Community Based Alternative (CBA)

Community Based Alternatives (CBA) provides home and community-based services to people who are elderly and to adults with disabilities as a cost-effective alternative to living in a nursing home. 


  • Adaptive aids and medical supplies
  • Minor home modifications
  • Nursing services
  • Occupational therapy services
  • Personal assistance services
  • Physical therapy services
  • Respite care services
  • Speech and/or language pathology services


  • Must be age 21 or older.
  • The cost of applicant’s service plan cannot exceed the nursing facility payment rate.
  • Must meet the medical necessity determination for nursing facility care.
  • Must be determined at risk for nursing facility placement.
  • Must choose waiver services instead of nursing facility care based on an informed choice.
  • Financial eligibility is determined by the Texas Health and Human Services Commission for applicants not already receiving Medicaid.

For more information to apply for this program, click this link: Contact Us.