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Culture change is an evolving process whereby a nursing home moves from being an institution driven by tasks and schedules to a place that reflects the residents wishes and their needs. With culture change comes a new way of thinking: focusing on residents' abilities, preferences and routines to provide care that meets their needs.

A list of links to state and other rules and statutes for the CDS program.

CDS Program contact information.

Information on how the CDS program is implemented in Texas.

Information for Consumer Directed Services (CDS) providers in Texas.

Information about how the CDS program works in Texas.

Information about how to become a CDS provider in Texas.

A list of CDS training presentations.

The Service Responsibility Option is an additional option of consumer direction. SRO lets consumers select, train and manage most of the day-to-day activities of their attendants, such as when they work and how they perform their duties. The provider agency of the participant's choosing remains the employer of record and handles all of the personnel and business details

Information for Community Living Assistance & Support Services (CLASS) program providers in Texas

Texas HHS maintains CLASS Choice Lists for applicants, individuals or legally authorized representatives to use when choosing a Case Management Agency and Direct Services Agency. The lists are maintained for each CLASS catchment area and are updated monthly

The Texas Health and Human Services Commission (HHSC) accepts applications from prospective providers through its open enrollment procurement process to contract for the Community Living Assistance and Support Services (CLASS) Medicaid waiver program. Under the open enrollment process, contracts are awarded on a noncompetitive basis to eligible applicants meeting the qualifications and other requirements established by HHS. There is no end date or dollar amount associated with the contracts awarded through this solicitation.

This page lists CLASS Provider Webinars presented by HHSC.

Advance care planning means planning ahead for how you want to be treated if you are very ill or near death. This page provides information about that process for both providers and consumers.