About 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 FMS 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 “Roles and Responsibilities” for a complete explanation.

Individuals with Disabilities or the Elderly

We provide comprehensive support for all Medicaid Long Term Services and Supports Programs throughout the state of Texas, as well as the Veteran Directed Home and Community Based Services Program in two specific locations. For individuals participating in Consumer Directed Services (CDS), there is the option to self-direct and manage all or some of their services, offering greater control and personalization of their care.

Community Attendant Services (CAS)

CAS provides non-skilled attendant services to Medicaid-eligible individuals who require assistance with basic daily activities, such as bathing, dressing, and eating.

Community Living and Support Services (CLASS)

CLASS offers a range of services to individuals with developmental disabilities, designed to help them live independently in the community.

Deaf-Blind Multiple Disabilities (DBMD)

The DBMD program caters to individuals who are both deaf and blind and have additional disabilities.

Home and Community Based Services (HCS)

HCS provides individualized services to people with intellectual and developmental disabilities, allowing them to live in community settings rather than institutions.

Texas Home Living (TxHmL)

TxHmL is a Medicaid waiver program that offers community-based services to individuals with intellectual disabilities or related conditions.

State of Texas Access Reform (STAR)

The STAR program delivers Medicaid services through a managed care model, providing comprehensive medical, dental, and behavioral health care.

Superior Foster Care

PCS Services for Foster Care Children, This program offers personalized care services to foster care children.

STAR Kids

Personal Care Services (PCS) and/or Medically Dependent Children Programs (MDCP) are programs designed for individuals under the age of 21 with disabilities.

STAR+PLUS

STAR+PLUS is a managed care program that provides integrated health care and long-term services to adults with disabilities or those aged 21 and older.

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.

Veteran Directed Home and Community Based Services

This program provides personal attendant services to veterans who qualify. Through CDS in Texas we support the Veterans Directed CDS program in the Belton and San Antonio, Texas areas.

For Belton, contact the Central Texas Veteran Directed Home and Community Based Services Program. In San Antonio, contact Bexar Texas Veteran Directed Home and Community Based Services Program.