The Community Living Assistance and Support Services (CLASS) program provides home and community-based services to people with related conditions as a cost-effective alternative to an intermediate care facility for individuals with an intellectual disability or related conditions (ICF/IID). A related condition is a disability, other than an intellectual disability, that originated before age 22 that affects the ability to function in daily life.

The Home and Community-based Services (HCS) program provides individualized services and supports to people with intellectual disabilities who are living with their families, in their own homes or in other community settings, such as small group homes where no more than four people live. The local authority provides service coordination.​

The Texas Home Living (TxHmL) program provides selected essential services and supports to people with an intellectual disability or a related condition who live in their own home or their family’s home

Community First Choice (CFC) provides certain services and supports to individuals living in the community who are enrolled in the Medicaid program and meet CFC eligibility requirements. Services and supports may include:  ​

  • activities of daily living (eating, toileting, and grooming), activities related to living independently in the community, and health-related tasks (personal assistance services);
  • acquisition, maintenance, and enhancement of skills necessary for the individuals to care for themselves and to live independently in the community (habilitation);
  • providing a backup system or ways to ensure continuity of services and supports (emergency response services); and
  • training people how to select, manage and dismiss their own attendants (support management).

In Texas, CFC may be available to people enrolled in Medicaid, including those served by:

  • 1915 (c) waiver programs (Through the Department of Aging and Disabilities);
  • Medicaid managed care; and
  • personal care services for children.

CFC is also available through managed care organizations  (such as Amerigroup, Molina, Cigna HealthSpring, United Healthcare and Superior) for individuals who meet eligibility criteria.

To find more information about eligibility for CFC is available by clicking this link.  Additional, information about CFC for children in Traditional Medicaid can be found by clicking this link.


Want to Enroll or Transfer to PepperTree Complete Care?  

Call 877-287-5215. Please be prepared to discuss which service you are inquiring about.

How do I apply for DADS Long-term Care Services?

If you are older or have a disability, there may be some things you no longer can do for yourself.

Call 1-855-937-2372

To talk to a trained professional who can start you on the road to getting the services you need.

Please be prepared to provide Social Security and Medicaid numbers, type of disability, age of the onset of the disability, date of birth, address and telephone number of the person needing services.