Community Attendant Services (CAS)

What is CAS?

Community Attendant Services is a non-technical, medically related personal care service that is available to eligible adults and children whose health problems cause them to be functionally limited in performing activities of daily living according to a practitioner's statement of medical need. Services are provided by an attendant.


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The Texas Health and Human Services Commission contracts with a company called Granicus to provide email updates, called GovDelivery. In accordance with your contract, and contracting rules at 40 Texas Administrative Code §49.302(g), you must subscribe to receive HHSC email updates, using this GovDelivery signup, and select Information Letters, Provider Alerts and the contract program type(s).

When you sign up for email updates, you are giving your information to both HHSC and to Granicus. When HHSC has your information, it is subject to the HHSC privacy policy. When Granicus has your information, it is subject to the Granicus GovDelivery privacy policy.

Contact Program Staff

For questions about:

How to Become a Provider

To be eligible to provide services and receive reimbursement for these services, a provider agency must be a Community Attendant Services provider. CAS providers must be licensed as a HHSC Home and Community Support Services Agency (HCSSA) with the Personal Attendant Services category of license and have a contract with HHSC to provide CAS services. Rules regarding minimum standards for HCSSA licensure can be found in Title 26 Chapter 558 of the Texas Administrative Code (TAC).

Contracting to Provide Services

To be eligible to provide services and receive reimbursement for these services, a provider agency must meet certain eligibility criteria. Rules regarding minimum eligibility requirements for contracting can be found in Title 40 of the Texas Administrative Code:

Visit the Contractor Enrollment Process and Requirements page for information about HHSC provider enrollment process and requirements.

An individual or provider agency must complete an application to provide services in the Community Services programs. Once you have met the minimum eligibility criteria, review the list of required application documents:

Please contact your local Contact Information for Eligibility Operations Provider Contract Management (PDF) to obtain the mailing address to submit completed documents.

Statutes & Rules