About this directory
Built from the organization research behind the North Texas Disability Landscape Analysis conducted for the Rees-Jones Foundation, consolidated from eleven source lists and the 2025 field survey, then extended county by county until it covered the whole state. Texas is now complete: all 254 counties. Delaware was built to the same standard and is the first state outside Texas. Every record is checked against live websites, IRS exempt-organization records, the CMS provider registry, the Census ZIP-to-county crosswalk, and state licensure and facility-closure lists. Last full pass September 2026.
Payment labels work across states. Medicaid Waiver (state IDD/DD waiver) means the organization takes the home and community-based waiver its own state runs: in Texas that is HCS, Texas Home Living, CLASS, DBMD or STAR+PLUS; in Delaware it is the DDDS Lifespan Waiver. The specific program is named in each record's notes.
Fifteen Texas counties have no organization based in them : Briscoe, Culberson, Edwards, Glasscock, Hartley, Hudspeth, Irion, Kenedy, King, Loving, McMullen, Oldham, Roberts, Terrell and Yoakum. Filtering on any of them still returns results, because each is served by a local authority, an area agency on aging, a vocational rehabilitation office and a rural transit district, all of which are listed. The distance is the finding. For a family in Sanderson, Marfa or Van Horn, the nearest day program, autism organization or applied behavior analysis clinic is three to five hours away. The same holds along the border, where nine counties returned no disability organization with a public presence of its own. Nothing was added to make a county look better served than it is.
Two kinds of record. A researched profile was checked against the organization's own website or a government source, and describes what it does in its own terms. A registry listing comes from the federal provider registry or a state licensure list: the organization is really licensed at that address, but its services here are inferred from its registered provider type and nothing else was independently confirmed. Registry listings are included because they are the providers a family with a Medicaid waiver actually chooses among, and most of them publish nothing at all. Call before relying on one.
Read the labels. Confirmed operating means a live website or a government registry confirmed the organization in September 2026. Not confirmed means the organization was not found to have closed, but no current evidence of operation was located either — call before you refer someone. Closed , merged , and renamed records are kept on purpose, because people still search for the old name.
Payment information tells you what an organization has said it accepts. It is not a guarantee of eligibility or an open slot. Waitlists across this region are long, and a listing here is not a referral.
September 2026: the southern expansion. Twenty counties were added, taking the directory from the Dallas–Fort Worth region down the I–45 corridor to Houston and the Gulf coast: Hill, McLennan, Limestone, Freestone, Anderson, Leon, Madison, Brazos, Trinity, Walker, Grimes, San Jacinto, Montgomery, Waller, Liberty, Chambers, Harris, Fort Bend, Galveston and Brazoria. They were built to the same two-tier standard, with a full sweep of the federal provider registry across every one. Harris County alone contributes more records than the original nine-county database held in total. Expect the rural counties between the two metros to read thin, because they are: several have licensed providers but no disability nonprofit of their own, and that scarcity is a finding rather than a gap in the research.
September 2026: the northern backfill. An audit against the live federal provider registry found that the original North Texas sweep had capped out in the two largest counties: Dallas held 33 per cent of the organizations the registry actually lists, and Tarrant 42 per cent, against 81 per cent in Fort Bend and 95 per cent in Collin. The shortfall was in the sweep, not in the field. 1,671 organizations were added, 865 of them in Dallas and 492 in Tarrant, each one an operator registered with the federal provider registry in a service category already within scope. Re-testing the same ZIP codes afterwards put Dallas and Tarrant in line with the rest of the state. Seventy-six older records also had their service categories corrected against the canonical map.
Corrections and additions: Michael@connectidd.com .
