Consumer Directed Services (CDS)

What is Consumer Directed Services? CDS offers you the opportunity to direct your own attendant care (and in some programs nursing and therapies). You become the employer and are responsible for recruiting, training, managing and firing your attendants. You choose a CDS agency, like us, to provide you with initial training on your responsibilities and on being an employer. We continue to give you ongoing support. We do your payroll, file federal and state employer taxes for you, and do your quarterly and annual employer tax returns. We also report to you and your case manager or service coordinator on a quarterly basis letting you know what hours you have used.

We support the CDS option in all of Texas' long term care programs.

Who does what in consumer direction can be confusing. Click the "e;Roles and Responsibilities"e; button for a complete explanation.

Individuals with Disabilities or the Elderly

We support all of the Medicaid Long Term Services and Supports Programs anywhere in the State of Texas and the Veteran Directed Home and Community Based Services Program in two locations.

Individuals participating in CDS can choose to manage all or some of the services which can be self directed.

  • Community Attendant Services (CAS)
  • Community Living Support Services (CLASS)
  • Deaf-Blind Multiple Disabilities (DBMD)
  • Family Care (FC)
  • Home and Community Based Service (HCS)
  • Texas Home Living
  • Star Plus – all managed care organizations. (Choose LifeSpan as your CDS provider. LifeSpan is a sister agency. Community First Choice is a new service offered through managed care effective June 1. Choose DSSW as your agency. DSSW is our parent company.)
  • Superior Star Plus PCS services for foster care children. (Choose LifeSpan as your CDS provider. LifeSpan is a sister agency.)
  • STAR Kids – Personal Care Services and/or Medically Dependent Children Program with all managed care organizations.
  • STAR+PLUS – all managed care organizations (Choose LifeSpan as your CDS Provider. LifeSpan is a sister agency.)