Consumer Directed Services (CDS)

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What is CDS?

This document was developed under grant CFDA 93.791 from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services. However, these contents do not necessarily represent the policy of the U.S. Department of Health and Human Services, and you should not assume endorsement by the Federal Government.

Consumer Directed Services allows people who receive services from Texas Health and Human Services Commission 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.

Services That Can Be Self-Directed

Program Name Type of Service
Community Living Assistance and Support Services Transportation-habilitation services, respite services, nursing services, physical therapy, occupational therapy, speech-language therapy, cognitive rehabilitation therapy, Community First Choice personal assistance services/habilitation, employment assistance, supported employment and support consultation
Consumer Managed Personal Attendant Services Personal assistance services
Deaf-Blind with Multiple Disabilities Transportation-residential habilitation (less than 24 hours), intervener, respite services, CFC personal assistance services/habilitation, supported employment, employment assistance and support consultation
Home and Community-based Services Transportation-supported home living, respite services, nursing services, cognitive rehabilitation therapy, CFC personal assistance services/habilitation, supported employment, employment assistance and support consultation
Primary Home Care, Family Care, Community Attendant Services Personal assistance services
Texas Home Living Day habilitation, respite services, adaptive aids, audiology services, behavioral support, transportation-community support, dental treatment, dietary services, minor home modifications, nursing services, occupational therapy, physical therapy, speech-language therapy, CFC personal assistance services/habilitation, supported employment, employment assistance and support consultation
STAR Health MDCP Respite, flexible family support, employment assistance and supported employment, and adaptive aids and minor home modifications.
STAR Kids Personal care services and CFC personal assistance services/habilitation
STAR Kids MDCP Respite services and flexible family support services delivered by an attendant or a nurse, employment assistance, supported employment and support consultation, and adaptive aids and minor home modifications.
STAR+PLUS Personal care services and CFC personal assistance services/habilitation
STAR+PLUS HCBS Personal assistance services, respite services, nursing services, physical therapy, occupational therapy, cognitive rehabilitation therapy, speech-language therapy, supported employment, employment assistance and support consultation

Communications

Don’t Miss Out on Emails from HHS

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.

Information & Provider Letters

Number Title Date Published
IL 2020-28 Consumer Directed Services Attendant Workforce Survey 6/15/2020
IL 2020-24 Preparing for the Upcoming Fiscal year 2020 Fee-for-Service Claims Billing Closeout 6/12/2020
IL 2020-22 Information for FMSAs and Consumer Directed Services (CDS) Employers on the Families First Coronavirus Response Act 5/1/2020
IL 2020-17 Requirement to Complete DIR-Certified Cybersecurity Training Program -- Due April 30, 2020 4/20/2020
PL 2017-24 All Providers are Required to Redo Nurse Aide Registry (NAR) Searches Conducted from June 14, 2017, through August 3, 2017 9/7/2017
PL 2017-23 All Providers Are Required To Redo Employee Misconduct Registry (EMR) Searches Conducted From June 9, 2017, through July 27, 2017 8/7/2017
IL 2015-83 Abuse, Neglect and Exploitation (ANE) Investigation Procedures for the Consumer Directed Services (CDS) Option in the Primary Home Care (PHC) and Medically Dependent Children Programs (MDCP) 12/31/2015
IL 2015-75 Reimbursement for Pre-Enrollment Assessment Activities in Deaf Blind with Multiple Disabilities Program 12/8/2015
IL 2015-52 Providing Transportation in the Home and Community-based Services and Texas Home Living Waiver Programs
Note: Updates IL 15-28 & IL 15-29
9/1/2015
IL 2015-54 Attendant Compensation for Certain Consumer Directed Services 9/1/2015