Care Options

Consumer Directed Services (CDS)

HRA offers this option throughout the state of Texas.

Trained attendants provide the care and support systems for disabled individuals to live independently and function productively in mainstream society.  CDS empowers consumers to make personal decisions related to the delivery of personal assistant services and respite services within his or her current home.

Personal Attendant Services Program (PAS)

HRA offers this option in North Texas only.

Offers three types of services including:

  1. Community attendant services: provides in home attendant for adults with a medical need for specific tasks.
  2. Primary home care which is prescribed by a physician as part of a client’s plan of care.
  3. Family care which provides for eligible adults who are functionally limited in performing daily activities.

The activities performed under the programs offered by HRA include:

  • Support of the human resources activities for clients and their attendants including recruitment, background checks, drug testing, training and supervision, payroll, and quality assurance
  • Determining a client’s eligibility for available state funded programs and the amount of care approved
  • Develop a pool of potential personal attendants, provide training for the attendants and emergency back-up attendants

Services that the attendants provide to the clients include:

  • Personal care tasks that relate to the client’s physical health such as bathing, dressing, preparing meals, and assisting with eating, exercising, grooming, medications, toileting, transferring and ambulating
  • Home management tasks that support the client’s health and safety such as changing bed linens and making the bed, housecleaning, laundering clothes, shopping, washing dishes, and client escorting tasks.
  • Delegated health-related tasks (under supervision) such as inserting tubes in a body cavity or inserting substances into an indwelling tube, administration of medications, care of broken skin with low risk of infection, changing sterile dressings, and tracheal care to include instilling normal saline and suctioning of a tracheotomy with routine supplemental oxygen administration.