Helping children remain in their own homes

The Texas Health and Human Services (HHS) manages and funds long-term services and supports for people with intellectual and physical disabilities, and those who are aging. 

Many children are able to remain in their own homes and communities instead of going to a nursing home or institution because of the Medicaid Waiver Programs. These programs offer a variety of services. Scroll down to find a list of the programs.

If your child needs more assistance than can be provided in your home, the next step is to go to your Local Authority and tell them your child is at risk of an out of home placement.  More supports may be available. 

Get on the interest list ASAP

Texas has very long interest (waiting) lists for all Medicaid Waiver Programs. It is critical to call your Local Authority to get on the interest list. ( A Local Authority offers services in the community for people with intellectual or developmental delays.)  Find the contact number for the office near you.

  • Put your child’s name on the list as soon as you suspect or know your child has a disability—it can take from 3 to 10 years before you can enter a waiver program
  • You don’t have to know if your child is eligible for the programs to get on the list


It is very important to keep your contact information current and respond to letters and phone calls about the lists. Your child may be dropped off the list if your contact information is out of date and letters and phone calls don’t get to you.

Learn more about waiver programs

Waiver programs waive federal requirements related to the parents’ income. Instead, most programs are based on a child’s income, which helps them qualify for Medicaid and receive services.

Watch a short 6-minute video to learn more about the importance of signing up for a waiver program when a child is young.

The Texas HHS Medicaid Waiver Programs for Children

Medically Dependent Children Program (MDCP) supports families caring for a medically dependent child in their home who is younger than 21 years of age.

Community Living Assistance and Support Services (CLASS) provides services and supports for children and adults diagnosed with a related condition.  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.

Deaf Blind with Multiple Disabilities (DBMD) is for people of all ages diagnosed with legal blindness; a chronic, severe hearing loss; or a condition that leads to deaf-blindness and an additional disability that results in impairment to independent functioning.

Home and Community-Based Services (HCS) provides services and supports to people of any age with a determination of an intellectual disability and certain related conditions, including Autism.

Texas Home Living  (TxHmL) provides services and supports to people with an intellectual disability or a related condition who live in their own home or their family's home. You must be determined eligible for Medicaid services before enrolling in the program. You should be aware that TxHml does consider parental income.