Which Programs do what?
Roadmap-to-Understanding-Texas-Medicaid-Waivers.pdf
Road map to Waivers
WAIVER: General Revenue Services (GRS)
Services include service coordination, community supports, respite, day rehabilitation, employment assistance, supported employment and behavioral health services.
Requirements:
• The person must have an IQ below 69, or have been diagnosed as having a related condition with an IQ below 75. (Autism and other developmental disabilities such as cerebral palsy, seizure disorders, and spina-bifida are related conditions.)
note: the waiting list for GRS is only months long; however, eligibility must get determined upon placing your child on the list (this is the only list with this condition). Eligibility can often be determined by providing MHMR consent to your child's school records.
WAIVER : Community Living Assistance and Support Services (CLASS)
Services and supports, such as habilitation, minor home modifications, nursing, specialized therapies, respite and case management.
Requirements:
• Must meet the criteria of a Related Condition: a developmental disability (other than intellectual disability) that occurred before the age of 22 and with significant impairment in 3 major life activity areas.
WAIVER : Medically Dependent Children Program (MDCP)
Services and supports to families caring for medically dependent child in their home who is less than 21 years of age. These services may include adaptive aids, adjunct support services (such as those that support independent living, participation in child care and participation in post-secondary education), minor home modifications, respite and transition assistance services.
Requirement:
• Must meet the medical necessity determination for nursing facility care.
WAIVER : Home and Community Services (HCS)
Services include day habilitation, employment assistance, respite, residential services, and specialized therapies.
Requirements:
• The person must have an IQ below 69 made in accordance with state law, or have been diagnosed by a physician as having a related condition with an IQ below 75. (Autism and other developmental disabilities such as cerebral palsy, seizure disorders, and spina-bifida are related conditions.)
WAIVER : STAR+PLUS Home and Community-based Services (HCBS) (previously known as Community Based Alternatives or CBA)
These services may include adaptive aids and medical supplies, adult foster care, assisted living, residential care services, consumer directed services, emergency response services, home delivered meals, minor home modifications, nursing services, occupational therapy, physical therapy, personal assistance services, respite care, speech and/or language pathology services and prescription drugs (if not covered through Medicare).
Requirements:
• Age: A person must be 21 years or older
• Medical Necessity: Must meet the medical necessity determination for nursing facility care.
WAIVER : Deaf Blind with Multiple Disabilities Waiver (DB-MD)
Home and community based services for persons who have legal blindness; a chronic, severe hearing impairment; or a condition that leads to deaf-blindness and a third disability that results in impairment to independent functioning. This program is an alternative to institutional care and offers services such as attendant care, orientation and mobility, and assisted living.
Requirements:
• Age: 18 years or older
• Disability: Individual must be legally deaf, blind with a third disability resulting in a demonstrated need for daily habilitation services
To Apply for Services call DADS at 1-877-438-5658.
WAIVER : Family Care
Provides escort services to medical appointment, home management (e.g., cleaning, laundry, shopping, etc.), and personal care (e.g., bathing, grooming, cooking, toileting, transferring, etc.).
Requirements:
• Age: 18 years or older
• Demonstrate unmet need in areas of service, meet income requirements, and meet eligibility under functional assessment.
To Apply for Services call DADS at 1-877-438-5658
WAIVER : Primary Home Care (PHC)
Provides escort services to medical appointment, home management (e.g., cleaning, laundry, shopping, etc.), and personal care (e.g., bathing, grooming, cooking, toileting, transferring, etc.).
Requirements:
• Age: 21 years or older
• Demonstrate unmet need in areas of service, have practitioner's statement of medical need, eligible for Medicaid, and meet eligibility under functional assessment with at least one personal care need based on medical condition.
To Apply for Services call DADS at 1-877-438-5658
WAIVER : Community Assistant Services (CAS)
Provides escort services to medical appointment, home management (e.g., cleaning, laundry, shopping, etc.), and personal care (e.g., bathing, grooming, cooking, toileting, transferring, etc.).
Requirements:
• meet eligibility under functional assessment with at least one personal care need based on medical condition, able to direct own care, meet income requirements, and not be Medicaid eligible.
To Apply for Services call DADS at 1-877-438-5658
