Texas Medicaid Waivers:
What Texas Health Steps Providers Should Know

Medicaid waiver policies and regulations are complex. This course provides a tailored overview of what are known as “1915(c) waivers” for children and youth with disabilities in Texas. The waivers are named for the section of the Social Security Act that allows such programs. These waiver programs provide services to meet the needs of those who prefer to receive long-term care services/supports in their home or community, rather than in an institutional setting such as a nursing home or other inpatient facility.

Choose any section below to learn more.

Overview of Medicaid and Medicaid Waiver Programs

What Texas Health Steps Providers Need to Know

Texas Medicaid Waiver Programs for Children with Disabilities

Medicaid Waiver Interest Lists: What Families Need to Know

Appendix

• Texas Medicaid Waiver Programs
  • Community Living Assistance and Support Services (CLASS) Waiver
  • “What is CLASS,” a fact sheet in English
  • “What is CLASS,” a fact sheet in Spanish
  • Deaf Blind with Multiple Disabilities (DBMD) Waiver
  • “What is DBMD,” a fact sheet in English
  • “What is DBMD,” a fact sheet in Spanish
  • Home and Community-based Services (HCS) Program
  • “What is HCS,” a fact sheet in English
  • “What is HCS,” a fact sheet in Spanish
  • Medically Dependent Children Program (MDCP) Waiver
  • “What is MDCP,” a fact sheet in English
  • “What is MDCP,” a fact sheet in Spanish
  • STAR+PLUS Home and Community-based Services (HCBS) Waiver
  • Texas Home Living (TxHmL) Program
  • “What is TxHmL,” a fact sheet in English
  • “What is TxHmL,” a fact sheet in English
  • Youth Empowerment Services (YES) Waiver
  • Navigate Life Texas, an HHSC website that provides support and information for families raising children with disabilities.
  • Texas Health and Human Services Commission. Local Intellectual and Developmental Disability Authorities Directory.
  • Texas Health and Human Services Commission. Find Your Local Mental Health or Behavioral Health Authority.
  • Texas Health and Human Services Commission. Youth Empowerment Services (YES) Waiver LMHA/LBHA Inquiry Line by County.
  • Texas Parent to Parent, a parent peer support organization for families with children who have special health-care needs.
• References Featured in Course

  Center on Budget and Policy Priorities. (2020). Medicaid Works for Children.

  Center on Budget and Policy Priorities. (2020). Policy Basics: Introduction to Medicaid.

  Center on Budget and Policy Priorities. (2019). Frequently Asked Questions About Medicaid.

  Henry J. Kaiser Family Foundation. (2019) Medicaid in Texas.

  Texas Health and Human Services Commission. (2020). Community Living Assistance and Support Services (CLASS)

  Texas Health and Human Services Commission. (2020). Deaf Blind with Multiple Disabilities (DBMD)

  Texas Health and Human Services Commission. (2020). Healthcare Statistics: Medicaid and CHIP Enrollment.

  Texas Health and Human Services Commission. (2020). Home and Community-based Services (HCS) Program.

  Texas Health and Human Services Commission. (2020). Interest List Reduction.

  Texas Health and Human Services Commission. (2020). Interest List and Waiver Caseload Summary Archive.

  Texas Health and Human Services Commission. (2020). Local IDD Authority (LIDDA).

  Texas Health and Human Services Commission. (2018). Texas Long-Term Services and Support (LTSS) Waiver Programs.

  Texas Health and Human Services Commission. (2020). Medically Dependent Children Program (MDCP).

  Texas Health and Human Services Commission. (2020). Texas Home Living (TxHmL) Program.

  Texas Health and Human Services Commission. (2020). Youth Empowerment Services (YES) Waiver.

  Texas Health and Human Services Commission, Navigate Life Texas. (2020). Medicaid Waivers Overview.

  Texas Health and Human Services Commission. (2019). Texas Approved Diagnostic Codes for Persons with Related Conditions.

  Texas Parent to Parent. (2019). Services & Supports: Qualifying for Benefits.

  Texas Parent to Parent. (2019). Transition FAQ: Medicaid Waivers and related programs.

  University of California at Santa Barbara, The American Presidency Project. (n.d.). Lyndon B. Johnson: Remarks With President Truman at the Signing in Independence of the Medicare Bill.

  U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Medicaid.gov. (n.d.). Texas Waiver Factsheet.

  U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Medicaid.gov. (n.d.). Eligibility.

  U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. (2018). 2017-2018 National Survey of Children's Health (NSCH) Interactive Data Query (2016-2018).

  U.S. Department of Health and Human Services. (2017). Who is eligible for Medicaid?

  U.S. Department of Health and Human Services. (2015). What is the difference between Medicare and Medicaid.