Texas Community Care for Aged/Disabled (CCAD)

What is the Texas Community Care for Aged/Disabled (CCAD) Program?

Texas CCAD, also known as Community Care Services Eligibility (CCSE), provides non-medical support to help people live independently. It’s reserved for older adults and for people living with a disability that need help with everyday tasks.

The program offers different types of care, depending on your needs and where you live. Services may be provided in your own home, in an assisted living facility, or in a caregiver’s home. Some help with personal care, while others focus on meals, supervision, or emergency support.

Services include:

• Help with Personal Care: Assistance with daily tasks like bathing, dressing, grooming, using the bathroom, and moving around. This can happen in your home or in places like assisted living or adult foster care.
• Adult Foster Care: Care in a shared home where a caregiver is always present to help with daily needs. You may also get help with meals, transportation, and chores. The program pays for the care, not for housing costs.
• Consumer-Managed Attendant Services: You can hire and manage your own caregiver (including some family members, but not your spouse). Help is provided with tasks that support your independence, like working or going to school. A service agency handles the payroll.
• Community Attendant Services (CAS): In-home help with things like bathing, cleaning, laundry, and meal prep. CAS lets you choose your own caregiver. It’s part of CCAD but has its own financial rules because it’s Medicaid-funded.
• Adult Day Care (Day Activity and Health Services): Daytime care during the week, up to 10 hours a day. Includes meals, activities, basic nursing care, and rides to and from the facility.
• Emergency Response Services: A 24/7 call system for people living alone, so they can get help in an emergency.
• Family Care: Up to 50 hours per week of help at home with things like bathing, shopping, cooking, and escorting you to appointments or social events.
• Home-Delivered Meals: Nutritious meals brought to your home if you’re unable to cook for yourself.
• Residential Care: Daily help with things like dressing and meals in assisted living facilities. The program covers care services, but not the cost of rent or housing.
• Support for People with Disabilities: Personal assistance, skills training, and counseling to help people live independently. This is only available in Dallas, Tyler, Houston, and Austin.

Am I eligible for Texas CCAD?

To qualify for the Texas CCAD Program, you must meet some basic requirements. These include:

• You live in Texas
• You are 18 or older
• You have a disability or need help with daily activities
• You are not receiving Medicaid for the same services

There are also income and asset limits you must meet to qualify. These limits are adjusted each year for inflation. For reference, in 2024, the income limit for a single person was $2,829 per month and $5,000 in assets. For married couples applying together, the income limit was $5,658  and was $6,000 in assets.

Note: Some services, like Community Attendant Services, have lower asset limits. Even if your income or assets are above the limit, you might still qualify with help from a Medicaid planning expert who can guide you through the process.

How do I apply for the Texas Community Care for Aged/Disabled Program?

To apply, contact your local Aging and Disability Resource Center (ADRC). They’ll help you start the application and explain what documents you need.

• Call the ADRC at 1-855-937-2372.
• Find your local ADRC office. Click here to find an ADRC near you.

What if I need help?

If you have questions or need help applying:

• Contact your local ADRC.
• Find your nearest Texas Health and Human Services office. Click here to search locations