Texas Health & Human Services Options

Texas Health & Human Services

Community Attendant Services (CAS) Program

Service Description


Community Attendant Services (CAS) is a non-technical, non-skilled service providing in-home attendant services to people who need help with personal care tasks. CAS is available to eligible adults and children whose health problems cause them to be functionally limited in performing activities of daily living.


Services Provided:


Escort: Accompanying the person to a medical appointment. The service does not include direct transportation by the attendant.

Home Management: Help with housekeeping activities that support the person’s health and safety, including:

  • Cleaning
  • Laundry
  • Shopping
  • Other Household Tasks

Personal Care: Help with activities related to physical health, including:

  • bathing
  • dressing
  • grooming
  • routine hair and skin care
  • preparing meals
  • feeding
  • exercising
  • helping with self-administered medication
  • toileting
  • transferring/ambulating

Who Can Get Services:


  • A person of any age
  • Functionally limited in performing at least one personal care task, based on medical condition
  • Must have a practitioner statement of medical need
  • Must have an unmet need for home management and personal care
  • Income and resources may not exceed specified limits
  • Must not be Medicaid eligible

Family Care (FC) Services

Family Care (FC) is a non-skilled, non-technical attendant care service available to eligible adults who are functionally limited in performing activities of daily living. Family Care Services are provided by an attendant and do not require the supervision of a Registered Nurse.


Services Provided:


Escort: Accompanying the person to a medical appointment. The service does not include direct transportation by the attendant.


Home Management: Help with housekeeping activities that support the person’s health and safety, including:

  • Cleaning
  • Laundry
  • Shopping
  • Other Household Tasks

Personal Care: Help with activities related to physical health, including:


  • bathing
  • dressing
  • grooming
  • routine hair and skin care
  • preparing meals
  • feeding
  • exercising
  • helping with self-administered medication
  • toileting
  • transferring/ambulating

Who Can Get Services:


  • Must be 18 years or older
  • Must have an unmet need for home management and personal care tasks.
  • Income and resources may not exceed specified limits
  • Must meet a specified functional assessment score

Primary Home Care (PHC) Program

Service Description


Primary Home Care (PHC) provides non-technical, non-skilled in-home attendant services to people who have an approved medical need for assistance with personal care tasks. PHC is available to eligible people whose health problems cause them to be functionally limited in performing activities of daily living according to a practitioner’s statement of medical need. Attendants provide PHC services.

Services Provided:


Escort: Escorting a person to a medical appointments for diagnosis and/or treatment. The service does not include direct transportation by the attendant.


Home Management: Help with housekeeping activities that support the person’s health and safety, including:

  • Cleaning
  • Laundry
  • Shopping
  • Other Household Tasks

Personal Care: Help with activities related to physical health, including:

  • bathing
  • dressing
  • grooming
  • routine hair and skin care
  • preparing meals
  • feeding
  • exercising
  • helping with self-administered medication
  • toileting
  • transferring/ambulating

Who Can Get Services:


  • Must be 21 years or older
  • Must have an unmet need for help with home management and personal care tasks
  • Must have a practitioner statement of medical need
  • Must be eligible for Medicaid
  • Must meet a specified functional assessment score and have a functional limitation with at least one personal care task based on medical condition

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