SSES+ Medically Fragile

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SSES+ Medically Fragile Overview:

Students who receive special education services, who are currently enrolled in a Texas public school, and are identified as "medically fragile" now qualify for the new SSES+ grant from TEA. Additional information about the SSES+ Medically Fragile program can be found below in the FAQs.

  • Families of qualifying students will receive online accounts to purchase goods or services that help their student access public school and/or health related services at home or where care is provided.  
  • SSES+ accounts begin with a $5,000 grant. Families are able to request additional funds for more expensive items through TEA. This form is only available through the SSES+ award email. 
  • There is currently enough funding for all students who are identified as medically fragile. This funding is separate and apart from the current SSES program. 

SSES+ Medically Fragile Resources:

  • One-Pager: What is the difference in the original SSES program and the SSES+ Medically Fragile program?
  • One-Pager: SSES+ Medically Fragile Overview:
  • SSES+ Medically Fragile Program: Customizable letter or email (PDF):

SSES+ Medically Fragile FAQs:

All FAQs for the main SSES Program apply to the SSES+ Medically Fragile program as well, below are the specific FAQs for just SSES+ Medically Fragile.

If you have a question not on this list, please contact us at

Click on the topics below to go to that section:

General FAQs

Who qualifies for SSES+ Medically Fragile?

What is available to purchase?

Requesting Additional Funds

Regular SSES Program FAQs (links to another page)


General FAQs


How much are the SSES+ Medically Fragile accounts?

Eligible families will begin with a $5,000 online account and may request additional funds through the TEA. This request form will only be provided to families with current SSES+ Medically Fragile accounts through email.



Why are SSES+ Medically Fragile accounts more than the regular SSES program?

In December of 2021, the Office of the Governor designated $20 million dollars in ESSER III funds to be awarded to provide a direct benefit to students identified as medically fragile.  Due to the unique and highly specialized needs of this population, the SSES+ Medically Fragile program makes more funds available to individual families.



What if my student already had or currently has an SSES/ClassWallet account?

If you already have a ClassWallet account, or have previously had a ClassWallet account, you be awarded an additional $3,500 funds to bring the total amount up to $5,000 available to families of students who are eligible for the SSES+ Medically Fragile accounts.  You will be contacted by email about the additional funds being added into your account.



Can my child qualify for both regular SSES and SSES+ Medically Fragile?

The SSES+ Medically Fragile program is considered a special part of the SSES program. Students who qualify for SSES+ Medically Fragile receive all the basic benefits of the SSES program plus the extra benefits described here. Only students whose PEIMS coding lists them as “Medically Fragile” qualify for SSES+ Medically Fragile.



How do I apply for the SSES+ Medically Fragile program?

You will apply in the same way you would apply for the SSES program, visit SSES.TEA.TEXAS.GOV or click on the “apply today” button below. After applying, if approved for an SSES+ Medically Fragile account, you will receive an email from TEA and from ClassWallet with information about how to access your account.

Apply Now
Apply Today!



What if I already applied for the SSES program, will I need to apply again?

If you have already applied, you will not need to apply again, your family will receive your ClassWallet account with information on how to log in and access these SSES+ Medically Fragile funds. Please check your spam/junk mail for an email from with this information.


What is the difference in the SSES+ Medically Fragile program and the SSES program?


Please see this one-page document on SSES+ Medically Fragile vs. SSES.


Who qualifies for SSES+ Medically Fragile?

What is medically fragile?

Texas defines medically fragile as:

Whether the student receiving special education and related services is ALSO:

  • in the age range of birth to 22 years, AND
  • has a serious, ongoing illness or a chronic condition that has lasted or is anticipated to last at least 12 or more months or has required at least one month of hospitalization, and that requires daily, ongoing medical treatments and monitoring by appropriately trained personnel which may include parents or other family members, AND
  • requires the routine use of medical device or of assistive technology to compensate for the loss of usefulness of a body function needed to participate in activities of daily living, AND
  • lives with ongoing threat to his or her continued well-being.



What does TEA use to verify eligibility?

TEA uses PEIMS coding to verify medically fragile status. The student must be identified as “medically fragile” in their ARD paperwork or in their Individualized Education Program (IEP). Only around 2,500 students in the state of Texas currently qualify for the SSES+ Medically Fragile program.



What is available to purchase?


What can we purchase?

Families will be able to purchase educational goods and services from the ClassWallet marketplace. The SSES+ Medically Fragile program has its own purchasing guidelines, separate from the regular SSES program.



Does someone approve the purchases?

All purchase requests will be reviewed before approving – it is helpful if you add additional information in the justification section on the item(s) attempting to be purchased. Families may also use the direct pay feature on ClassWallet to purchase items that might not be available currently in the marketplace.



What if I do not see what I am looking to purchase?

The ClassWallet marketplace has a variety of vendors, but we understand that not everything your student might need will be on the marketplace. You can request a vendor be added or you can use our direct pay feature to request purchase of items you cannot find within the ClassWallet marketplace. If you need help with this, please reach out to our SSES team at or call 1-855-773-3839. Please note the SSES+ Medically Fragile and SSES programs do not reimburse for items purchased, you may only purchase items through the online marketplace.



What if I cannot find a service provider or a particular service in my area?

If you are unable to find a service provider or a particular service in your area, please reach out to our SSES team at or call 1-855-773-3839.  The SSES team will be able to assist you in looking for a service provider that may already be on the ClassWallet platform or assist with getting a service provider in your area added to the marketplace. Please note, not all services may be provided in some areas of Texas, the SSES team is working hard to increase the number of service providers across the state.



Requesting Additional Funds:


Why can SSES+ Medically Fragile accounts request additional funds?

The SSES+ Medically Fragile program has set aside additional funding for families who may require more funding than the base funding of $5,000 to best meet the individual educational needs of their student. SSES+ Medically Fragile additional funds are intended to meet needs specific to the medically fragile population, not all additional funding requests will be approved.



How do I request additional funds?

If you wish to request additional funding, please fill out the form provided in your initial award email from TEA. Families will be required to justify additional funding with specific items and their purpose. These additional funds are available on a first-come, first-serve basis and once the additional funds are gone, families will no longer be able to request additional funds.



How will additional funds be distributed or approved?

The TEA will approve or deny each request for additional funds prioritizing, educational need, , item cost, and the Free-or-Reduced Lunch status of the student. SSES+ Medically Fragile additional funds are intended to meet needs specific to the medically fragile population, not all additional funding requests will be approved.