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Before you do anything, get all of your kid's school records, therapy logs and medical records.

Sign Your Kids Up for These! 

Make sure to sign up for 1 and 2 even if you already qualify for Medicaid or you are over the income limit! These are extremely important for everyone regardless of income. They can be called in and can be taken care of within the same phone call.

1. Texas Home Living (TxHmL)

• Who gets help? People with intellectual and developmental disabilities (IDD).
• Where do they live? They get to live in their own home or with their family, not in a care facility designed for basic to moderate supports.
• What kind of help? They get help with daily life, job training, and health care in their local community.
• How does it work? Medicaid pays for these services so people can stay safe and independent at home.

(Call your nearest Local Intellectual and Developmental Disability Authority (LIDDA))

2. Home and Community-Based Services (HCS)

• Who gets help? Residents with an intellectual disability or a related condition. / People who qualify for Texas Medicaid financial benefits.
• Where do they live? Their own family home / A foster or companion care home (called host homes) / Small group homes with four or fewer residents.
• What kind of help? Daily living support and personal care assistance. /Job training and daytime activities / Nursing, dental, and behavioral health support. / Respite care (temporary relief for family caregivers) designed for more extensive or varied services

(Call your nearest Local Intellectual and Developmental Disability Authority (LIDDA)) 

Texas Medicaid Waiver

A Texas Medicaid waiver application is the formal process to join a special Medicaid program that pays for community-based care instead of institutional care, with eligibility based on your needs, Medicaid status, and the waiver’s rules. Call the Texas Health and Human Services Commission at 1-877-438-5658 to join interest lists for (CLASS), (DBMD), and the (MDCP).

It is recommended to sign up for these even if you currently have Medicaid. They are not included in your standard Medicaid policy. You will either have to have Medicaid or be in the Medicaid buy-in program. Here are the 7 Texas Medicaid Waivers. You may not need all of them.

• CLASS (Community Living Assistance and Support Services): Helps children and adults with related conditions (disabilities other than intellectual disabilities, such as cerebral palsy or spina bifida) that onset before age 22.
• DBMD (Deaf Blind with Multiple Disabilities):Provides specialized community services and communication support for individuals who are deaf-blind or have a condition leading to deaf-blindness along with another disability, with no age lit.
• MDCP (Medically Dependent Children Program):Offers support services like respite care, adaptive aids, and home modifications for medically fragile children and young adults age 20 or younger.
• STAR+PLUS HCBS: Serves adults age 21 and older with physical disabilities or older adults who need long-term care support.
  
• YES (Youth Empowerment Services): Provides home and community-based mental health services for children and youth under age 19.
• TxHml
• Hsc

(You must call the statewide HHSC interest list line at 1-877-438-5658 or manage them online via Your Texas Benefits). Apply even if you are over the income limit!

If you are over the Medicaid income limit, sign up for either (MBIC) or (MBI). Once approved for the buy-in, then sign up for (HIPP), you may be able to get reimbursements. No need to sign up if your income is within the Medicaid requirements. Requires either private health insurance or employer-sponsored health insurance.

(MBIC) Texas Medicaid Buy-in for Children

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. The website wants you to download what they call an XFA PDF file that requires Adobe to open. Here is a standard PDF file that can be opened by most if not all PDF viewers.

(MBI) Texas Medicaid Buy-in for Adults

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

6. (HIPP) Texas Health Insurance Premium Payment Program

The Texas Health Insurance Premium Payment (HIPP) Program is a Medicaid service that reimburses eligible families for all or part of their employer-sponsored health insurance premiums when it is cost-effective for the state.

Recommended Things To Do

Open a Able Bank Account

An ABLE account is a tax-advantaged savings and investment account that allows individuals with disabilities to build wealth without losing critical, means-tested government benefits like SSI, Medicaid, HUD, and SNAP. Administered under Section 529A of the Internal Revenue Code, these accounts ensure that money grows completely tax-free and withdrawals are tax-exempt when spent on a wide variety of quality-of-life expenses.

Open a Special Needs Trust (SNT) account