If a child or young adult in your family has a medical, physical, or intellectual disability (ID) or a condition similar to an ID, they may be eligible for services from DADS.
Texas Department of Aging and Disability Services
Get In Touch With DADS
- To get help for your child or young adult, please call 1-855- 937-2372. A trained professional will guide you to the right long-term care services.
- Online at the DADS website.
- You can find more ways to contact DADS on the DADS contact web page.
Help may come in the form of medical care through the federal Medicaid program. It also may be services that make it easier for your child to remain in the family home or move out on their own when they are older. These are called long-term care services.
Long-term care services is kind of what it sounds like – services that you will receive for a long time. Long-term care services can be things like:
- Someone to help your child bathe, dress, or use the bathroom.
- A nurse to monitor your young adult’s health or help them take medication.
- Someone to provide speech or physical therapy for your child.
- Someone to modify your home with ramps or grab bars to make it easier for your child to get around.
The kind of services your child can get depends on his or her age, type of disability, and income and resources. The parents’ income usually is not a factor in determining if your child is eligible for services. However, 1 program – Texas Home Living (TxHmL) – considers the parents’ income.
What Is Medicaid?
Medicaid is a federal program that pays for most long-term care services provided by DADS. There are 2 main types of Medicaid programs – entitlement and waiver.
An entitlement program means that anyone who qualifies for services will receive them. This is the case with Medicaid medical care and programs such as nursing homes or intermediate care facilities.
A waiver program is different in that your child will be put on an interest list, or what some people call a waiting list, until services are available. The wait can be anywhere from months to years, depending on the program. If added to such a list, you will be contacted on a regular basis to make sure you want to keep your child on the list. You will also be contacted when services are available.
If your child qualifies for another service while on an interest list, DADS will make sure you receive information to help you learn about your options.
Who Can Get Waiver Services?
Services through a waiver program may be available to children or young adults who have a medical disability, ID, or a related condition.
- A medical disability is 1 of any number of conditions that keep someone from being able to perform routine activities that let them take care of themselves. DADS’ waiver program for children with a medical disability primarily provides respite, or a short-term break, for the parents.
- An intellectual disability includes significant limitations in both intellectual functioning (reasoning, learning, problem solving) and adaptive behavior, which covers a range of everyday social and practical skills. To qualify for DADS services, this disability must have begun before the age of 18. (Note: An intellectual disability used to be called mental retardation.)
- A related condition is not the same as ID or mental illness; rather it is a condition that keeps people from being able to function in daily life. Autism spectrum disorder, cerebral palsy, and seizure disorders are examples of a related condition. To qualify for DADS services, the condition must have begun before age 22.
The DADS waivers are outlined below and include links to more detailed information about each program, including services and eligibility requirements.
What Waivers Does DADS Have?
DADS has 5 waiver programs that are designed to keep people in their homes or communities.
- Community Living Assistance and Support Services (CLASS):This program helps people of all ages who have what is called a related condition (see the definition above). Services include help managing behaviors, specialized therapies (such as massage or music therapy), nursing, employment services, and minor home modifications.
- Deaf Blind with Multiple Disabilities (DBMD): This program helps people who are deaf-blind or have a condition that leads to deaf-blindness, and who also have another disability. Services include medical supplies and adaptive aids, different types of therapy (such as physical and speech therapy), nursing, minor home modifications, and intervener services (someone to help your child communicate).
- Home and Community-Based Services (HCS): This program helps people who have ID or a related condition (see definitions above). Services are provided in the person’s home or in a small group home with no more than 4 people. Services include nursing, different types of therapy (such as physical and speech therapy), employment services, and minor home modifications.
- Medically Dependent Children Program (MDCP): This program helps families who are caring for a child or young adult who has a long-term medical condition. Services are only available to those under age 21 and include a break for family caregivers (also called respite), adaptive aids to make your child more independent, and minor home modifications.
- Texas Home Living (TxHmL): This program helps people with an ID or a related condition (see definitions above) who live in their own home or their family’s home. This is the only program that considers the parent’s income when deciding if someone is eligible. Services include help with basic life skills or employment, different types of therapy (such as physical and speech therapy), nursing, and minor home modifications.
How to Get Help From DADS
To get help for your child or young adult, please call 1-855- 937-2372. A trained professional will guide you to the right long-term care services.
When you apply for benefits:
- You may be asked questions about you and your family, the money you or your child have and get, and the bills you pay.
- You may be asked for proof that you need services, such as a doctor’s statement.
- Your may have to prove where you were born and that you live in Texas.