Texas Department of Aging and Disability Services
Help for Texans

Community Based Alternatives (CBA) Program

Note: This service may not be available right away. Your name may be placed on an interest list. You will be contacted when services are available.

CBA allows eligible people to receive services in their own homes, foster homes or assisted living settings. The CBA program is the last payor of services when other third-party resources, such as Medicare and Medicaid, are available.

Services

  • Adaptive aids and medical supplies
  • Adult foster care
  • Assisted living/residential care services
  • Emergency response services
  • Home delivered meals
  • Minor home modifications
  • Nursing services
  • Occupational therapy services
  • Personal assistance services
  • Respite care services
  • Speech and /or language pathology services
  • Dental services
  • Prescription drugs, if not covered through Medicare
  • Transition assistance services

Financial eligibility requirements

Financial eligibility is determined by the Texas Health and Human Services Commission for applicants not already receiving Medicaid. For more information, please visit their website.

Other eligibility requirements

To be eligible for these services, recipients must:

  • be at risk of entering a nursing facility,
  • be 21 or older,
  • qualify medically and financially for Medicaid nursing home care,
  • require services that can be adequately provided in the community within the assessed payment level, and
  • choose CBA services.

Availability

This service is available statewide, but it may not be available right away. Your name may be placed on an interest list. You will be contacted when services are available.

How to apply for services

Call your local DADS office.

To learn more

Back to Help for Texans

Updated: February 23, 2011