Consumer Directed Services (CDS) Option
Run by Texas Health and Human Services Commission (HHSC), a state agency
Texas service delivery model that lets recipients of Medicaid HCBS waivers (STAR+PLUS HCBS, CLASS, HCS, TxHmL, MDCP, DBMD, and Community First Choice) hire and manage their own attendants and personal care providers - including family members like adult children, parents of adult children, and siblings. The recipient or their representative becomes the employer of record. Family caregivers can be paid for the care they already provide. A Financial Management Services Agency handles payroll, taxes, and compliance paperwork. Important restrictions: spouses generally cannot be paid, and parents of minor children cannot be paid through HCS or TxHmL. MDCP allows parents of medically fragile children to be paid in some cases.
- Award
- Varies
- Deadline
- Rolling
- Run by
- Texas Health and Human Services Commission (HHSC)
- State
Who it's for
- Available to Texans already enrolled in an HCBS waiver program (CLASS, HCS, TxHmL, MDCP, or DBMD). The recipient must be able to direct their own care or have a designated representative. No additional income or asset test beyond the underlying waiver requirements. Discussed during waiver enrollment - request CDS specifically as your service delivery option.
Texas Health and Human Services Commission (HHSC) decides who gets help.
How to apply
You apply on the program's own website. GrantLantern doesn't process applications. We link you straight to the source.
Apply at hhs.texas.govOpens in a new tab. GrantLantern is not affiliated with this program.
Consumer Directed Services (CDS) Option is one option. What else may help?
Many households qualify for more than one program. Answer a few questions to see what else you may qualify for.
Check what I may qualify forFree. No account needed. Your answers are never sold or shared.
Where this comes from
Details are based on the program's official information. Texas Health and Human Services Commission (HHSC) decides who is eligible, not GrantLantern. Check current requirements on their site before you apply.