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Consumer Directed Services (CDS)

Consumer Directed Services allows people who received services from the Texas Department of Aging and Disability Services (DADS) to hire and manage the people who provide their services.

The program is the result of Senate Bill 1586, 76th Texas Legislature, which allows a voucher payment option that empowers people to make personal decisions related to the delivery of personal assistance and respite services within their current home and community-based program. Click here to learn more.

Services That Can Be Self-directed
Program name Type of service
Community Living Assistance and Support Services (CLASS) Habilitation services, respite services, nursing, physical therapy, occupational therapy, speech, hearing and language services, cognitive rehabilitation therapy, employment assistance, supported employment and support consultation
Consumer Managed Personal Attendant Services (CMPAS) Personal assistance services
Deaf-Blind with Multiple Disabilities (DBMD) Residential habilitation (less than 24 hours), intervener, respite services, supported employment, employment assistance and support consultation
Home and Community-based Services (HCS) Supported home living, respite services, nursing, cognitive rehabilitation therapy, supported employment, employment assistance and support consultation
Medically Dependent Children Program (MDCP) Respite services and flexible family support services delivered by an attendant or a nurse, employment assistance and supported employment
Primary Home Care (PHC), Family Care (FC), Community Attendant Services (CAS) Personal assistance services
Texas Home Living (TxHmL) All services and support consultation

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News & Alerts


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Letters [Provider (PL) and Information (IL)]
Number Title Date
IL 2016-35 PDF Receiving Services Outside the State of Texas in the CLASS and DBMD Programs Note: (Replaces IL 16-20) 08/31/2016
IL 2016-34 PDF Billing Process for Long-Term Services and Supports (LTSS) Providers Transitioning to STAR Kids and STAR Health 08/29/2016
IL 2016-29 PDF Fiscal Year 2016 Cutoff Dates for Fee-for-Service Year-end Closeout Processing 08/03/2016
IL 2016-22 PDF Preparing for the Upcoming Fiscal Year 2016 Fee-for-Service Claims Billing Closeout 06/13/2016
IL 2016-20 Receiving Out-of-State Services in the CLASS and DBMD Programs Note:
(Removed on July 28, 2016)

All provider letters for Consumer Directed Services

Federal Survey and Certification (S&C) Letters (five most recent displayed)
Number Title Contact
16-34 PDF Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Appendix J and Exhibit 355: Removal of Website Links N/A 08/12/2016
16-33 PDF Protecting Resident Privacy and Prohibiting Mental Abuse Related to Photographs and Audio/Video Recordings by Nursing Home Staff N/A 08/05/2016
16-31 PDF Mandatory Immediate Imposition of Federal Remedies and Assessment Factors Used to Determine the Seriousness of Deficiencies for Nursing Homes N/A 07/22/2016
16-29 PDF Adoption of the 2012 edition of the National Fire Protection Association (NFPA) 101 - Life Safety Code (LSC) and 2012 edition of the NFPA 99 - Health Care Facilities Code (HCFC) N/A 06/20/2016
16-28 PDF Update Report on the National Partnership to Improve Dementia Care in Nursing Homes N/A 06/03/2016

All S&C Letters

State Survey and Certification Clarification (S&CC) Memos (five most recent displayed)
Number Title Date
2016-11 PDF New Rules for HCSSAs Providing Habilitation 09/06/2016
2016-05 PDF Employee Misconduct Registry (EMR), Nurse Aide Registry (NAR), and Medication Aide Registry (MAR) Referral Process 06/22/2016
2016-04 PDF Survey Revisit Guidance 06/08/2016
2016-02 PDF Prompt Reporting of Abuse, Neglect and Exploitation (ANE) 02/23/2016
2016-01 PDF Nursing Facility Administrator (NFA) License Verification 01/26/2016

All S&CC Memos

Regional Survey and Certification (RS&C) Letters (five most recent displayed)
Number Title Date
2014-02 PDF Guidance for Processing Non-Compliance with State Licensure Requirements 05/16/2014
2012-04 PDF CMS Region VI-Dallas Delegation of Notification of the Imposition and Starting Date of Optional Denial of Payment for New Admissions to the State Survey Agencies in Region VI 03/14/2012
2012-02 PDF Procedural Instructions for Processing Certifications Concerning Legal Names and Doing Business as Names of Providers and Suppliers 02/17/2012
2012-01 PDF Voluntary Termination and Related Processes 02/10/2012
2010-02 PDF Documents for Processing Certification Actions for All Non-Long Term Care Providers/Suppliers (except ICFs/MR and Clinical Laboratories) 05/27/2010

All RS&C Letters

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Updated: May 27, 2016