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I wanted to summarize these the best I could, but I was afraid something would be missed. Hopefully everything is here that you need. Everything is copied and pasted for each.  

Start with printing off the check sheet on the task tracker page. Don't get overwhelmed, start with the first section and read one number at a time. If you see something you need then check it off on the sheet and put the date that you applied for it. Or mark off what you know you don't need and go from there.

Section 1

Make too much? Let's get Medicaid anyway! 

Medicaid Buy-In

Texas lets individuals or families with higher incomes buy low-cost Medicaid by paying a monthly fee if they have access to job-based health insurance.  Apply for (HIPP) for possible reimbursement for what you have to pay.

1) Medicaid Buy-In for Children (MBIC).

The Medicaid Buy-In for Children (MBIC) program offers low-cost Medicaid services to children with disabilities whose families make too much money to get Medicaid.

2) Medicaid Buy-In for Adults.

The Medicaid Buy-In (MBI) program offers low-cost Medicaid services to adults with disabilities who work.

3) Texas Health Insurance Premium Payment (HIPP).

HIPP is the Texas Medicaid program that helps families pay for employer-sponsored health insurance premiums. It is for families with at least 1 person who gets Medicaid.

Section 2

Sign up for what you need!

If you are unsure about something and are unable to contact anyone to ask, sign up for it anyway.

Let's keep our loved ones out of institutions and nursing homes!

Medicaid Long‑Term Care HCBS Waivers

Provides community-based care alternatives to institutional facilities like nursing homes. 

Apply for 1 &2 in the same phone call. Make sure to apply for both. Its help with future housing.

1) Texas Home Living (TxHmL) Waiver

Texas Home Living (TxHmL) provides selected essential services and supports to people with intellectual and developmental disabilities (IDD) who live in their family homes or their own homes.

Wait times 10 to 15 years or more

2) Home and Community-Based Services (HCS)

The Home and Community-based Services (HCS) program provides services and supports to persons with intellectual disabilities who are living with their family, in their own home or in other community settings, such as small group homes.

Wait times 10 to 18 years

3) Youth Empowerment Services (YES) Waiver 

The Youth Empowerment Services Waiver is a 1915(c) Medicaid program that helps children and youth with serious mental, emotional and behavioral difficulties. The YES Waiver provides intensive services delivered within a strengths-based team planning process called Wraparound. Wraparound builds on family and community support and utilizes YES services to help build your family’s natural support network and connection with your community. YES services are family-centered, coordinated and effective at preventing out-of-home placement and promoting lifelong independence and self-defined success..

4) STAR+PLUS HCBS Waiver

STAR+PLUS is a Texas Medicaid-managed care program that provides free health coverage for adults who have disabilities or adults age 65 or older.

5) Medically Dependent Children Program (MDCP) Waiver

The Medically Dependent Children Program (MDCP) helps families care for children and young adults age 20 and younger who need a high level of medical care. The program helps children and young adults move out of nursing facilities when they can be safely served in the community. MDCP provides services through a STAR Kids or STAR Health managed care organization. Services may include respite, flexible family support services, minor home modifications, adaptive aids, transition assistance services, employment assistance, supported employment, and financial management services.

6) Deaf‑Blind with Multiple Disabilities Waiver

The Deaf Blind with Multiple Disabilities (DBMD) program provides home and community-based services to people who are deafblind with multiple disabilities as a cost-effective alternative to care in an institution. The program includes services that focus on increasing opportunities for consumers to communicate and interact with their environment.

7) Approved Community Living Assistance and Support Services (CALAIS) Waiver 

Community Living Assistance and Support Services (CLASS) provides home and community-based services to people with related conditions as a cost-effective alternative to care in an intermediate care facility for individuals with an intellectual disability or related conditions. A related condition is a disability, other than an intellectual disability, that originated before age 22 and that affects a person's ability to function in daily life.

8) STAR kids

STAR Kids is a Texas Medicaid managed care program that provides free health coverage for children and young adults with disabilities.

Medicaid Community First Choice (CFC) Services

CFC services are basic attendant and habilitation services for people with disabilities and are available to Medicaid and Medicaid Buy-in recipients with an institutional level of care.  The 4 CFC services offered are listed below.  These are not considered waivers. They are not funded through waiver funds; they are funded through Medicaid itself. 

Apply for number 1 and 2 for home assistance and number 3 to help you managing the attends (people)that come to your home. Apply for number 4 if you need an emergency device.

1) CFC Personal Assistance Services (PAS)

Focuses on hands-on physical help with daily tasks that for someone that may or may not physically capable.

PAS helps people perform activities of daily living (such as eating, toileting, grooming, dressing and bathing), activities related to living independently in the community (such as meal planning and preparation, cleaning, managing finances, shopping for food and other essential items), and health-related tasks based on the service plan.

2 CFC Habilitation (HAB)

Focuses on teaching and training so if they are capable, they can gain independence over time.

HAB teaches people how to accomplish activities of daily living, activities related to living independently in the community and health-related tasks.

3) CFC Support Management

Provides support to help manage (PAS) & (HAB) attendants that help.

Support management provides information on how to select, manage and dismiss the attendants that are chosen to help.

4) CFC Emergency Response Services (ERS)

Provides emergency device.

ERS provides an electronic device usually worn by the person that, when activated by the person, alerts the appropriate entity that the person is experiencing an emergency. CFC ERS is available for people who live alone, who are alone for significant parts of the day, or who have no regular caregiver for extended periods of time and would otherwise require extensive routine supervision.

Section 3

Texas Transition and Employment 

Helps students with disabilities and their families plan for life after high school, covering transition planning, employment, college, community living, transportation, financial supports, and health.

Aged, Blind, and Disabled (ABD)

In Texas, the Aged, Blind, and Disabled (ABD) program is the Medicaid pathway for low‑income Texans who are 65+, blind, or disabled, and it can provide full Medicaid coverage and long‑term services and supports (LTSS) if you meet income, asset, and medical criteria.