1. Determine Eligibility
CDS is available to individuals receiving services through specific Medicaid programs, such as
https://www.hhs.texas.gov/providers/long-term-care-providers/consumer-directed-services-cds
- Home and Community-based Services (HCS)
- Community Living Assistance and Support Services (CLASS)
- STAR+PLUS
- STAR Kids
- Deaf Blind with Multiple Disabilities (DBMD)
- Texas Home Living (TxHmL)
Additionally, you must live in your own home or a family home and be capable of managing your services or have a legally authorized representative (LAR) to assist you.
2. Express Interest in CDS
Inform your case manager or service coordinator that you’re interested in the CDS option. They will provide you with Form 1581, the Consumer Directed Services (CDS) Option Overview, which outlines the benefits and responsibilities of participating in CDS.
3. Choose CDS and a Financial Management Services Agency (FMSA)
Complete Form 1584, Consumer Participation Choice, to indicate your selection of the CDS option and choose an FMSA. The FMSA will assist you with payroll, taxes, and other administrative tasks related to employing service providers.
4. Develop a Service Plan
Work with your service coordinator and FMSA to create a service plan that outlines the services you need and how they will be delivered. This plan will also include a budget for your services.
5. Hire and Manage Service Providers
As the employer, you have the authority to hire, train, and manage your service providers. Ensure that your employees meet the necessary qualifications, such as being at least 18 years old and passing required background checks.
6. Maintain Records and Compliance
Keep accurate records of your employees’ work hours and services provided. Your FMSA will assist you in ensuring compliance with all applicable laws and regulations.
For more detailed information and to access the necessary forms, visit the Texas Health and Human Services Consumer Directed Services page.
