Texas provides individuals with a disability, and their families, access to a number of programs for their needs. These resources are offered in addition to other federal government, non-profit, or Texas assistance programs and these benefits listed are specific to the disabled. Most of the assistance is provided by Texas Department of Aging and Disability Services, or DADs, More details on these services are below as well as information on phone numbers and financial resources.
The Texas Home Living Program, or TxHmL, is a comprehensive resource available for residents that are diagnosed with an intellectual disability. The services provided as part of it include dental treatment, adaptive aids, minor home modifications, employment assistance, skilled therapies, behavioral support, nursing, day habilitation, and supported employment. The care givers can also get help from respite and other local, non-profit community support.
Housing and relocation assistance is offered. This is a resource for individuals currently living in a nursing facility but who are soon leaving. Texas can help these individuals transition back to their own home or community setting. This is offered at the DADS, Department of Aging and Disability Services offices.
Home and Community-based services is for those disabled individuals that are living with their family, in community settings, or in their own home. This can also cover those that are residing in small group homes. Services available in Texas include residential assistance (such as supervised living, foster/companion care, residential support). Other assistance provided include basic needs such as medical and dental treatment, home improvements, and counseling/behavioral support.
Texas Health Steps is offered from the Department of State Health Services. It is offered for Medicaid enrolled children up through age 20 and can provide diagnosis and treatment, medical checkups, health care, and more. A similar service is the Comprehensive Care Program. This provides treatment in developmental occupational therapy, freestanding psychiatric hospitals, augmentative communication devises/systems, developmental speech therapy and even private duty nursing. Telephone - 1-877-847-8377.
STAR+PLUS Waiver Program provides qualified residents with an alternative to nursing facility placement. The state and the DAS agency provides the disabled with benefits including prescription medication, adult day services, care, assisted living, household chores, therapy, personal attendant services, medical supplies, meal preparation, bathing and minor home modifications, and even nursing services.
Intermediate Care Facility is for Individuals with Intellectual Disability (ICF/IID). It provides them with habilitation services and 24-hour residential care in homes for groups ranging in size from six to more than 100 people. There are local programs that offer services and supports, such as day habilitation, community support and respite for caregivers.
State of Texas operated centers, known as SSLC, can provide 24-hour residential and habilitation services for people with a severe or profound disability. This is also a possibility for those people with an intellectual disability who have behavioral problems or are medically fragile.
There are many local services and assistance programs available for adults and children with medical and/or physical disabilities. One of them is Community Attendant Services, or CAS. This will offer residents with non-skilled personal care. In general, this is for people that whose income makes them ineligible for Primary Home Care and that also have a medical condition resulting in a functional limitation so they can’t perform daily living activities on their own.
Adult Foster Care is an option for persons that are unable to independently function in their own homes. The state program can provide benefits such as assistance with personal care, transportation, and also activities of daily living. This, and more, is provided in a 24-hour living arrangement.
There are a wide variety of home and community-based services available for the disabled. These programs will offer support to persons in their own home, in an adult foster care, or that live in an assisted living facility. The goal of these Community Based Alternatives (CBA) are to serve as an alternative to institutional care in a public home or nursing facility.
CBA may also provide for financial management services, medical supplies, bill payee programs, adult foster care, assisted living, dental, emergency response services, and home delivered meals. While not always available, and it depends on funding levels, other benefits can be provided as well. This can include minor home modifications, personal assistance and nursing services, occupational therapy, physical therapy, prescription drugs (if not covered through Medicare), respite, speech, hearing and language therapy, and general transition assistance services.
If someone has a disability other than an intellectual condition, then the program they should explore is the Community Living Assistance and Support Services (CLASS). This is also offered by Department of Aging and Disability Services. The program administers home and community-based services. As with many of the other resources listed above, this includes transition assistance, habilitation, adaptive aids, dental treatment, minor home modifications, and specialized therapies. 1-877-438-5658.
Consumer Managed Personal Attendant Services or CMPAS is personal assistance services provided to persons with physical disabilities who can supervise their attendants. Services are available in the Dallas, Lubbock, Nacogdoches, Harris, Bexar, El Paso, and Travis county areas. Additional CMPAS assistance may be provided in about 20 other counties of south Texas.
Deaf Blind with Multiple Disabilities (DBMD) is for people diagnosed with a chronic, severe hearing impairment; legal blindness; or a condition that will eventually lead to being deaf or blind. The assistance program was created to serve as an alternative to institutional care and offers services such as habilitation, orientation and mobility, and assisted living. Call 1-877-438-5658 for additional information.
Family Care Services is provided by so called non-skilled attendant care services. This includes activities such as personal care services or home management. It is generally available to disabled persons with functional limitations. FCS can assist with activities of basic needs and daily living.
Home Delivered Meals are administered for the elderly and disabled. The free or low cost program will provide for the delivery of a nutritious meal to a disabled person's home to ensure they receive at least one healthy meal per day. Other benefits including companionship and someone to check on their health.
Financial aid is provided by the Texas Health and Human Services Commission. While income levels normally need to be met, disabled families can explore these government programs as well. There are several resources available.
The commission can provide vouchers for buying food from the SNAP food benefits program. Health care and medical bill assistance is provided from Medicaid and/or CHIP. Many disabled also apply for cash assistance for basic needs from TANF and SSDI. There are several other financial resources available for low income and poor Texas families that are impacted by a disability. 1-877-541-7905
Hospice Services offers social, medical and other support services. It is a resource that offers palliative care to persons, regardless of age, with a terminal illness and a physician's prognosis of under six months to live. Call 512-438-3519 for details.
Grants may be provided by the Texas In-Home and Family Support Program, or IHFSP. This DADs supported program is for persons age four and older who have physical disabilities. The grant can be used to purchase or pay for minor home modifications, disability-related services, and other general equipment. This is a last resort and is only for those who can’t get assistance from any other government or non-profit program.
Medically Dependent Children Program is for families caring for a medically dependent child in their home who is less than 21 years of age. Some of the assistance provided includes adjunct support services, budgeting and financial management services, home modifications, respite and transition assistance services.
Primary Home Care (PHC) is for people with Medicaid. It provides them with non-skilled, personal care services whose chronic health problems impair their ability to perform activities of daily living.
A program isolated to Amarillo, Lubbock and El Paso is PACE, also known as Program of All-Inclusive Care for the Elderly. It offers qualified individuals with preventative and acute care as well as access to long-term services. This can include medical care (including dentistry, podiatry, physical therapy and occupational therapy), transportation, housing assistance, free meals, housing, and more for individuals. Call PACE at 512-438-2013.
Residential Care can be provided as a 24 hour assistance program. Clients can access home management, personal care and other social and recreational services. This benefit is offered for disabled persons who do not require daily nursing intervention.
Texas Special Services to Persons with Disabilities is also called SSPD for short. This will help individuals with developing the skills they need to live in the community as independently as possible. This can also be combined with 24-Hour Shared Attendant Care.
The Texas Department of Aging and Disability Services, or DADs, has offices across the state. Dial 512-438-3011 for more information on these or other benefits and to apply for help.
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