Yes — Texas can pay you to care for family.
It's a real Texas Medicaid option called Consumer Directed Services, or CDS. Here it is without the jargon.It's a real Texas Medicaid option called Consumer Directed Services, or CDS. It has been around for years. Here it is without the jargon.
The old way
Medicaid pays a home care agency. The agency sends whoever is available — a stranger, on the agency's schedule.
The CDS way
The same Medicaid money pays a person your family chooses — a daughter, a nephew, a trusted neighbor.The same Medicaid money pays a person your family chooses — a daughter, a nephew, a trusted neighbor. They become a paid care attendant.
The catch: managing the care makes you a small employer, with payroll, taxes, and state paperwork. Texas requires a partner called an FMSA to do that for you — and that partner is Hometown. It costs your family nothing; Medicaid pays us directly.The catch: whoever manages the care becomes a small employer, with payroll, taxes, and state paperwork. That's the part nobody wants. So Texas requires a partner called an FMSA to do it for you — and that partner is Hometown. It costs your family nothing; Medicaid pays us directly.
Your loved one has Medicaid servicesYour loved one has (or gets) Medicaid services
Programs like CLASS, HCS, TxHmL, and STAR+PLUS include attendant care hours.Programs like CLASS, HCS, TxHmL, and STAR+PLUS all include attendant care hours.
They tell their case manager: "we want CDS"
That switches the hours from agency-managed to family-managed.That switches those hours from agency-managed to family-managed. It's a standard option, not a special favor.
They pick Hometown as their FMSA
We walk through the enrollment packet together, in English or Spanish.
They hire you (or whoever they trust)
Hiring paperwork once. In many programs, family members can be paid.You fill out hiring paperwork once. In many programs, family members can be paid attendants.
You log hours, you get paychecks
Paid every period, taxes withheld, W-2 at year end.Hometown pays you every period, withholds taxes, and sends a W-2 at year end.
Sound like your family? Get in line early.
Waitlist members get a call first — and help figuring out if CDS fits.Hometown opens for enrollment soon. Waitlist members get a call first — and help figuring out if CDS fits your situation.
Be first in line
We'll call you when enrollment opens in your program.
Prefer to talk? Call our Texas team. Hablamos español.