A calm, step-by-step path for Texas families, built around the free and low-cost help you are entitled to. You do not have to figure this out alone, and you do not have to pay for private services to begin.
You do not need a formal diagnosis to begin getting help, and you should not wait for one. Early support makes a real difference, and several of the most valuable programs are free. If something feels off, act — the steps below cost little or nothing to start.
Under age 3: contact Early Childhood Intervention (ECI) — a free evaluation you can refer your own child to. Age 3 and up: ask your public school district in writing to evaluate your child for special education, also free. For a formal medical diagnosis, see our diagnosis & evaluation listings.
Add your child to the Medicaid waiver interest lists (CLASS, HCS, TxHmL, MDCP) — it is free, you can join more than one, and the waits are years long, so sooner is better. Also check whether your child qualifies for Medicaid or SSI. Our free & low-cost help guide explains each one.
Public school special education (speech, OT, behavior support, a specialized classroom) and Medicaid-covered therapy such as ABA can carry much of the load at no cost to you. Start these before paying out of pocket for private services.
When you do look for therapy, diagnosis, schools, or enrichment, browse our Houston resource directory. Ask every provider three things up front: which Medicaid waivers and insurance they accept, whether they offer telehealth, and their current waitlist.
You are not doing this alone. Other Texas parents are the best source of what actually works locally. Find a group in our parent support listings, and get respite so you can rest.