HHSC says demand for community services is larger than the slots. Names go on an interest list until services are available. People are added first-come, first-served. People who have been on the list the longest are enrolled first, when funding allows. When a name reaches the top, a state office or a local intellectual and developmental disability authority contacts the person. You can get other Medicaid or community services while you wait, if you are eligible. Those other services do not change your place on the list. The programs are CLASS, DBMD, HCS, TxHmL, MDCP, and STAR+PLUS HCBS. The page also posts older slot tables. This site does not turn those tables into a wait time.
Next step
For HCS and TxHmL, contact your local intellectual and developmental disability authority. For the other lists, call 1-877-438-5658.
CLASS is Community Living Assistance and Support Services. It offers services at home and in the community for people with a related condition. HHSC says a related condition is a disability other than an intellectual disability. It started before age 22. It affects daily life. CLASS is an alternative to an intermediate care facility. The page we opened is written for providers. Households use the interest list, not the provider enrollment path.
Next step
Call the CLASS interest list line at 1-877-438-5658. A call does not mean a slot is open.
DBMD is Deaf Blind with Multiple Disabilities. It offers home and community services for people who are deafblind and have other disabilities. HHSC describes it as an alternative to an institution. Services focus on communication and on interacting with the environment. The page we opened is written for providers. The blind services page also says to use the interest list for DBMD.
Next step
Call the DBMD interest list line at 1-877-438-5658.
HCS is Home and Community-based Services. It supports people with intellectual disabilities who live with family, in their own home, or in a small group home. The page we opened is written for providers. It tells people to ask a local authority about eligibility. The interest list page says HCS names are added through a local intellectual and developmental disability authority.
Next step
Contact your local authority to ask about the HCS interest list. Read the steps on the interest list page.
Texas Home Living offers selected services and supports. It is for people with an intellectual or developmental disability. They live with family or in their own home. The page we opened is written for providers. Eligibility questions go to the local authority. The interest list page says TxHmL uses that same office.
Next step
Contact your local authority to ask about the TxHmL interest list. The interest list page names that step.
The Medically Dependent Children Program helps families care for a child or young adult. The person must be age 20 or younger. They need a high level of medical care. The program can help them leave a nursing facility when home is safe. Services come through a STAR Kids or STAR Health plan. The page lists respite and flexible family support. It also lists minor home changes, adaptive aids, and help with a move home. It lists employment help and financial management services. The page we opened is written for providers.
Next step
Call the MDCP interest list line at 1-877-438-5658.
STAR+PLUS HCBS helps people live at home. Without it, they would need a nursing home. HHSC assesses that need when the person applies for Medicaid. Extra services can include personal help, adaptive aids, and home-delivered meals. They can include minor home changes, nursing, respite, and therapies. They can include help leaving a nursing facility. STAR+PLUS health coverage is not the same as a place on this list.
Next step
To ask for the STAR+PLUS HCBS interest list, call 1-877-438-5658.