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Texas State Medicaid Waiver Program Application Guide

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  • Texas State Medicaid Waiver Program Application Guide



    Waiver #1: Community Living and Supports Services (CLASS)

    Who Can Apply?

    Circumstance/Diagnosis: Any child or adult who is diagnosed with either an intellectual and/or developmental disability (this includes autism). The state requires that individuals need an intermediate care facility level of care to qualify. This just means that the individual is unable to get through their day without a lot of supervision.


    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income.

    What do I get?

    Adaptive Aids • Auditory Integration / Auditory Enhancement Training • Behavioral Support • Case Management • Cognitive Rehabilitation Therapy • Continued Family Services • Dental Treatment • Dietary • Employment Assistance • Transportation-Habilitation • Minor Home Modifications • Nursing • Occupational Therapy • Physical Therapy • Prevocational Services • Community First Choice (CFC) • Supported Employment • Specialized Therapies • Personal Assistance Services (PAS/HAB) • Respite (in-home and out-of-home) • Speech and Language Pathology • Support Family Services • Transition Assistance Services

    How do I apply?

    Call your local office or 512-438-3234 to find out more information on eligibility.

    Not that it takes forever to actually receive services. The first step is to determine eligibility so that you can get on a waitlist. Currently the average wait time is 15 years. This is atrocious, especially given that early intervention is extremely effective for children living with autism. At the very least you can get services for teenage years and adult life if you get on the list early.

    Waiver #2: Home and Community Based Services (HCBS) Program

    Who Can Apply?

    Circumstance/Diagnosis: Any child or adult who is diagnosed with either an intellectual and/or developmental disability (this includes autism). The state requires that individuals need an intermediate care facility level of care to qualify. This just means that the individual is unable to get through their day without a lot of supervision.

    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income.

    What do I get?

    Residential services ● Group home ● Host home/ companion care ● Respite services ● Day habilitation ● Employment services ● Nursing services ● Dental services ● Behavioral support ● Supported home living (transportation) ● Social work ● Occupational therapy ● Physical therapy ● Speech therapy ● Dietary services ● Audiology services ● Cognitive rehabilitation services (services for people with brain injury) ● Accessible minor home modifications ● Adaptive aids ● Transition assistance services

    How do I apply?

    Contact your local Health and Human Services Office

    Again, the waiting list is incredibly long (15 years). Get on it now so that you can receive lifetime benefits later. There really seems to be only slight differences between this waiver and the CLASS waiver.

    What does the Goally Team Think?

    Texas has one of if not the worst waiver programs in the nation. Their waiver programs have disgustingly long waiting lists because the state caps the amount of recipients for each waiver program. Other states do this as well, but Texas' caps are comparable to much smaller states like Minnesota. The website is similarly terrible to navigate through and there are many waivers beyond these two that appear incredibly similar but with small differences. You can see an overview of these waivers here, but even we had trouble understanding the differences. Your best bet is to call a local office or get an advocacy organization help you figure out your best course of action here.

    Goally Waiver Scorecard

    Website clarity and ease of navigation: 0/5

    Access and requirements of qualification: 0/5

    Healthcare coverage: 1/5

    Other online resources for Texas:


    Texas Medicaid Waivers is a website that helps parents navigate through Texas’ difficult and frustrating process. The website looks outdated but has some good materials.

    Early Childhood Intervention Services may be able to help you if your child is younger than 3.

    Texas Parent to Parent connects parents for the purpose of sharing information, advice, and emotional support.

    This Children’s Health page provides some extra information and advice on the Texas Medicaid Process

    The ARC of Texas can help you with all things related to disability including advocacy.


    Telephone Resources

    Call 1-877-438-5658 for information about putting your child on an interest list for long-term services.

    Local HHS Offices can be found here

    1.800.866.4726 this Partner Resource Network number can connect you with their Texas state office and help you find and obtain services.
    Last edited by Brady; 07-09-2020, 11:49 AM.
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