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.

Notice (Aug. 30, 2019): EVV is coming

Electronic Visit Verification is a computer-based system that electronically verifies the occurrence of authorized personal attendant service visits by electronically documenting the precise time a service delivery visit begins and ends. The EVV program was implemented to replace paper-based attendant timesheets.

Texas requires EVV for certain Medicaid funded home and community-based services provided through the Health and Human Services Commission and health plans.

Learn more about EVV in Texas 

Notice (Dec. 19, 2017): Changes to Time sheets and Time sheet Schedule

A major change will go into effect January 2018. Time sheets will be presented to CTD/ CDS Division every week. Work weeks will start on Sunday, and they will end on Saturday. You will have the same three days to get time sheets into the office. Once the week ends on Saturday, you have until Tuesday of every week to get your time sheets into our office. Yes, you will send in a time sheet for one week, every week.

Beginning on Monday January 1, 2018 you will start to use the NEW time sheets (see sidebar). The old time sheets will NOT be accepted. Only the new time sheets will be processed for payroll

Use your old time sheets through December 31, 2017. That time sheet is due in our office no later than Tuesday, January 3, 2018. Then, starting on January 1, 2018 you start with new timesheets and you turn them in every week. They are due on or before every Tuesday of the week. If they come in late, your check will be delayed until the next pay period.

When you turn in your first 2018 time sheet to us on or before Tuesday January 9th, 2018, we will process payroll and your first paycheck will be sent to you and payable on January 26, 2018. Paychecks will be processed every other Friday.

This notice has been placed in every employee paycheck and a certified letter with new time sheets have been sent to every employer. Employees and employers: you are hereby notified of this change. No further notices will be sent.

Recap: Week starts on Sunday. Week ends on Saturday at midnight. Every Tuesday is latest day to get time sheets into the CDS office. Paydays are every other Friday beginning on January 26th, 2018. Only new time sheets can be used after December 31, 2017. Old time sheets will not be accepted.

View a PDF copy of this notice.


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!