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Medicaid Waiver Programs

Community Living Assistance and Support Services (CLASS)

Service Description:
The Community Living Assistance and Support Services (CLASS) program provides home and community-based services to adults and children with related conditions as a cost-effective alternative to ICF-MR/RC institutional placement.  People with related conditions have a qualifying disability, other than mental retardation, which originated before age 22, that affects their ability to function in daily life.
  Funding Sources Title XIX Medicaid 1915(c) Home and Community-Based Services Waiver, and State Funds.

Covered Services include:
  • Adaptive Aids and Medical Supplies
  • Case Management
  • Consumer Directed Services
  • Habilitation
  • Minor Home Modifications
  • Nursing Services
  • Occupational Therapy
  • Physical Therapy
  • Prescription Drugs
  • Psychological Services
  • Respite Care
  • Specialized Therapies
  • Speech Pathology
Client Eligibility:

Age: No limit (but age of onset of disability must be prior to age 22).

Income / Resources: The applicant must be Medicaid eligible in the community under:
  • SSI; or
  • Medical Assistance Only (MAO) protected status; or
  • Meet the income and resource requirements for Medicaid benefits in nursing facilities
    ($1,737/month with resources of $2,000 for an individual.  Spousal impoverishment provisions apply.)
  • A disabled child who would be eligible for Medicaid if institutionalized and if parental income is not deemed to the child.
Additional Criteria:
  • Have Individual Service Plan (ISP) for waiver services approved by DADS that does not exceed 125% of the cost of ICF-MR/RC institutional care.
  • Meet the institutional Level-of-Care (LOC) criteria for Intermediate Care Facilities for people with Mental Retardation/Related Conditions (ICF-MR/RC) LOC VIII.
  • Must have a demonstrated need for ongoing habilitation services and case management.
  • Reside in a geographic catchment area.
How to Apply for Services:

Contact CLASS/MDCP Interest List Information at (877) 438-5658.

CLASS is available in the following counties:

Amarillo Area:
Armstrong, Carson, Dallam, Deaf Smith, Donley, Gray, Hansford, Hutchinson, Moore Potter, Randall Austin Area:
Bastrop, Blanco, Burnet, Caldwell, Hays, Travis, Williamson Beaumont Area: Chambers, Hardin, Jefferson, Liberty, Orange

Corpus Christi Area:
Aransas, Bee, Jim Wells, Kleberg, Live Oak, Nueces, Refugio, San Patricio

Dallas Area:
Collin, Cooke, Dallas, Denton, Ellis, Fannin, Grayson, Hunt, Kaufman, Rockwall
El Paso Area: El Paso

Fort Worth Area:
Hood, Johnson, Parker, Tarrant, Wise

Houston Area:
Brazoria, Ft. Bend Galveston, Harris, Matagorda, Montgomery, Waller

Lubbock Area:
Crosby, Floyd, Garza, Hale, Hockley, Lamb, Lubbock, Lynn, Terry

Midland / Odessa Area:
Andrews, Dawson, Ector, Gaines, Howard, Martin, Midland, Regan, Upton, Ward, Winkler

Longview Area:
Anderson, Bowie, Cass, Cherokee, Gregg, Harrison, Henderson, Marion, Morris, Rusk, Smith, Upshur, Van Zandt, Wood

San Angelo Area:
Brown, Callahan, Coke, Coleman, Eastland, Jones, Mitchell, Nolan, Runnels, Scurry, Stephens, Sterling, Taylor, Tom Green

San Antonio Area:
Atascosa, Bandera, Bexar, Comal, Frio, Guadalupe, Kendall, Kerr

Waco / Temple Area:
Bell, Bosque, Coryell, McLennan

Valley Area:
Brooks, Cameron, Duval, Hidalgo, Jim Hogg, Kenedy, Starr, Webb, Willacy, Zapata