CLASS Support Family Services, Continued Family Services, and Transition Assistance Services

7250 Transition Assistance Services (TAS)

TAS assists an individual in setting up a household in the community before being discharged from a nursing facility or an intermediate care facility for individuals with an intellectual disability or related conditions (ICF/IID) and enrolling in the CLASS program. There is a cost limit of $2,500 for TAS and an individual may receive TAS only once in the individual’s lifetime. TAS is not available if an individual’s enrollment IPC includes support family services or continued family services in the CLASS program.

Available services include:

  • payment of security deposits required to lease a home, including an apartment, or to establish utility services for a home;
  • the purchase of essential furnishings for a home, including a table, bed, chairs, window blinds, eating utensils and food preparation items;
  • payment of expenses required to move personal items, including furniture and clothing, into a home;
  • payment for services to ensure the health and safety of the individual in a home, including pest eradication, allergen control or a one-time cleaning before occupancy; and
  • the purchase of essential supplies for a home, including toilet paper, towels and bed linens. For more details, see 40 Texas Administrative Code, Part 1, Chapter 62, Transition Assistance Services.

7261 Support Family Services (SFS)

SFS consist of services required for an individual under age 18 in the CLASS program to reside within the home of a family other than the home of the natural or adopted parent(s). The support family agency will recruit, train and certify the SFS provider. The SPT, including the support family agency, will coordinate placement into an SFS provider.

The support family agency must be licensed by the Department of Family and Protective Services (DFPS) as a child placing agency and maintain a current Medicaid provider agreement with HHSC to provide SFS.

SFS is reimbursed at a daily rate to provide 24-hour services that include:

  • direct personal assistance with an ADL (e.g., grooming, eating, bathing, dressing and personal hygiene);
  • assistance with meal planning and preparation;
  • assistance with securing and providing transportation;
  • assistance with housekeeping;
  • assistance with ambulation and mobility;
  • reinforcement of counseling, therapy and educational activities;
  • assistance with medications and the performance of tasks delegated by an RN;
  • supervision of the individual’s safety and security;
  • facilitating inclusion in community activities, by the use of natural supports, social interaction, participation in leisure activities and development of socially valued behaviors; and
  • services that train the individual to acquire, retain, and improve self-help, socialization, and daily living skills or assisting the individual with ADLs.

7262 Continued Family Services (CFS)

CFS is for people who are unable to continue with SFS. CFS provides a 24-hour family living arrangement in a home using the same criteria for SFS and meeting the requirements of a support family home. The continued family agency will recruit, train and certify the CFS provider. The case manager, the continued family agency, the natural family and the DSA will coordinate placements into a CFS provider.

A continued family agency must be licensed by DFPS as a child placing agency and maintain a current Medicaid provider agreement with HHSC to provide CFS.

CFS is reimbursed at a daily rate to provide 24-hour services that include:

  • direct personal assistance with an ADL (e.g., grooming, eating, bathing, dressing and personal hygiene);
  • assistance with meal planning and preparation;
  • assistance with securing and providing transportation;
  • assistance with housekeeping;
  • assistance with ambulation and mobility;
  • reinforcement of counseling, therapy and educational activities;
  • assistance with medications and the performance of tasks delegated by a registered nurse;
  • supervision of the individual’s safety and security;
  • facilitating inclusion in community activities by the use of natural supports, social interaction, participation in leisure activities and development of socially valued behaviors; and
  • services that train the individual to acquire, retain, and improve self-help, socialization, and daily living skills or assisting the individual with ADLs