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Specific Medicaid Waiver Information

Specific Medicaid Waiver Information

Texas Home Living (TxHL)
http://www.dads.state.tx.us/providers/TxHmL/index.cfm

• Serves children and adults with mental retardation.
To be served, this wavier requires the FAMILY to meet income minimums and the person must have an IQ of less than 70.  There are additional eligibility requirements, so please check the fact sheet at the link above.

The TxHL waiver was the first Texas Medicaid waiver to allow board certified behavior analysts (BCBAs) as approved providers for behavior support services, but the dollar caps are the lowest of all the waivers. For information contact your local Mental Health/Mental Retardation center.  To find the center nearest you call (512) 794-9268, or go to the web directory at
http://www.dads.state.tx.us/services/contact.cfm

Home and Community Services (HCS) Waiver Program http://www.dads.state.tx.us/providers/HCS/index.cfm
Special Population Served:
Those with an IQ under 70 OR, if the person has a diagnosis of autism, an IQ under 75.  IQ restrictions are strictly enforced.  HCS also allows board certified behavior analysts (BCBAs) to become approved providers and offer behavior support services.  To see the actual letter:  http://www.dads.state.tx.us/providers/communications/2008/letters/IL2008-143.pdf

In the event that you must choose between HCS and CLASS (Community Living and Support Services waiver), you can compare the two programs:
http://www.dads.state.tx.us/providers/waiver_comparisons/CLASS_HCS.html

Funded HCS Services:

Supported Home Living

Day Habilitation

Nursing

Supported Employment

Dental Treatment

Adaptive Aids

Minor Home Modifications

Respite

Specialized Therapies

Residential Assistance

HCS has recently added CDS (Consumer Directed Services) whereby the family/client has the freedom to hire and fire the people working for them.  For information and to place a name on the waiting/interest list, contact your local Mental Health/Mental Retardation center.  Several local MHMR Authorities are listed below. To find the center nearest you call (512) 794-9268, or go to the web directory at http://www.dads.state.tx.us/services/contact.cfm

The Harris Center for Mental Health and IDD
Main Phone: 713-970-7000
Website: http://www.mhmraofharriscounty.org/
Counties Served: Harris

Texana Center
Main Phone: 281-342-9387
Website: www.texanacenter.com
Counties Served: Austin, Colorado, Fort Bend, Matagorda, Waller, and Wharton.

Tri-County Behavioral Healthcare
Main Phone: 936-756-8331
Website: http://www.tcmhmrs.org/
Counties Served: Liberty, Montgomery, and Walker.

The Gulf Coast Center
Main Phone: 409-763-2373
Website: www.gulfcoastcenter.org
Counties Served: Brazoria and Galveston.


Make an effort to sign up on both the CLASS and HCS lists. Please note that you will need to call two different agencies to sign up.  A call to your local MHMR will not sign you up for both lists.  Be sure that you receive confirmation letters that you are on these lists.  Also, be careful to notify both lists of your contact information if you move.

Community Living Assistance and Support Services (CLASS)
http://www.dads.state.tx.us/providers/CLASS/index.cfm
Special Population Served:
Persons of any age with a disability, other than mental retardation, that originated before the age of 22 and affects daily living functionality.  Individuals with mental retardation may be eligible, but this waiver is not intended to serve those with a primary diagnosis of mental retardation.  An autism diagnosis will qualify a child to be placed on the list.   Services provided include attendant care & respite care, among others.  Board certified behavior analysts (BCBAs) are approved providers of behavior support services: http://www.dads.state.tx.us/providers/communications/2008/letters/IL2008-123.pdf

This waiver program has the longest “interest list”, so you are wise to sign your child up as early as possible.
In the event that you have to make a decision between HCS and CLASS, you may wish to compare the two programs: http://www.dads.state.tx.us/providers/waiver_comparisons/CLASS_HCS.html
CLASS Program Services

Adaptive aids and medical supplies

Case management

Consumer Directed Services (CDS) option

Habilitation

Minor home modifications

Nursing services

Occupational therapy

Physical therapy

Prescription drugs, if not covered through Medicare

Behavioral services

Respite care

Specialized therapies

Speech pathology

Telephone number for information and to place a name on the waiting/interest list for CLASS:

(877) 438-5658
This is a Medicaid Waiver program and qualification for the service is based on the child’s income, not the parent’s income

Up until a few years ago the providers of CLASS services were contracted through Attendant care companies called the DSA (Direct Service Agency).  The attendant care company was completely responsible for the service providers – the hiring, training, and firing.    These attendant care providers can still be utilized in the CLASS system but families have the additional option to become their own company.  This is called Consumer Directed Services (CDS) and allows the family the freedom to hire and fire the people working with their child.  The family is responsible for training and for faxing in the employee time sheets but the CLASS Direct Service Agency does all the employee paperwork for state and federal taxes and writes the paychecks. A substantial number of attendant care hours are provided to people on the CLASS program, making it a worthwhile interest list to be on.  A substantial amount of respite hours are also provided.

If you are already on the waiting list, you can call and check your position on the list.  If not on the list, call and sign up soon.  Don’t be discouraged by the long list.  Getting your child’s name on the list is one of the best ways to send the message to the state that the need is there and more funding needs to be allotted to these services.

Make an effort to sign up on both the CLASS and HCS lists. Please note that you will need to call two different agencies to sign up.  A call to your local MHMR will not sign you up for both lists.  Be sure that you receive confirmation letters that you are on these lists.  Also, be careful to notify both lists of your contact information if you move.

Medically Dependent Children’s Program (MDCP)

• Serves children and youth under the age of 21 years who have significant medical disabilities and would typically   be eligible for nursing home care; provides respite, nursing, and home modifications. *
• Available statewide.
•Website: http://www.dads.state.tx.us/providers/MDCP/index.cfm
• Telephone number for information and to place a name on the waiting/interest list: (877) 438-5658.

*This waiver does cover children with an autism spectrum diagnosis.  The waiting list is not as long as the CLASS and HCS lists and does provide some home services that most parents find helpful.

Respite/attendant care hours are available based on established need.
Hours per week are based on a score given by a medical professional.
Consumer Directed Services (CDS) are now available with this waiver.  CDS allows the family the freedom to hire and fire the people working with their child.  The family is responsible for training and for faxing in the employee time sheets but the Direct Service Agency does all the employee paperwork for state and federal taxes and writes the paychecks.

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