Services
Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Program are Medicaid waiver programs approved by the Centers for Medicaid Services (CMS). HCS/TxHmL provides community-based services and supports to eligible individuals with Intellectual and Developmental Disabilities (IDD) who live in their own homes or in their family homes.
Both HCS/TxHmL services are intended to supplement services received from by needy families, such as Texas Health Steps, or from the support they receive from their families, neighbors or community organizations.
Some HCS/TxHmL Services Include:
We strongly suggest that you consider adding your child to the HCS/TxHmL waiver interest lists, which many parents call “waiting lists,” if you haven’t already done so. Even if you hope your child will never need those services, it is important that they be added to the interest list for any program(s) that might meet their needs. Your child might have to wait a long time to get services through the waiver. You can always decline the services once your child moves to the top of the list.
Many parents say they wish they had signed up for the waiver interest lists when their child was born or first diagnosed. Some of the interest lists have wait times that last for years.
- Residential services
- Group home
- Respite services
- Dental services
- Behavioral support
- Audiology services
- Transition assistance services
- Adaptive aids
- Employment services
- Occupational therapy
- Group therapy
- Dietary services
- Minor home modifications
- Cognitive rehabilitation services
- Speech therapy
- Day habilitation
Who Is Eligible?
To qualify for HCS or TxHmL:
- You must be determined eligible for Medicaid services before enrolling in the program.
- You must meet specified functional criteria, including having a determination of an intellectual disability made in accordance with state law or having been diagnosed by a physician as having a related condition with an IQ of 75 or below.
- You must live in your own home or your family’s home.
- You cannot be enrolled in another Medicaid waiver program.
- Your income and resources may not exceed specified limits.
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