Texas has become a leader in Consumer Directed Services thanks to thoughtful planning, strong agency partnerships, and a commitment to individual choice. Compared to many states, CDS in Texas stands out.
What Texas Does Well:
- Established FMSA Network
A strong network of approved FMSAs in Texas ensures families get the payroll, compliance, and training support they need to succeed. - Broad Program Access
From MDCP to HCS to STAR+PLUS, Consumer Directed Services are available across many Medicaid waiver programs in Texas. - Clear Employer Support
The employer role is well supported in Texas, making it easier for families to step into this role with confidence. - Policy Leadership
HHSC continues to update and refine CDS in Texas, making improvements based on feedback and best practices.
Texas has shown how Consumer Directed Services can be implemented effectively, with real results for families. It’s a model worth replicating — and one Texans can be proud of.
