Your Guide to Starting Consumer Direction in Texas: Take Control of Your Care

Senior woman, nurse and consulting with tablet for healthcare, medicare or results at nursing home.

Consumer Directed Services (CDS) in Texas offer families the freedom to choose who provides their care and how it’s delivered. Whether you’re a Medicaid recipient or helping a loved one manage services, the CDS model puts control in your hands.

  • Step 1: Determine Eligibility
    CDS in Texas is available through Medicaid waiver programs like STAR+PLUS, STAR Kids, MDCP, HCS, CLASS, Texas Home Living, PHC and PCS. Your case manager or service coordinator can confirm your eligibility.
  • Step 2: Select a Financial Management Services Agency (FMSA)
    A trusted FMSA in Texas helps you manage payroll, taxes, and administrative tasks. You’ll select from a state-approved list in your region — and at EAK CDS, we make this process smooth and supportive.
  • Step 3: Choose Your Employees
    One of the biggest advantages of Consumer Directed Services is that you can hire trusted friends, family, or others who meet qualifications.
  • Step 4: Complete Required Training
    Your FMSA in Texas will provide you with orientation and support so you understand your responsibilities as the employer.
  • Step 5: Start Services
    Once you’re set up, you’ll begin care on your terms — with the people you choose and a schedule that works for your family.

Starting Consumer Directed Services doesn’t have to feel overwhelming. With a supportive FMSA in Texas, you can take charge of your care with confidence and clarity.