State Profile · Deep
TEXAS
D+Last verified 2026-06-26
Deadlines reflect this state’s rules as researched; they can change — always confirm the current deadline with your state agency or Protection & Advocacy office before relying on it.
HOW TO GET SERVICES & APPEAL IN TEXAS
How services are run
State agency
Your service plan
Individual Plan of Care (IPC)
Self-direction
Self-Directed Services
If you get denied
Deadline to appeal
90 days from your Notice of Agency Action (FFS) / Adverse Benefit Determination (MCO)
Keep services during appeal
File within 10 days
- Receive Notice of Agency Action (FFS) or Adverse Benefit Determination (MCO)
- FFS incl. HCS/TxHmL IDD waivers: request State Fair Hearing within 90 days
- Managed care STAR+PLUS HCBS: MCO internal appeal within 60 days (must exhaust)
- State Fair Hearing within 120 days after MCO decision
- Hearing before HHSC Appeals Division
KEY AGENCIES & RESOURCES
IDD Agency
Texas HHS IDD Services / Local Intellectual and Developmental Disability Authorities
University Center (UCEDD)
Texas University Center for Excellence in Developmental Disabilities (UCEDD)
NOTABLE WAIVERS
HCS (Home and Community-based Services)
SourceChildren and adults with intellectual or developmental disabilities who need community-based supports.
Waitlist: Severe interest lists, often 10-15+ years; register on the Interest List early through your LIDDA.
CLASS
SourcePeople with related conditions who need habilitation, respite, adaptive aids, and community supports.
Waitlist: Severe interest lists, often 10-15+ years; join CLASS and other relevant lists at the same time.
