical, surgical, therapeutic, diagnostic and other health services related to a person’s disability, which may include medications not covered by Medicare or Medicaid.
  • Other disability related services pre-approved by the Texas Department of Aging and Disability Services.
  • Pre-approved transportation as well as room and board cost incurred by a person with a physical disability or his or her family during evaluation or treatment.
  • Purchase or lease of special equipment or architectural modifications of a home to facilitate care, treatment therapy or general living conditions of a person with a disability.
  • Respite care.
B. Who can get services?
  • You must be 4 or older.
  • You must have a physical disability substantially limiting one or more major life activities.
  • A copayment begins at 105 percent of the state median income for household size.
C. How do I apply for services?

Contact your local Texas Health and Human Services (HHS) office. 855-937-2372

XV. PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY

The Program of All-Inclusive Care for the Elderly (PACE) provides community-based services to people who are frail and elderly who qualify for nursing home placement. PACE uses a comprehensive care approach, providing an array of services that costs less than comparable nursing home care.

A. What services are provided?

All necessary health-related services, including in-patient and outpatient medical care, specialty services like dentistry and podiatry, social services, in- home care, meals, transportation and day activity.

B. Who can get services?
  • You must be 55 or older.
  • You must qualify for a nursing facility level of care.
  • Your income and resources may not exceed specified lmits.
C. Availability

PACE is available only in the ZIP Codes listed below.

  • Amarillo/Canyon: 79015, 79101, 79102, 79103, 79104, 79106, 79107, 79108, 79109, 79110, 79111, 79118, 79119, 79121 and 79124
  • El Paso: 79901, 79902, 79903, 79904, 79905, 79907, 79915, 79924, 79925, 79930, 79935 and 79936
  • Lubbock: 79401, 79402, 79403, 79404, 79405, 79406, 79407, 79408, 79409,79410, 79411, 79412, 79413, 79414, 79415, 79416, 79423, 79424, 79430, 79452, 79453, 79454, 79464, 79490, 79491, 79493 and 79499
D. How do I apply for services?

Contact the local PACE organization:

  • If you live in El Paso, call: Bienvivir All-Inclusive Senior Health at 1-915-562-3444.
  • If you live in Amarillo, call: The Basics at Jan Werner at 1-806-374-5516.
  • If you live in Lubbock, call: Silver Star Health Network at 1-806-740-1500.

XVI. ADULT FOSTER CARE

Adult Foster Care (AFC) provides a supervised, 24-hour living arrangement in an adult foster home for people who are unable to continue living independently in their own homes because of a physical, mental or emotional limitation.

AFC providers and residents live in the same household and share a common living area. With the exception of family members, no more than three adults may live in the foster home unless the home is licensed as a Type C Assisted Living Facility or as a Type A Small Group Home. The person receiving services pays the provider for room and board.

A. What services are provided?
  • Help with personal care tasks
  • Help with activities of daily living
  • Help preparing meals
  • Help providing or arranging for transportation
B. Who can get services?
  • You must be 18 or older.
  • You must meet a specified functional assessment score.
  • You may be a Medicaid recipient or have resources not exceeding specified limits.
C. How do I apply for services?

Contact your local Texas Health and Human Services (HHS) office. 855-937-2372

XVII. DAY ACTIVITY AND HEALTH SERVICES

Licensed day activity and health services (DAHS) facilities provide daytime services to people who live in the community as an alternative to living in a nursing home or other institution. Services, which usually are provided Monday through Friday, address physical, mental, medical and social needs. Sometimes, this is called adult day care or adult day services.

A. What services are provided?
  • Noon meal and snacks
  • Nursing and personal care
  • Physical rehabilitation
  • Social, educational and recreational activities
  • Transportation
B. Who can get services?
  • You must be at least 18.
  • You must have a functional disability related to medical diagnosis.
  • You must have a medical diagnosis and physician’s order requiring care or supervision.
  • You must need help with one or more personal care tasks.
  • You must meet these eligibility criteria:
    • you must be a Medicaid recipient to get Title XIX services; and
    • your income and resources may not exceed specified limits to get Title XX services.
C. How do I apply for services?

Contact your local Texas Health and Human Services (HHS) office. 855-937-2372

XVIII. PRE-ADMISSION SCREENING AND RESIDENT REVIEW (PASRR)

All people who are planning to move to a partially federally funded nursing facility and who are suspected of having a mental illness, or a diagnosis of an intellectual disability or a related condition must receive a Pre-admission Screening and Resident Review (PASSR) screening. This includes private pay individuals.

People are assessed to see if they need specialized services. People who are not satisfied with their PASRR determination have the right to a fair hearing to appeal the determination.

A. What services are provided?
  • Alternate placement services
  • Customized manual wheelchairs and specialized durable medical equipment
  • Determination of intellectual disability
  • Rehabilitative/maintenance therapies
  • Service coordination by the local authority or local mental health authority
  • Vocational training

XIX. AREA AGENCIES ON AGING

The 28 local area agencies on aging (AAA) contract with the Texas Health and Human Services (HHC) to help people 60 and older and their caregivers find the information they need to locate and access community services.

A. What services are provided?
  • Benefits counseling/legal assistance
  • Care coordination
  • Information, referral and assistance
  • Legal awareness
  • Ombudsman Program
B. Who can get services?

You must be 60 or older, with priority for services given to:

  • People with low incomes
  • People who live in rural areas
  • People with limited English proficiency
  • People with Alzheimer’s disease and related disorders
  • People at risk of being placed in a long-term care facility

Family members and/or other caregivers who are younger than 60 may receive support services on behalf of the person for whom they provide care.

C. How do I apply for services?

Contact your AAA by calling 855-937-2372

XX. AREA AGENCIES ON AGING TRANSPORTATION

A. Assisted Transportation

Assistance and transportation, including escort, is provided to people who are older and have difficulty, whether physical or cognitive, using regular transportation. Each “trip” includes the following:

  • Helping prepare for the trip
  • Helping the person get in the vehicle at his or her home and out of the vehicle at the destination (such as a medical office)
  • Staying with the person at their destination
B. Transportation

This service involves taking a person who is older from one location to another, but does not include any other activity. There are two types of transportation services:

  • Demand/response takes people from a specific origin to a specific destination upon People usually have to request this service 24-48 hours before the planned trip.
  • Fixed route transportation operates in a predetermined route with permanent transit stops, which are clearly marked with route numbers and departure The person who is older does not reserve a ride; he or she simply goes to the designated location at the designated time.
C. How do I apply for services?

Contact your AAA by calling 855-937-2372


Disability Rights Texas logo

www.DRTx.org
Intake: 1-800-252-9108
Main Line: 512-454-4816

Disclaimer: Disability Rights Texas strives to update its materials on an annual basis, and this handout is based upon the law at the time it was written. The law changes frequently and is subject to various interpretations by different courts. Future changes in the law may make some information in this handout inaccurate.

The handout is not intended to and does not replace an attorney’s advice or assistance based on your particular situation.