CDS Division

Consumer Directed Services (CDS) is a service delivery option that empowers people with disabilities to make personal decisions related to the delivery of personal assistance and respite services within their current home and community-based program. This alternative to traditional home care allows you control, freedom, and flexibility in how you receive you personal assistance services.

Watch: Texas Health and Human Services explains the Consumer Directed Services option in the video below.

HHSC Notice (May 28, 2020): Suspension of Face-to Face CDS Orientations Extended Through June 30

HHS' revised Information Letter No. 20-08 (PDF), originally published on March 20, 2020, provides an updated timeline for the suspension of face-to-faceCDS employer orientations.

Read the full letter


The Coalition of Texans with Disabilities (CTD) offers Consumer Directed Services in over 25 counties in Texas.

View full map and list of counties we serve.


As your Financial Management Services Agency (FMSA), CTD will act as your fiscal management agent. CTD will process your payroll and state and federal employment taxes, as well as assist you with setting an initial budget for services received through CDS. As the consumer, you will be responsible for recruiting, hiring, and training the attendants of your choice.

Questions? Visit our FAQ page or contact us today!