Licensed by the State of Texas, Cooper Home Health, Inc. provides meaningful choices regarding long term care by offering home and community based services as an alternative to nursing facility placement. Our goal is to assist individuals in avoiding premature nursing facility placement and provide current nursing facility residents an opportunity to return to the community.

For persons who need assistance with personal care services, there are several programs available. People who meet financial and medical criteria defined by the State of Texas may qualify for one of the following state funded programs.

Community Based Alternatives (CBA)

Cooper Home Health, Inc. is an approved provider for the Texas Community Based Alternatives (CBA) program. This program provides home and community-based services to persons age 21 and older as an alternative to nursing facility (nursing home) placement. The CBA program is funded by Title XIX (Medicaid) though a waiver which allows Texas to provide services that are not available under the regular Medicaid Program.

The goal of the CBA program is to provide individuals with the care and services they need to allow them to remain in their own home or assisted living facility, or to return to their home from a nursing facility. Eligibility is determined by the Texas Department of Aging and Disability Services.  The DADS website has helpful information.

CBA services include:

Personal Assistance Services - This service provides a personal care Attendant that helps with personal care and household chores necessary to maintain the home in a clean, sanitary and safe environment. This may include help with bathing, dressing, grooming, cleaning, grocery shopping, meal preparation and other personal care tasks. Hours may vary according to need. All personal care Attendants undergo background checks before hire and are supervised on a regular basis by a licensed Nurse.

Adaptive Aids and Medical Supplies - These are necessary medical equipment and supplies that are not covered by ordinary Medicare/Medicaid benefits.

Minor Home Modifications - Modifications are additions and/or improvements to an individual's residence to enable him/her to reside in the community and to ensure safety, security and accessibility. Some examples would include the installation of hand rails, or construction of a wheelchair ramp or handicap shower.

Nursing Services - Each patient is assigned a Registered Nurse for assessment of health problems and direct delivery of nursing tasks ordered by a physician, development of the health care plan and instruction on proper health maintenance. This includes nursing services not ordinarily covered by Medicare or Medicaid, such as pre-filling medications, or services to non-homebound clients.

Therapy Services - This includes a Physical, Occupational, and Speech/Language Pathology not already covered by Medicare or Medicaid.

Respite Care - Often family caregivers are fatigued from constant care of a loved one. Respite care provides temporary relief to persons caring for functionally impaired adults in the home.

Other services covered by the CBA program may include:

  • Prescription Assistance
  • Emergency Response System
  • Adult Foster Care
  • Assisted Living/Residential Care

Enrollment in the Community Based Alternatives program is limited to the number of participants approved by the Health Care Financing Administration (HCFA) or the availability of state funding.

If you or a loved one is in need of CBA services, you can call Cooper Home Health and we will be happy to assist you with making a referral.


Primary Home Care (PHC)

This program is a non-technical, medically related personal care service provided to adults whose health problems cause them to be functionally limited in performing activities of daily living, according to a physician’s statement of medical need. PHC provider agencies also provide Family Care and Community Attendant Services. These programs also provide non-skilled, non-technical services to eligible clients who are functionally limited in performing daily activities.

For more information about DADS programs and help with obtaining services, visit Help for Texans.