Medicaid Waivers & Residential Care Funding in Texas

Texas has 5 Medicaid funding programs on Capacity Track, and 3 of them can pay for care in a licensed residential setting. Below is what each program covers, who it serves, and where to find licensed providers — 2,715 locations statewide.

Waiver services in Texas are coordinated by a service coordinator, typically through your Local Intellectual and Developmental Disability Authority (LIDDA). Every provider listed here comes from state licensing records — never pay-to-play.

Waiver Programs in Texas

• STAR+PLUS / STAR+PLUS HCBS program (1115 managed care)

  Pays Residential

  Serves: 65+, adults with physical disabilities, SSI adults

  STAR+PLUS / STAR+PLUS HCBS program (1115 managed care) can pay for services in licensed residential settings in Texas, so it is a funding path for residential placements.

  Program Details & Providers

• Home and Community-based Services (HCS)

  Pays Residential

  Serves: IDD

  Home and Community-based Services (HCS) can pay for services in licensed residential settings in Texas, so it is a funding path for residential placements.

  Program Details & Providers

• Texas Home Living (TxHmL)

  In-Home Only

  Serves: IDD

  Texas Home Living (TxHmL) covers in-home and community services only — it does not pay for residential placement in Texas.

  Program Details & Providers

• CLASS

  In-Home Only

  Serves: related conditions / physical disabilities

  CLASS covers in-home and community services only — it does not pay for residential placement in Texas.

  Program Details & Providers

• Deaf-Blind with Multiple Disabilities (DBMD)

  Pays Residential

  Serves: deaf-blind adults

  Deaf-Blind with Multiple Disabilities (DBMD) can pay for services in licensed residential settings in Texas, so it is a funding path for residential placements.

  Program Details & Providers