CDS Resources

Since early 2006, Imagine Enterprises has provided training about self-determination and the Medicaid waivers to hundreds of people with disabilities and family members. Many of the people we meet at sessions around the state are getting off the waiting list for waiver services-often after many years of waiting.

They are usually excited about the prospect of getting services and supports to live in the community, overwhelmed by the decisions they need to make in a short timeframe, and hungry for as much information as they can get about what Medicaid waivers are and how they work.

This booklet was created in response to a request participants have made -an easy reference guide that covers the major waivers in one place.

All of the information about the waivers comes from public information documents published on the Department of Aging and Disability Services (DADS) website We haven't changed the information, but have attempted to format it to allow comparison between the major waivers.

While we hope this is a useful resource, Some things to keep in mind The Health and Human Services Commission (HHSC) is the state Medicaid agency. It is responsible for developing and maintaining state Medicaid rules and policies, and assuring compliance with federal Medicaid standards. HHSC does not, however, administer the programs.

The Department of Aging and Disability Services (DADS) administers all of the home and community-based programs discussed in this guide. An important resource for more information is the DAD's publication "Access and Intake Services Community Options Booklet." You can find it on the DADS website:

Because of funding limitations and the popularity of the programs, the number of people wanting these services generally exceeds the number that can be served. Most applicants will be put on an "interest list" until there is an opening. Therefore, it is important to apply as soon as one identifies that they or a family member may at some point need the services and supports it provides.

The information in this guide could change at any time. For the most up-to-date information, go to the DADS website at You can also send questions about any of these programs to DADS at: