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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


Letters [Provider (PL) and Information (IL)]
Number Title Date
IL 2016-20 PDF Receiving Out-of-State Services in the CLASS and DBMD Programs 05/17/2016
IL 2016-13 PDF Supported Decision-Making Agreement Act 03/23/2016
IL 2016-07 PDF Legally Responsible Person Restrictions, Service Planning Team Members and Cardiopulmonary Resuscitation Training 02/19/2016
IL 2016-06 PDF Change to Qualifications for Service Providers of Community First Choice Personal Assistance Services/Habilitation in the Home and Community-based Services and Texas Home Living Waiver Programs — Updated with Spanish Attachments 02/18/2016
IL 2016-04 PDF Changes to Community First Choice in the Home and Community-based Services and Texas Home Living Programs 02/11/2016

All provider letters for Consumer Directed Services

Federal Survey and Certification (S&C) Letters (five most recent displayed)
Number Title Contact
16-26 PDF Fiscal Year (FY) 2016 to FY 2017 Nursing Home Action Plan N/A 05/20/2016
16-25 PDF DRAFT Long-Term Care Facility (LTCF) Resident Assessment Instrument (RAI) 3.0 User’s Manual, Version 1.14, Release N/A 05/20/2016
16-22 PDF Notification of Final Rule Published: Adoption of 2012 Life Safety and Health Care Facilities Code N/A 05/06/2016
16-21 PDF Guidance to Surveyors on Federal Requirements for Providing Services to Justice Involved Individuals N/A 05/03/2016
16-17 PDF Affordable Care Act Section 6103: Guidance for State Consumer Oriented Websites- Update to Survey and Certification Letter 11-41-NHs N/A 03/25/2016

All S&C Letters

State Survey and Certification Clarification (S&CC) Memos (five most recent displayed)
Number Title Date
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
2015-01 PDF Complaint and Incident Intake Functions (Replaces S&CC 03-08) 04/12/2015
2014-08 PDF Locked Units in Assisted Living Facilities without an Alzheimer’s Certification 11/05/2014
2014-06 PDF Locked Units in Nursing Facilities without an Alzheimer’s Certification 10/22/2014

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