Texas CLASS Medicaid Waiver: Interest List, Eligibility, Appeals, and Official Help
Texas residents with disabilities and their families often need a simple answer: where do I start, who do I call, and what do I keep? This guide provides official starting points for the Community Living Assistance and Support Services (CLASS) Medicaid waiver.
Emergency: Call 911 for an immediate health or safety emergency.
Privacy: Do not send a Medicaid number, Social Security number, diagnosis, medical record, or appeal notice to ABI Resources. Use the official Texas contacts listed below.
Important: CLASS is not a general brain-injury benefit. A brain injury alone does not establish eligibility. Texas Health and Human Services Commission (HHSC) determines eligibility under program rules.
Start here: the shortest path
Call the Texas CLASS interest-list line at 877-438-5658.
Say: “I want to add or update a CLASS interest-list record.”
Ask the representative to confirm the request date and the contact information on the record.
Write down the date, time, representative's name, and any confirmation or reference number.
Keep the mailing address and telephone number current. Texas uses this information when program capacity becomes available.
Keep every notice and envelope. A notice may contain a deadline that controls appeal rights.
Texas states that people may register for the CLASS interest list even before program eligibility is determined. Joining an interest list is not the same as applying for or being found eligible.
What CLASS is
CLASS is a Medicaid Section 1915(c) home- and community-based services waiver. The current federal record is TX 0221.R07.00, approved July 16, 2026, effective September 1, 2024 through August 31, 2029.
The program serves eligible Texans with intellectual or developmental disabilities or qualifying related conditions as an alternative to institutional care. Eligibility can involve residence, citizenship or qualified status, disability, diagnosis and age-of-onset rules, level of care, an approved service plan, program cost limits, and Medicaid financial rules.
2026 financial reference
Texas's 2026 reference chart lists the following limits for an individual using the waiver or institutional financial category:
Maximum gross monthly income: $2,982
Maximum countable resources: $2,000
For a couple, the reference chart lists $5,964 monthly income and $3,000 in countable resources. These figures are starting references, not a personal eligibility decision. Exclusions, trusts, spousal rules, deeming rules, and the person's Medicaid category can change how HHSC counts income or resources. Do not move, give away, or retitle assets based only on this page.
If you are already on the interest list
Call 877-438-5658 when an address, phone number, representative, or other important contact information changes. Ask staff to confirm:
The person's name is still active on the CLASS interest list.
The original request date recorded by Texas.
The current mailing address and phone number.
Whether Texas needs any additional action now.
Do not rely on a third-party estimate of wait time or list position. Available capacity, reserved-capacity rules, funding, and individual circumstances can affect when an offer is made.
If Texas denies enrollment or services
Read the complete notice. Write down:
Notice date.
Effective date.
Program and service involved.
Reason and rule cited.
Appeal deadline.
Where the notice says to send or make the request.
Whether the notice explains continued services during appeal.
Follow the instructions and deadline printed on that notice. Managed-care appeals, CLASS eligibility decisions, service-plan decisions, complaints, and provider-quality concerns can use different processes. Do not assume that one deadline applies to every case.
A fair hearing is a review by a Texas HHSC hearings officer. A complaint asks the responsible organization to address service or administrative problems. They are different remedies, and a person may sometimes need both.
Ask about continued services immediately
When a notice reduces, suspends, or ends an existing service, ask the contact on the notice—before its deadline—whether services can continue during the appeal and what must be requested. Continued services are conditional; they are not automatic in every matter.
Use this sentence:
“I disagree with this decision. I request every appeal or fair-hearing right available under this notice. Please tell me in writing whether I qualify for continued services and the deadline and steps for requesting them.”
Keep proof of when and how the request was made.
Build a useful appeal record
Keep copies of:
The notice and its envelope.
Current service plan and prior approved plan.
Assessments and evaluations.
Provider schedules and missed-service logs.
Emails, letters, portal messages, and call notes.
Records showing health, safety, communication, behavior, mobility, employment, or community-living needs.
The exact outcome requested.
Request accessible communication when needed, including large print, plain language, interpreter support, relay service, extra processing time, or permission for a representative to participate.
Where to report a problem
For a concern about a CLASS case management agency or general Texas HHS program that was not resolved through the ordinary process:
HHSC Office of the Ombudsman: 877-787-8999
Relay Texas: 7-1-1 or 800-735-2989
Fax: 888-780-8099
Mail: HHSC Office of the Ombudsman, MC H-700, P.O. Box 13247, Austin, TX 78711-3247
For a complaint about a CLASS waiver provider or services delivered through that provider:
HHSC Complaint and Incident Intake: 800-458-9858
For suspected abuse, neglect, exploitation, or an immediate safety concern, use the emergency and reporting directions provided by Texas rather than submitting personal details to ABI Resources.
What ABI Resources does—and does not do
ABI Resources provides Connecticut home- and community-based support services. This Texas page is national educational information that directs readers to official Texas and federal resources.
ABI Resources is not Texas HHSC, CMS, a Texas CLASS provider, a law firm, or a government agency. This page does not promise eligibility, enrollment, continued services, a hearing result, list position, or a search-engine ranking.
Sources reviewed: September 18, 2026. Verify time-sensitive limits and deadlines with Texas HHSC and the current written notice.
