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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.
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).
Covers children age 18 or younger with a documented disability or special health care need who meet Social Security disability guidelines
2) Medicaid Buy-In for Adults.
Covers employed adults age 19 and older with a documented disability who want to work or increase work hours without losing health coverage.
3) Texas Health Insurance Premium Payment (HIPP).
If someone in your family is enrolled in Medicaid and you have access to health insurance through a job, Texas HIPP may reimburse you for your employer-paid insurance premiums. The state does this because paying your employer premium is often less expensive for the taxpayers than paying for full Medicaid medical costs
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
Restricted strictly to the person's own home or family home. It does not cover group homes or host home daily residential placements.
2) Home and Community-Based Services (HCS)
Supports people living on their own, with family, in foster care (host home/companion care), or in small group homes of up to four beds.
3) Youth Empowerment Services (YES) Waiver
Helps children and youth with serious emotional, mental, or behavioral difficulties at risk of inpatient psychiatric care while living at home.
4) STAR+PLUS HCBS Waiver
Texas’s main Medicaid program that provides long‑term care at home for adults (21+) who meet nursing‑facility level of care, have income under about $2,982/month and assets under $2,000, and are placed on the statewide Interest list before receiving services. It covers personal attendants, home modifications, nursing, therapies, respite, assisted living, and more.
5) Medically Dependent Children Program (MDCP) Waiver
Program that provides in‑home supports—such as respite, adaptive aids, minor home modifications, and flexible family support—to medically fragile children and young adults ages 0–20, allowing them to live safely at home instead of in a nursing facility.
6) Deaf‑Blind with Multiple Disabilities Waiver
Provides home and community-based services as an alternative to living in an institution.
7) Approved Community Living Assistance and Support Services (CALAIS) Waiver
Provide the medical, therapeutic, and personal support individuals need to live independently in their own homes or communities instead of moving into a nursing home or institutional care facility.
8) STAR kids
Designed for children and young adults aged 20 years or younger who have disabilities. The program aims to meet the unique healthcare needs of youth with disabilities by offering comprehensive medical services and support.
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 for (PAS) & (HAB).
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.
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