Texas Medicaid waivers
Texas runs 7 Medicaid home and community-based services (HCBS) waiver programs in our records; 6 have a state-published waiting list.
- Waiver programs
- 7
- With a waiting list
- 6
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Texas waiver programs
Texas runs 7 Medicaid home and community-based services (HCBS) waiver programs in our records; 6 have a state-published waiting list.
| Waiver | Authority | Who it serves | Waiting list | Approved through |
|---|---|---|---|---|
| TX Community Living Assistance & Support Services (CLASS) WaiverTX.0221Services: Case management, Prevocational services, Residential habilitation, Respite (in-home and out-of-home), Supported employment, Adaptive aids, Dental treatment, Dietary… | 1915(c) | People with developmental disabilities, all ages, Must meet ICF/IID level of care | 99,475as of Aug 31, 2026 | Aug 31, 2029 |
| TX Deaf Blind with Multiple Disabilities WaiverTX.0281Services: Case management, Employment readiness, Individualized skills and socialization, Residential habilitation, Respite, Supported employment, Prescribed drugs, Financial management services… | 1915(c) | People with developmental disabilities, all ages, Must meet ICF/IID level of care | 2,708as of Aug 31, 2026 | Feb 28, 2023 |
| TX Home and Community-Based Services (HCS) Program WaiverTX.0110Services: Employment readiness, Individualized skills and socialization, Respite, Supported employment, Adaptive aids, Audiology, Occupational therapy, Physical therapy… | 1915(c) | People with intellectual disabilities or developmental disabilities, all ages, Must meet ICF/IID level of care | 135,497as of Aug 31, 2026 | Aug 31, 2028 |
| TX Home Living Program WaiverTX.0403Services: Day habilitation, Employment readiness, Respite, Supported employment, Prescription medications, Financial management services, Support consultation, Adaptive aids… | 1915(c) | People with intellectual disabilities or developmental disabilities, all ages, Must meet ICF/IID level of care | 117,404as of Aug 31, 2026 | Feb 28, 2027 |
| TX Medically Dependent Children Program (MDCP) WaiverTX.0181Services: Respite, Supported employment, Financial management services, Adaptive aids, Employment assistance, Flexible family support services, Minor home modifications, Transition assistance | 1915(c) | People who are medically fragile, ages 0–20, Must meet hospital or nursing facility level of care | 7,347as of Aug 31, 2026 | Aug 31, 2027 |
| Texas Healthcare Transformation and Quality Improvement ProgramServices: Medicaid managed care, including STAR+PLUS home and community-based services | 1115 | Medicaid managed care members; STAR+PLUS serves older adults and adults with disabilities | 12,100as of Aug 31, 2026 | Sep 30, 2030 |
| TX Youth Empowerment Services (YES) WaiverTX.0657Services: Respite, Supported employment, Adaptive aids and supports, Community living supports, Employment assistance, Family supports, Minor home modifications, Non-medical transportation… | 1915(c) | People with serious emotional disturbance, ages 3–18, Must meet hospital level of care | — | Mar 31, 2028 |
Waiting-list counts are the state's own published figures, as of the date shown; states count differently, so compare with care.
Frequently asked questions
What Medicaid waivers does Texas have?
Texas runs 7 Medicaid home and community-based services (HCBS) waiver programs in our records; 6 have a state-published waiting list. They are: TX Community Living Assistance & Support Services (CLASS) Waiver; TX Deaf Blind with Multiple Disabilities Waiver; TX Home and Community-Based Services (HCS) Program Waiver; TX Home Living Program Waiver; TX Medically Dependent Children Program (MDCP) Waiver; Texas Healthcare Transformation and Quality Improvement Program; TX Youth Empowerment Services (YES) Waiver.