TX Community Care for the Aged and Disabled (CCAD)

Published on
February 29, 2024
Last updated
February 29, 2024
Written by
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Katie Wilkinson
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This program provides services and supports to seniors and disabled individuals who are at risk of nursing home placement in order to remain living at home, in the community, or in the home of a caregiver.
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The Texas Community Care for the Aged/Disabled (CCAD) Program, specifically the Client Managed Personal Attendant Services (CAS), offers assistance for family caregivers. Think of CAS as a friendly hand, providing support so your loved one can thrive at home and you can reclaim some precious peace of mind. 

This program understands family caregivers' challenges and is designed to lighten the load with personalized in-home care services. Who benefits from the CCAD Program? How can you make a real difference in your loved one's life? Get the aid you need and apply for Client-Managed Personal Attendant Services.

Overview of the Texas CCAD Program?

The Texas Community Care for Aged and Disabled (CCAD) Program is a unique set of services that cater to aging adults and differently-abled residents. CCAD helps care recipients to lead independent lives in their communities without the need for institutional care. The Client Managed Personal Attendant Services (CAS) is a vital aspect of the CCAD Program that offers non-technical attendant care services to eligible individuals in the comfort of their homes. 

In simpler terms, the CCAD Program is a helping hand for those who need it most. It's designed to empower your loved one. The CAS service is an excellent alternative to institutional care, which can be costly and uncomfortable. 

Objectives of the Texas CCAD Program

The primary goals of the Texas CCAD Program and its CAS component are to:

  • Enable aging and disabled care recipients to maintain independence 
  • Let aging adults age at home safely
  • Provide in-home care and support services to assist with activities of daily living (ADLs) as well as instrumental activities of daily living (IADLs)
  • Offer an affordable and personalized alternative to nursing home or institutional care
  • Support family caregivers by providing essential services

Can you get paid to care for your loved one?

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Eligibility for the Texas CCAD Program

Care recipients must meet specific medical, functional, and financial criteria to be eligible for the Client Managed Personal Attendant Services (CAS) component of the Texas CCAD Program.

Age and residency requirements

  • Must be 18+
  • Applicants must be residents of Texas
  • Does not have a minimum residency length requirement

Health and disability requirements

  • Applicants must be functionally unable to perform activities of daily living (ADLs) without a caregiver's help - like dressing, eating, transferring, toileting, or basic mobility.
  • A medical doctor must document the need for assistance with ADLs.

Financial requirements

  • Does not have the same services as Medicaid
  • Monthly income is not more than three times Supplemental Security Income
  • Assets cannot be more than $5000
  • Married couple's assets cannot be more than $6000
  • Does not have a questionable 60-month Medicaid look-back period

Services offered under the Texas CCAD Program

Are you looking for in-home care and support services in Texas? The Texas CCAD Program's CAS component offers the following services to eligible individuals:

  1. Live-in care: 24/7 help with daily tasks, meals, and housekeeping in a shared home.
  2. Personalized care: Choose your caregiver for education, work, or community activities.
  3. Medical care at home: Get help with bathing, grooming, laundry, and cleaning, even choosing your caregiver. (Medicaid funded)
  4. Daycare for adults: Enjoy meals, transportation, activities, and personal care during weekdays.
  5. 24/7 emergency monitoring: Stay safe with constant support if you live alone.
  6. Family support: Get up to 50 hours/week of help with daily tasks and errands.
  7. Meals delivered home: Enjoy nutritious meals without leaving your door.
  8. Assisted living: Get 24/7 care in residence (room & board not included).
  9. Independent living support: Access counseling, skills training, and personal assistance (Dallas, Tyler, Houston, Austin only).

In addition to these services, the program also offers a unique Consumer Directed Services (CDS) option that allows individuals to:

  • Hire, train, and manage their care providers
  • Hire certain family members as paid caregivers

The Texas CCAD Program's CAS component provides various in-home care and support services to eligible individuals in Texas while offering a CDS option that gives individuals greater control over their care.


Who are you caring for?

How do family caregivers get paid with the Texas CCAD Program?

The Texas CCAD Program's Consumer Directed Services (CDS) option offers a unique approach to caregiving. It empowers individuals or authorized representatives to hire and manage their caregivers directly, including certain family members (excluding spouses and legal guardians). This flexibility allows families to structure care in a way that best suits their needs and preferences. 

Notably, CDS provides a valuable opportunity for family caregivers who have previously provided unpaid assistance to transition into compensated roles, recognizing their vital contributions and offering financial support. This empowers families to navigate caregiving challenges more effectively, fostering a sense of control and shared responsibility in ensuring their loved one's well-being.

How to apply to the Texas CCAD Program

Call or email your local Texas Health and Human Services (HHS) office to initiate the application process. Their staff will provide comprehensive guidance and support throughout the application journey. 

Feel free to contact HHS; their dedicated team is readily available to assess your family's needs and determine if CAS is the optimal solution for your situation. Follow these simple steps: 

  1. Call your local HHS: Ask about CAS and say, "I'm interested!"
  2. Tell them about your loved one: Age, disability, needs, etc.
  3. Set up a meeting: HHS will visit to see how CAS can help.
  4. Gather your documents: Residency, income, medical history, disability proof.
  5. Send it in and wait: HHS will review it and reply soon.

Documents needed:

When applying for the Client Managed Personal Attendant Services (CAS) component of the Texas CCAD Program, you will need these important documents:

  • Texas residency: A driver's license, utility bills, or other documents demonstrating residency within Texas are required.
  • Identification: Birth certificate, Social Security card, or valid government-issued identification documents are necessary.
  • Financial verification: Proof of income and assets, like pay stubs, bank statements, or yearly tax returns, will be requested.
  • Medical documentation: Medical records and documentation outlining the individual's functional limitations and need for care are essential.

Exploring the CCAD Program's CAS

In Texas, the Client Managed Personal Attendant Services (CAS) component of the CCAD Program empowers families with valuable support. This program offers in-home care services, guaranteeing loved ones maintain independence and quality of life. Its flexibility allows families to choose caregivers, including qualified family members, further alleviating the burden. 

If you or a loved one resides in Texas and meets the criteria, explore the CCAD Program's CAS – a pathway to improved well-being for both of you.

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