What is Consumer Directed Services (CDS) in Texas?

Learn what Consumer Directed Services (CDS) in Texas means and how an FMSA can support you.

Q: What is Consumer Directed Services (CDS)?
A: Consumer Directed Services (CDS) is a Texas Health and Human Services Commission (HHSC) program that lets individuals and families take charge of their own care. Instead of using a traditional provider agency, people who choose CDS can hire, train, and supervise their own attendants. It’s a flexible, empowering option that allows you to decide who provides your care and how it’s delivered.

Q: Who can use CDS in Texas?
A: CDS is available to people who receive services through certain Medicaid waiver programs like CLASS, HCS, TxHmL, MDCP, and STAR+PLUS. Your case manager or service coordinator can help you choose the CDS option and connect you with an approved Financial Management Services Agency (FMSA).

Q: What is the role of a Financial Management Services Agency (FMSA)?
A: The FMSA handles all the administrative and financial tasks that come with being an employer. At EAK Consumer Directed Services, we process payroll, pay taxes, and make sure you stay compliant with HHSC and IRS requirements — so you can focus on your care, not the paperwork.