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Find your next step in Texas

Start with the question you need answered today. Each program makes its own eligibility decision.

Text updated: . Program year: 2026-27 for TEFA; other routes checked September 12, 2026.

Partial review. Source-check date on file: . Early intervention, initial school evaluation and ARD, Medicaid Buy-In, five waiver interest-list contact routes, the closed TEFA application cycle and insurance help. Individual eligibility, costs, plan benefits, current wait times and full waiver policy are not established. Historical source dates and the superseded TEFA deadline are identified below.

Editing this page does not reverify every claim. Review owner: SpectrumBeacon editorial team. Next review planned: .

This overview focuses on the Texas routes below. Our first detailed state guide is Florida. Keep each state's eligibility and application rules separate.

Texas program routes

Early intervention before age 3

Texas Early Childhood Intervention (ECI) serves eligible children before their third birthday. Evaluation is free; other services may have a family cost share. Eligibility depends on the program's medical-condition, hearing/vision or developmental-delay criteria. Find your local program through HHS, or call 877-787-8999, choose a language, then Option 3.

Verified

Source: HHS ECI eligibility and costs · How we verify

texas / overview

Request a school evaluation in writing

Send a written request for an initial special education evaluation to the special education director or a school administrator. The school must respond within 15 school days. If it agrees to evaluate and receives written parental consent, the evaluation generally must be completed within 45 school days. Absence and school-year-end exceptions can change that deadline.

Verified

Source: TEA Student Handbook Statement · How we verify

texas / overview

Apply for Medicaid Buy-In for Children

Form H1200-MBIC is the application for Texas Medicaid Buy-In for Children. The applicant or an authorized representative completes it and returns it to the HHS Document Processing Center or a local office. Use the official form instructions to prepare your application, and ask HHS to assess eligibility and any premium requirements.

Verified

Source: HHS Form H1200-MBIC · How we verify

texas / overview

Ask the right waiver interest-list office

Ask HHS Interest List Management about the CLASS, MDCP or DBMD interest list. For HCS or Texas Home Living (TxHmL), contact a local intellectual and developmental disability authority (LIDDA). HHS Form 8577 instructions identify these separate offices and explain the information staff collect before adding a person to a list.

Verified

Source: HHS Form 8577 instructions · How we verify

texas / overview

TEFA applications for 2026-27 are closed

Texas Education Freedom Accounts accepted 2026-27 applications from February 4 through March 31, 2026. The official site now offers a future-opportunity interest list. Joining it does not create an application or award. Disability funding above the base award requires the program's timely IEP documentation and funding calculation; a diagnosis alone does not satisfy that requirement.

Verified

Source: Texas Education Freedom Accounts · How we verify

texas / overview

Find insurance help for your plan

Call the Texas Department of Insurance at 800-252-3439 to ask who regulates your health plan and where to raise a complaint. TDI regulates some plans and directs other cases elsewhere. This contact does not establish that a particular evaluation or therapy is covered, medically necessary or payable under your plan.

Verified

Source: TDI health insurance complaint help · How we verify

texas / overview

Texas applications and questions to ask

Use the official office for each request. Program decisions, plan coverage and wait times need individual confirmation.

Start with the question you need answered today. Each program makes its own eligibility decision.

Sources checked September 12, 2026. This guide covers referral and application routes. Individual eligibility, costs and availability remain questions for the responsible program.

Early intervention before age 3

Contact Early Childhood Intervention (ECI) if you have concerns about your child's development. A referral does not require a diagnosis or a confirmed delay. Use the HHS ECI referral page, or call 877-787-8999, choose a language, then Option 3.

ECI services end at the third birthday. Eligibility can follow these routes:

  • A qualifying medical condition likely to cause delay, with a service need and supporting medical records.
  • A qualifying hearing or vision impairment identified through the required team process.
  • A developmental delay of at least 25% in an assessed area. Expressive-language-only initial eligibility requires 33%.

Evaluation, assessment, case management, service-plan development and interpreting are free. Other services may have a family cost share based on income, family size and allowable deductions. HHS says inability to pay does not exclude a family. Ask ECI about the financial agreement and insurance consent. HHS ECI eligibility and costs.

Request a school evaluation

Send a written request to the district's special education director or an administrator, such as the principal. Keep a dated copy. The school must respond within 15 school days with its decision and required notices. If it agrees to evaluate, it must offer the opportunity to give written consent. A verbal request is allowed but does not start that response deadline. TEA referral guidance.

School eligibility requires a qualifying disability and a resulting need for special education. The admission, review and dismissal (ARD) committee decides eligibility. A medical autism diagnosis is not required for the school autism category. TEA evaluation guide, pages 24 and 43.

StepGeneral deadline and qualifications
Evaluation after written consent45 school days. Three or more school-day absences may extend it.
Consent received 35 to 44 school days before year-endReport by June 30, unless the absence exception applies.
Consent received less than 35 school days before year-endThe 45-school-day clock generally carries into the next school year.
Report to parentAs soon as possible, no later than five school days before initial ARD, or June 30 when applicable.
Initial ARD meetingGenerally within 30 calendar days of report completion. Summer and year-end exceptions can allow the 15th school day of the following year. An evaluation indicating summer service needs requires faster action.

Private-school and homeschool evaluations use the 45-school-day rule, regardless of age. The same rule applies to an unenrolled child under 5 by September 1. Ask the district which calendar and exception apply. TEA report deadlines and evaluation guide, pages 32 and 44-45.

For homeschooling, contact your residence district. For an eligible nonprofit private elementary or secondary school, TEA allows requests through either the residence district or the school's district. TEA private-school guidance. Parent-chosen private-school placement does not create an individual right to the public-school service package. Ask about the applicable services plan. Federal private-school services rule.

Ask about Medicaid Buy-In for Children

Use Form H1200-MBIC to apply. The instructions direct applicants to return it to the Document Processing Center or a local HHS office.

Medicaid Buy-In for Children (MBIC) requires the SSI disability definition and other Medicaid requirements, including Texas residency. Eligibility may continue through the month of the 19th birthday. Family income, household composition and exclusions affect the financial calculation. Ask HHS to assess your application. MBIC overview, age, disability and income rules.

A monthly premium may apply. Income, employer insurance and the Health Insurance Premium Payment program affect the amount. The handbook lists no MBIC premium for families with employer insurance that is not eligible for state-paid premium assistance. A working parent may have to enroll the child in available employer coverage when the employer pays at least half the total annual premium. Check both requirements before changing coverage. Premium rules, premium categories and employer coverage conditions.

Find the right waiver interest-list office

List placement does not establish eligibility or a service start date. Ask about programs that match your child's needs.

ProgramWhere to start
Community Living Assistance and Support Services (CLASS)HHS Interest List Management, 877-438-5658
Medically Dependent Children Program (MDCP)HHS Interest List Management, 877-438-5658
Deaf Blind with Multiple Disabilities (DBMD)HHS Interest List Management, 877-438-5658
Home and Community-based Services (HCS)The LIDDA serving your county
Texas Home Living (TxHmL)The LIDDA serving your county

A LIDDA is a local intellectual and developmental disability authority. Use the HHS county directory. Form 8577 instructions identify each office's lists. The current MDCP handbook and CLASS overview, page 5 confirm the HHS telephone number. Ask the office to confirm the relevant list, record date and contact-update process. Current wait times are unverified.

TEFA applications for 2026-27 are closed

Texas Education Freedom Accounts (TEFA) accepted 2026-27 applications from February 4 through March 31, 2026. The current site offers an interest list for future opportunities. Joining it is not a 2026-27 application or award.

An awarded child in a participating private school has a published 2026-27 base amount of $10,474. A qualifying child with a disability may receive up to $30,000 total, based on the IEP and funding calculation. The IEP had to be on file with TEA by the application deadline. A diagnosis alone does not meet that requirement. Awarded homeschool students receive $2,000. These are conditional program amounts. Current TEFA funding and timeline.

The archived February 12, 2026 application guide still says March 17. Use the current program page's March 31 date. Confirm individual award status through the official portal before a school or payment commitment.

Get insurance help for your actual plan

Call the Texas Department of Insurance (TDI) at 800-252-3439 to ask who regulates your plan or where to raise a complaint. TDI regulates some plans and routes other cases elsewhere. It cannot decide medical necessity or guarantee claim payment. TDI health insurance complaint help.

Ask your insurer about the specific service, network, authorization and appeals. This review does not establish individual plan coverage. Local provider availability, clinical evaluation wait times and each family's costs remain unverified.

Sources for the listed scope: HHS ECI eligibility and costs, HHS Make a Referral to ECI, TEA Student Handbook Statement, TEA Technical Assistance: Child Find and Evaluation, TEA SB 2 and children with disabilities, U.S. Department of Education, 34 CFR 300.137, U.S. Department of Education, 34 CFR 300.131, HHS N-1200, Program Overview, HHS N-3200, Age, HHS N-3300, Disability, HHS N-6300, Eligibility Income Budgeting, HHS N-5000, Employer-Sponsored Health Insurance, HHS N-7000, Premiums, HHS N-7400, Premium Amounts, HHS Form H1200-MBIC, HHS Form 8577 instructions, HHS MDCP Eligibility, 1200, HHS What Is CLASS?, HHS What Is HCS?, HHS LIDDA directory, Texas Education Freedom Accounts, TDI health insurance complaint help · How we verify