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State information > Texas Medicaid 1915(c) Waivers

Contact Info and Descriptions for all Texas Medicaid 1915(c) HCBS Waiversmap of Texas

The following is a list of all Texas 1915(c) Waivers by name - complete with a description, contact information and web link.


Waiver target group: MR/DD


State: TX
Waiver name: Home and Community-Based Services
Description: This waiver allows MR/DD persons who meet the ICF/MR level of care to remain living at home and in the community. Services offered under this waiver include: case management, adaptive aids, minor home modifications, counseling & therapies. The HCS Program provides services to individuals with mental retardation who either live with their family, in their own home, in a foster/companion care setting or in a residence with no more than four individuals who receive services. The HCS Program provides services to meet the individual's needs so that he/she can maintain him/herself in the community and have opportunities to participate as a citizen to the maximum extent possible. In the HCS Program, individuals pay for their room and board either with their SSI check or other personal resources.
Contact Information:
Home and Community-Based Services contact information
State waiver website:
Home and Community-Based Services website
Program Data:
Home and Community-Based Services 2004 participant data
Home and Community-Based Services 2004 expenditure data


State: TX
Waiver name: Community Living Assistance and Support Services (OBRA)
Description: This waiver allows MR/DD persons who meet the ICF/MR level of care to remain living at home and in the community. Services offered under this waiver include: supported living, case management, nursing, and training services.
Contact Information:
Community Living Assistance and Support Services (OBRA) contact information
State waiver website:
Community Living Assistance and Support Services (OBRA) website
Program Data:
Community Living Assistance and Support Services (OBRA) 2004 participant data
Community Living Assistance and Support Services (OBRA) 2004 expenditure data


State: TX
Waiver name: Mental Retardation Local Authority Program (MRLA)
Description: This waiver allows MR/DD persons who meet the ICF/MR level of care to remain living at home and in the community. Services offered under this waiver include: nursing, day habilitation, dental, and residential support.
Contact Information:
Mental Retardation Local Authority Program (MRLA) contact information
State waiver website:
Mental Retardation Local Authority Program (MRLA) website
Program Data:
Mental Retardation Local Authority Program (MRLA) 2004 participant data
Mental Retardation Local Authority Program (MRLA) 2004 expenditure data


State: TX
Waiver name: Consolidated
Description: This waiver allows individuals meeting the ICF/MR level of care to live in the community. This waiver consolidates all services provided in CBA, CLASS, HCS, and MDCP waivers and is limited to 200 clients only in Bexar county. Services offered under this waiver include: nursing, personal assistance, adaptive aids/durable medical supplies, respite and habilitation.
Contact Information:
Consolidated contact information
State waiver website:
Consolidated website
Program Data: No data available for this waiver in 2008.


State: TX
Waiver name: Texas Home Living Program
Description: This waiver allows persons who meet the ICF/MR level of care to live in the home and in the community. Services offered under this waiver include: adaptive aids, medical supplies, case management, consumer directed services, habilitation and minor home modifications. The TxHmL Program provides essential services and supports so that Texans with mental retardation can continue to live with their families or in their own homes in the community. TxHmL offers a number of services to support people who live in their own homes or with their families. TxHmL services are intended to supplement instead of replace the services and supports a person may receive from other programs, such as the Texas Health Steps Program, or from natural supports such as his or her family, neighbors, or community organizations. TxHmL Program services are limited to a yearly cost of $10,000 per participant.
Contact Information:
Texas Home Living Program contact information
State waiver website:
Texas Home Living Program website
Program Data:
Texas Home Living Program 2004 participant data
Texas Home Living Program 2004 expenditure data


State: TX
Waiver name: Community Living Assistance & Support Services (CLASS)
Description: This waiver allows persons who meet the ICF/MR level of care to live in the home and in the community. Services offered under this waiver include: adaptive aids, medical supplies, case management, consumer directed services, habilitation and minor home modifications
Contact Information:
(512) 438-3078
State waiver website:
Community Living Assistance & Support Services (CLASS) website
Program Data:
Community Living Assistance & Support Services (CLASS) 2004 participant data
Community Living Assistance & Support Services (CLASS) 2004 expenditure data


Waiver target group: Aged/Disabled


State: TX
Waiver name: Community Based Alternatives (CBA)
Description: This waiver allows elderly persons (65+) and persons over 21 with a disability, who meet nursing facility level of care, to live in the community. Services offered under this waiver include: adaptive aids, medical supplies, adult foster care, assisted living/residential care, consumer directed services and emergency response.
Contact Information:
Community Based Alternatives (CBA) contact information
State waiver website:
Community Based Alternatives (CBA) website
Program Data:
Community Based Alternatives (CBA) 2004 participant data
Community Based Alternatives (CBA) 2004 expenditure data


State: TX
Waiver name: STAR+PLUS
Description: This waiver is similar to the CBA waiver except that services are provided by managed care organizations. This waiver allows elderly persons (65+) and persons over 21 with a disability, who meet nursing facility criteria, to live in the community. Services offered under this waiver include: adaptive aids, medical supplies, adult foster care, assisted living/residential care, consumer directed services and emergency response.
Contact Information:
STAR+PLUS contact information
State waiver website:
STAR+PLUS website
Program Data: No data available for this waiver in 2008.


State: TX
Waiver name: Consolidated
Description: This waiver allows individuals meeting the NF level of care to live in the community. This waiver consolidates all services provided in CBA, CLASS, HCS, and MDCP waivers and is limited to 200 clients only in Bexar county. Services offered under this waiver include: nursing, personal assistance, adaptive aids/durable medical supplies, respite and habilitation.
Contact Information:
Consolidated contact information
State waiver website:
Consolidated website
Program Data: No data available for this waiver in 2008.


Waiver target group: Disabled/Physically Disabled


State: TX
Waiver name: Deaf, Blind & Multiple Disabilities
Description: This waiver allows deaf-blind persons with at least one other disability who meet the ICF/MR level of care to live in the community. Services offered under this waiver include adaptive aids, medical supplies, assisted living, consumer directed services, case management and chore services.
Contact Information:
Deaf, Blind & Multiple Disabilities contact information
State waiver website:
Deaf, Blind & Multiple Disabilities website
Program Data:
Deaf, Blind & Multiple Disabilities 2004 participant data
Deaf, Blind & Multiple Disabilities 2004 expenditure data


Waiver target group: Children


State: TX
Waiver name: Medically Dependent Children Program (MDCP)
Description: This waiver allows children with special care needs who meet the nursing facility criteria to live in the home and in the community. Services offered under this waiver include: adaptive aids, adjunct support services such as independent living, minor home modifications and respite.
Contact Information:
Medically Dependent Children Program (MDCP) contact information
State waiver website:
Medically Dependent Children Program (MDCP) website
Program Data:
Medically Dependent Children Program (MDCP) 2004 participant data
Medically Dependent Children Program (MDCP) 2004 expenditure data

 

This information is part of the Center for PAS report:

Harrington, C. & Ng, T. (August 2008). Medicaid Home and Community-Based Services Data, 2004.

Source: All information presented in these tables were derived from public sources including state websites and the latest available CMS Form 372, an annual report which includes waiver participants and expenditures.

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