At Four K Health Care, we understand that navigating the healthcare system for a loved one with disabilities can be overwhelming. That’s why we’re here to help you every step of the way—especially when it comes to qualifying for the Community Living Assistance and Support Services (CLASS) Waiver Program in Texas. This guide walks you through everything you need to know in 2025 to determine eligibility and begin accessing essential services.
What Is the CLASS Waiver Program?
The CLASS Waiver Program is a Medicaid waiver in Texas that offers community-based services and supports for individuals with related conditions, including developmental or physical disabilities. Unlike traditional care settings, CLASS focuses on keeping individuals in their homes and communities, promoting independence and a higher quality of life.
As an approved Direct Service Agency (DSA), Four K Health Care proudly provides these services in areas like Austin, San Antonio, Waco, and Lufkin.
Why Choose the CLASS Waiver Over Traditional Care?
The CLASS Waiver offers a wide range of customized services not typically available through standard Medicaid, including:
- Habilitation (personal attendant) services
- Respite care for caregivers
- Specialized therapies (speech, physical, occupational, aquatic, and more)
- Adaptive aids and medical supplies
- Case management and nursing support
These supports empower individuals to lead more independent and fulfilling lives—and that’s exactly what we’re passionate about at Four K Health Care.
Who Is Eligible for the CLASS Waiver in 2025?
To qualify for the CLASS Waiver in Texas, you must meet specific criteria established by the Texas Health and Human Services Commission (HHSC). Here’s what you need to know:
1. Age Requirements
- You must be under the age of 22 at the time of diagnosis.
- Individuals can continue receiving services into adulthood as long as they meet other eligibility criteria.
2. Diagnosis
- You must have a qualifying related condition, such as cerebral palsy, spina bifida, muscular dystrophy, or a similar disability that affects functional abilities.
- Autism, Down syndrome, and intellectual disabilities may also qualify if accompanied by functional limitations.
3. Functional Need
- You must require ongoing services similar to those provided in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID).
- A formal assessment of functional need will be conducted by HHSC.
4. Financial Eligibility
- CLASS Waiver recipients must qualify for Medicaid financial standards. Income and asset limits apply, but certain trusts and exemptions may allow you to qualify even if your income exceeds the standard limits.
Step-by-Step: How to Apply for the CLASS Waiver Program
Here is your comprehensive roadmap for applying to the CLASS Waiver Program in 2025:
Step 1: Join the Interest List
The first step is getting on the official Texas CLASS Waiver Interest List. This list operates on a first-come, first-served basis, and wait times can vary significantly.
- Call HHSC at 1-877-438-5658 to place your loved one on the interest list.
- You’ll need the individual’s full name, Social Security number, birth date, and basic health information.
Tip from Four K Health Care: Don’t wait to get on the list. Even if you’re not ready to begin services today, securing a place on the list ensures future access when you are.
Step 2: Wait for Your Turn
Once on the interest list, HHSC will notify you when your name reaches the top. This could take several months or even years, depending on your region and funding availability.
- During this time, gather important medical records, diagnosis documentation, and financial records.
Step 3: Complete the Assessment Process
Once contacted, HHSC will begin a formal assessment to determine:
- Whether the individual meets diagnostic and functional eligibility
- Whether financial requirements are satisfied
This will involve interviews, evaluations, and possibly medical reviews.
Step 4: Choose a Direct Service Agency (DSA)
If approved, you’ll choose a Direct Service Agency to provide the services authorized under the CLASS Waiver. That’s where Four K Health Care comes in.
We offer:
- A compassionate, qualified care team
- Flexible service options tailored to your goals
- Coverage in multiple Texas cities
- Assistance with adaptive aids, therapies, and home modifications
We’ll help you create a Person-Directed Plan (PDP) and start services quickly and seamlessly.
Why Work with Four K Health Care?
Choosing the right DSA is one of the most important decisions you’ll make. Here’s how Four K Health Care stands out:
- Local expertise in CLASS Waiver navigation and case management
- One-on-one support during pre-enrollment and assessments
- Wide range of services, from attendant care to recreational therapy
- Culturally sensitive, bilingual support teams available
- Transparent communication with families and guardians
Our mission is simple: to help your loved one live with dignity, purpose, and joy—right at home.
FAQs About the CLASS Waiver in Texas
Q: Can I apply online?
A: Currently, the initial application (interest list) must be submitted by phone to HHSC.
Q: How long does it take to be approved?
A: Wait times can vary. Once your name is called from the interest list, it can take several weeks to complete the assessment and approval process.
Q: Can I switch to a different DSA later?
A: Yes. If you’re not satisfied with your provider, you can choose another approved DSA like Four K Health Care.
Final Thoughts
Navigating the CLASS Waiver Program in Texas may seem complex, but you’re not alone. At Four K Health Care, we’ve helped hundreds of families like yours understand their options, complete their assessments, and get started with services that truly make a difference.
📞 Call us today at 512-387-5787 or visit our Pre-Enrollment page to begin the process with confidence.
Let us help you unlock the care, independence, and peace of mind your family deserves.