Community Attendant Services (CAS)

What is CAS?

Community Attendant Services is a non-technical, medically related personal care service that is available to eligible individuals whose health problems cause them to have limitations in performing activities of daily living according to a practitioner's statement of medical need. CAS personal care tasks are provided by an attendant.

Provider Communications

Click here for news, information letters (ILs) & provider letters (PLs).

Contact Program Staff

For questions about:

Contracting to Provide Services

CAS providers must be licensed as a Home and Community Support Services Agency within the category of Licensed Home Health Services, Licensed and Certified Home Health Services, or Personal Attendant Services and have a contract with HHSC to provide CAS. Rules regarding minimum standards for HCSSA licensure can be found in Title 26, Chapter 558 of the Texas Administrative Code.

Visit the HCSSA site for more information about licensing requirements.

To be eligible to provide CAS and receive reimbursement, 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 as follows:

CAS is one of three programs under one contract. The other two programs are Primary Home Care and Family Care. A PHC/FC/CAS contractor must agree to serve individuals in each program.

Learn more 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. To ensure all required documents are submitted with your application, review the application checklist for this program using Form 5830, Contract Application Packet Checklist State Office Enrolled.

Contract applicants and current contractors for PHC/FC/CAS may submit contract applications, completed forms and required information by:

  • Email:
  • Fax: 512-206-3979
  • Regular Mail
    Texas Health and Human Services Commission
    Eligibility Operations Provider Contract Management
    Mail Code W-357
    P.O. Box 149030
    Austin, TX 78714-9030
  • Overnight/Express Delivery
    Texas Health and Human Services Commission
    Eligibility Operations Provider Contract Management
    Mail Code W-357
    909 West 45th Street
    Austin, TX 78751

Should you have any questions regarding the enrollment process for these programs, contact Eligibility Operations Provider Contract Management at 512-438-3550.

In accordance with 40 Texas Administrative Code Section 49.302(b), HHSC requires a newly enrolled PHC/FC/CAS contractor to successfully complete program orientation or to submit verification that the program orientation was completed in another region for the same contract type, before HHSC places the contract on the regional choice list. After HHSC awards the contract, Regional Enrollment and Monitoring staff will contact the contractor to schedule the program orientation.

Statutes & Rules



Other Rules and Statutes

Subscribe to HHS Emails

HHSC contracts with a company called Granicus to provide email updates using GovDelivery. In accordance with your contract, and contracting rules at 40 Texas Administrative Code Section49.302(g), you must subscribe to receive HHSC email updates via GovDelivery.

Read the News & Alerts section below.


Information & Provider Letters

Case-sensitive. Use commas to separate multiple entries.
Note: These files are in PDF format unless otherwise noted.
Number Title/Notes Date Published
IL 2020-17 Requirement to Complete DIR-Certified Cybersecurity Training Program -- Due April 30, 2020
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)
IL 2015-75 Reimbursement for Pre-Enrollment Assessment Activities in Deaf Blind with Multiple Disabilities Program
IL 2015-54 Attendant Compensation for Certain Consumer Directed Services
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

IL 2015-40 Use of Electronic Signatures
IL 2015-37 Preparing for the Upcoming Fiscal Year 2015 Fee-for-Service Claims Billing Closeout
IL 2015-35 Community First Choice Implementation for Texas Home Living Individuals Receiving Primary Home Care or Title XX Emergency Response Services
IL 2015-34 Electronic Visit Verification Requirements for Delivery of Community First Choice Program Services

Note: Revised June 4, 2015

IL 2014-77 STAR+PLUS Managed Care Resource Information for Transitioned Community Based Alternatives, Primary Home Care and Day Activity Health Services Providers