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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.

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

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.

Listing of handbooks and forms for nursing facility providers in Texas

The term "negotiated rulemaking" specifies a particular process to be used to draft a proposed rule. This process provides for a group of 12-15 stakeholders who represent differing interests affected by the proposed rule to negotiate and potentially reach agreement on a proposed rule.

HHSC is mandated to create and provide nursing facilities with one of the posters required by Texas Administrative Code, Title 26, Part 1, Chapter 554, §554.1921(e), the notice of how to file a complaint, giving the toll-free telephone number. This page provides information on how to obtain these posters.

Information for Transition Assistance Services providers.

CDS Program Handbooks and Forms

Training resources for CDS providers.