Care Facilities

Care Facilities

Medicaid Waiver Programs

Medicaid home and community-based waiver programs provide services and supports to people with an intellectual disability or a related condition who live in their own or their family’s home or in another home-like setting in the community. They are called waivers because certain ICF/IDD requirements are waived. In most situations, anyone who is eligible for the ICF/IDD Program is also eligible for one of the waiver programs. An important and distinguishing feature of funding provided in the waiver programs is that the funding moves with the person to any part of the state. For example, if someone in a waiver program in Dallas moves to Houston, he or she can continue to participate in the waiver program there. A person also can change providers within the same city or area of the state. Public or private entities may provide waiver program services and supports. DADS certifies all waiver providers initially and then reviews them at least annually to ensure they continue to meet the program certification principles. The two waiver programs that serve people with IDD for which the LIDDA helps people to enroll are:

Home and Community-based Services (HCS) Program:

The HCS Program provides services to people with IDD who live with their family, in their own home, in a foster/companion care setting, or in a residence with no more than four people who also receive services. The HCS Program provides services to meet the person’s needs so the person can maintain himself or herself in the community and have opportunities to participate as a citizen to the maximum extent possible. Services consist of:

  • adaptive aids
  • minor home modifications
  • specialized therapies
  • behavioral support
  • dental treatment
  • nursing
  • residential assistance
  • respite
  • day habilitation, and
  • supported employment

Service coordination is provided by the IDDA. Residents of a foster/companion care setting or an HCS residence pay for their own room and board with either their monthly Supplemental Security Income (SSI) check or other personal resources. There is a limit to the yearly cost of services provided through the HCS Program. Additional information about the HCS Program can be found at www.dads.state.tx.us/providers/HCS/index.cfm.

Texas Home Living (TxHmL) Program:

The TxHmL Program provides essential services and supports so that people with IDD can continue to live with their families or in their own homes. TxHmL services are intended to supplement, not replace, the services and supports they may receive from other programs such as the Texas Health Steps Program, or from natural supports such as family, neighbors, or community organizations. Services consist of:

  • community support
  • nursing
  • adaptive aids
  • minor home modifications
  • specialized therapies
  • behavioral support
  • dental treatment
  • respite
  • day habilitation
  • employment assistance, and
  • supported employment

Service coordination is provided by the LIDDA. TxHmL Program services are limited to a yearly cost  per participant as identified by DADS. Additional information about the TxHmL Program can be found at:
www.dads.state.tx.us/providers/TxHmL/index.cfm.