Section 4: Appendices

Resources

The following resources may help you be successful in working with clients and their families. This list focuses on federal and state resources, but you will want to expand your list by adding local resources relevant to your service area.

  • Medicaid Programs and Resources

    Medicaid and CHIP overview, programs and resources

    Medicaid benefit application process

    Medicaid Managed Care

    Managed care service area map

    STAR Medicaid

    STAR Kids

    STAR+Plus

    Texas Health Steps
    Also known as the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) service, Texas Health Steps is Medicaid’s comprehensive and preventive child health service for individuals ages birth through 20.

    Medicaid Complaints Process

    The HHS Office of the Ombudsman assists clients with complaints and concerns.

    Medicaid Attendant Care Programs

    Personal Care Services (PCS)

    Community First Choice (CFC)

    Medicaid Waiver Programs

    Waiver programs offer an array of services to allow people the option to remain in the community instead of entering residential placement; all waive Medicaid income requirements to allow clients to receive Medicaid benefits.

    • Community Living Assistance and Support Services (CLASS) gives home and community-based supports to children and adults with related conditions. There are over 200 related conditions, such as cerebral palsy and spina bifida. The related condition must have occurred before the child turned 22.
    • Deaf Blind with Multiple Disabilities (DBMD) provides services for children and adults who are deaf- blind or have a related condition that leads to deaf-blindness, and who have another disability.
    • Home and Community-Based Services (HCS) gives services and supports to children and adults with an intellectual disability (ID) or a related condition who live with their families, in their own homes, or in small group homes with no more than four people.
    • Medically Dependent Children Program (MDCP) provides services to children and adults who are 20 and younger who are medically fragile as an alternative to receiving services in a nursing facility.
    • STAR+PLUS Home and Community-based Services (HCBS) provides services to adults over the age of 21 to keep them in their community and not in a nursing home facility.
    • Texas Home Living (TxHmL) provides services to children and adults with an intellectual disability (ID) or a related condition who live in their own home or their family’s home.
    • Youth Empowerment Services (YES) provides home and community-based services to children under the age of 19 who otherwise would need psychiatric inpatient care or whose parents would turn to state custody for care.

    Navigate Life Texas, a project of the Texas Health and Human Services Commission that provides support and information about the Texas Medicaid waiver programs for families raising children with disabilities.

    How to direct the parent or client to be added to an Interest List:

    You do not have to prove the client is eligible before adding them to waiver interest lists. The client will go through this process once they move to the top of the list. Only then is the eligibility information reviewed and used to decide whether the client can enroll. Case managers should encourage parents to add their children to waiver interest lists as soon as possible because the wait for services can be long.

    • Call 1-877-438-5658 for information about putting your client on an interest list for long-term services. This is for the CLASS, DBMD, and MDCP waivers.
    • Call the Local Mental Health Authority about the Youth Empowerment Services (YES) waiver program.
    • Call the Local Intellectual and Developmental Disability Authority (LIDDA) to get your client on the interest list for the HCS and Texas Home Living Waiver programs. You can search for the client’s LIDDA’s telephone number.

    Medical Transportation Program
    Transportation services are available to people covered by Medicaid who have no other means of transportation to get to a Medicaid provider, such as the doctor, dentist, pharmacy or therapy appointment. The program may include van pickup, bus passes or mileage reimbursement.

  • Advocacy Organizations

    Disability Rights Texas
    This is a protection and advocacy agency for individuals with disabilities.

    Texas Parent to Parent
    Provides support, information, and education to families with children of all ages who have disabilities or chronic illnesses.

    Navigate Life Texas
    This website is especially for families and parents of children with disabilities or special health care needs and is designed to offer support, inspiration, resources, and links to services available.

  • Developmental/Educational Resources

    As you work with children with disabilities you will need to know about their educational rights.

    Special Education and Related Services

    Children and youth (ages 3‐21) with disabilities are entitled to free appropriate public education (FAPE) that emphasizes special education and related services designed to meet their unique needs and prepare them for further education, employment and independent living.

    Early Childhood Intervention (ECI)
    A statewide program for children birth through age 3 with disabilities or developmental delays. Provides evaluations and therapies.

    Preschool Program for Children with Disabilities (PPCD)
    The Preschool Program for Children with Disabilities (PPCD) is provided by Texas Independent School Districts for children with disabilities who are 3 to 5 years old.

    Admission, Review, and Dismissal (ARD) Meetings
    All children receiving special education and related services in Texas are required to have a minimum of one Admission, Review, and Dismissal (ARD) meeting per year. These meetings are necessary for developing and implementing each student’s individual education plan (IEP).

  • State and Federal Programs and Resources

    Community Resource Coordination Groups (CRCG)
    CRCGs are groups of local partners and community agencies that help people with complex needs that can’t be met by a single agency. They join people or families with public and private agencies to get people the help they need.

    Department of Family Protective Services (DFPS)
    Report Abuse, Neglect or Exploitation
    Call or report online (1) child abuse and neglect; (2) abuse, neglect, self-neglect, and exploitation of the elderly or adults with disabilities living at home; (3) abuse of children in child-care facilities or treatment centers; or (4) abuse of adults and children who live in state facilities or are being helped by programs for people with mental illness or intellectual disabilities.

    Services for People Who Are Blind and Visually Impaired
    The Blind Children’s Vocational Discovery and Development Program works with each child and young adult (ages 0-22) and family to create a service plan tailored to the child’s needs and circumstances.

    Supplemental Security Income (SSI)
    The SSI program pays benefits to adults and children with a disability or blindness who have limited income and resources.

    2-1-1 Texas
    Provides resources for food, health, housing, Medicaid application assistance and more.

    Supplemental Nutrition Assistance Program (SNAP)
    Helps eligible low-income households buy food for their family.

    Temporary Assistance to Needy Families (TANF)
    Provides financial assistance to needy dependent children and the parents or relatives with whom they are living. Assistance is time‐limited and promotes work, responsibility and self‐sufficiency.

    Texas WIC
    WIC is a nutrition program that helps pregnant women, new mothers and young children eat well, learn about nutrition and stay healthy. Nutrition education and counseling, nutritious foods, and help accessing health care are provided to low-income women, infants and children through the Special Supplemental Nutrition Program, popularly known as WIC. WIC services are free to those who meet eligibility criteria.

Texas Health and Human Services / Texas Health Steps

Thank you for participating in the Texas Health Steps Online Provider Education Program. This module is one of more than 50 free continuing education (CE) courses and tutorials designed to enhance health-care providers’ ability to deliver preventive medical, oral, behavioral health and case management services to children and adolescents enrolled in Medicaid.

The courses are available 24/7 and offer education covering:

  • Best practices
  • Case-based evaluation and diagnostic training
  • Texas Health Steps preventive and screening services
  • Overall Medicaid benefits

The accredited courses are updated regularly, and new courses are under development.