Office of Disability Services Coordination

The Texas Health and Human Services Commission created the Office of Disability Services Coordination in January 2021.

The Office of Disability Services Coordination (ODSC) aims to improve outcomes for Texans with disabilities by:

  • Continuing to enhance HHSC’s delivery of services for people with disabilities by focusing on long-term solutions across the HHS system.
  • Coordinating and communicating with other state agencies as well as external parties to ensure high-quality programs that are easy to navigate.
  • Seeking stakeholder engagement, support and feedback.
  • Ensuring that HHS disability services and supports align with agency strategic goals.

For more information, email the HHSC ODSC. To find HHS services, click here.

How ODSC Helps


We connect external stakeholders with the HHSC team member or program that can best assist with an issue or answer questions. This ensures continuity of the user’s experience and eases navigation of HHSC’s programs, services and supports.


We promote, partner or share beneficial opportunities with our internal collaborators and external stakeholders within the disability community.


We lead system-level improvement projects and ensure that internal and external stakeholders can provide and seek input. We strive for cross-disability collaboration by using voices from, and always learning more about, many disability communities, their experiences and innovations in care.

Our system-level improvement projects include:

  • Direct Service Workforce Development Taskforce
  • Disability Services Action Plan
  • Disability Coordination Forums, including the monthly Deaf, Hard of Hearing and DeafBlind Meeting and the monthly IDD Coordination Meeting

Become a Personal Care Attendant

Make a Difference

Personal care attendants — also known as community attendants, personal care assistants and direct service workers — help people with disabilities live independently in their own homes and communities.

Personal care attendants may work for a person with a disability, a legally authorized representative or a home health agency. Download and share the personal care attendant recruitment flyer (PDF).

Personal care attendants assist with:

  • Cleaning
  • Dressing
  • Bathing
  • Cooking
  • Eating
  • Shopping

Job rewards include:

  • Flexible schedule.
  • No experience needed, so you can start at any professional level (college student, stay-at-home parent or retiree).
  • Ability to build a meaningful career.
  • Enriching experiences where you can create and share a bond with people.

What Personal Care Attendants Say:

“I have a good relationship with the people I assist.”
“I feel respected by others for doing this type of work.”

What People Receiving Services Say:

“I have made a life of independence, which was only made possible by an attendant.”

Apply Today

Visit Work in Texas and search for the following terms:

  • Personal care attendant
  • Personal care assistant
  • Direct service worker
  • Community attendant

Direct Service Workforce Development Taskforce

The Direct Service Workforce Development (DWS) Taskforce meets a long-term goal in HHSC’s Community Attendant Workforce Development Strategic Plan (PDF), which was required by Article II of the 2020-2021 General Appropriations Act passed by the 86th Legislature in 2019 (Rider 157). Commonly referred to as the Rider 157 plan, it contains strategies and data relating to recruiting, retaining and ensuring adequate access to community attendant services. It also includes information about the community attendant workforce in Texas, feedback collected from stakeholders, and HHSC’s long-term goals and recommendations to address challenges faced by people receiving or providing community attendant care.

The DSW Taskforce aims to explore long-term recruitment and retention (non-wage based) strategies within the community attendant, personal care attendant and direct service workforce. The taskforce’s challenge is to continue the momentum around the valuable workforce and to not wait on wage compensation as the only solution.

Representation on the taskforce includes diverse partners, such as people receiving attendant services and families working with attendants; people working as a community attendants; community organizations and councils that represent people with disabilities; and local workforce development boards and state agencies.

The DSW Taskforce meets six times a year to discuss implementation efforts and obtain feedback on the strategic plan.

External Resources

Disability Services Action Plan

In fiscal year 2020, HHS staff hosted seven disability listening sessions across the state to gain insight from clients, providers and advocates about their experiences and challenges navigating HHS, as well as opportunities to improve.

Through the feedback as well as research and information from several other agency reports, HHS identified achievable opportunities to improve agency coordination to make it easier for individuals, families and providers to navigate the HHS system for disability services. The Disability Services Action Plan (PDF) lists 27 recommendations across four initiatives that were found to be achievable within one to five fiscal years. The initiatives include:

  • Training and support
  • Communication
  • Policy and rules
  • System redesign

Phase two of the disability services action plan continues, and HHS is evaluating each of the 27 recommendations to determine when, over the next five years, implementation will occur. Each recommendation slated for implementation will have to meet the following criteria:

  • Have a variety of ongoing projects across the disability continuum and across disability communities.
  • Be generally feasible.
  • Balance internal resources, such as fiscal impact and staff bandwidth.

When available, HHS will publish status reports of each implemented project on this webpage.