24/7 Mental Health Crisis Hotline

1 (800) 633-5686

Home & Community-Based (HCS) Services

Texana’s Authority Division conducts eligibility determination and enrollment activities for people with an intellectual disability (ID) or a related condition seeking assistance through the Home and Community-based Services (HCS) program. HCS is a Medicaid waiver program that provides an array of services, supporting people with developmental disabilities in the community.

 

To learn more about the HCS program and available services, please contact our Intake team at 281-239-1363.

Services that are available include:

Devices necessary to treat, rehabilitate, prevent or compensate for conditions resulting in disability or loss of function. AA enable people to perform the activities of daily living or control the environment in which they live.

Specialized interventions that assist a person in increasing adaptive behaviors and replacing or modifying challenging or socially unacceptable behaviors that prevent or interfere with the person’s inclusion in the community. Behavioral support services can include the full range of psychological activities within the scope of state licensure for psychologists and other licensed professionals in addition to specific behavioral support services. The scope of behavioral support services offered in this waiver exceeds the State Plan psychological services benefit and may be provided by a certified behavior analyst. Under the waiver, behavioral support will be provided to maintain the person’s optimum condition.

Dental services which exceed the dental benefit under the State Plan are provided under this waiver when no other financial resource for such services is available or when other available resources have been used. Dental services are those services provided by a dentist to preserve teeth and meet the medical need of the member. Service is limited to $2,000 annually.

Intended to assist a person in locating paid employment in the community or sustain competitive employment. Services include: 
  • Employment assistance
  • Employment readiness
  • Supported employment
Provides person-centered activities related to acquiring, retaining, or improving self-help skills and adaptive skills necessary to live successfully in the community and participate in home and community life. Services support gaining or maintaining greater independence, socialization, community participation, current or future volunteer goals or employment goals consistent with achieving the outcomes identified in a person’s person-directed plan. 

Physical adaptations to a person’s residence that is necessary to address the person’s specific needs and that enables the person to function with greater independence in the person’s residence or to control his or her environment. Service is limited to $7,500, lifetime. 

Services that are within the scope of the Texas Nurse Practice Act and are provided by a registered nurse (or licensed vocational nurse under the supervision of a registered nurse), licensed to practice in the state. Nursing services are provided only for acute conditions or exacerbations of chronic conditions lasting less than 60 days. Nursing services provided in the waiver cover ongoing chronic conditions such as medication administration and supervising delegated tasks.
Provides personal assistance with activities of daily living and functional living tasks; assistance with planning and preparing meals; transportation or assistance in securing transportation; assistance with ambulation and mobility; reinforcement of behavioral support or specialized therapies activities; assistance with medications based upon the results of an RN assessment; performance of tasks delegated by a RN; and supervision of the person’s safety and security.
 
Residential options include:
  • Host Home/Companion Care (HH/CC): HH/CC is provided in a private residence meeting HCS requirements by a host home or companion care provider who lives in the same residence as the person. HH/CC is combined because the actual services provided are identical. In a host home arrangement, the host home provider owns or leases the residence. In a companion care arrangement, the residence may be owned or leased by the companion care provider or may be owned or leased by the person.
  • Residential Support Services (RSS): RSS is provided in a group home setting where no more than four people are receiving services. RSS provides 24-hour supervision and tailored support for daily living. An RSS service provider is present in the residence and awake whenever a person is present in the residence. 
  • Supervised Living (SL): SL is provided in a group home setting where no more than four people are receiving services. SL provides assistance with daily living and supports as needed. SL service providers are present in the residence and able to respond to the needs of a person during normal sleeping hours. 

Planned or emergency short-term relief of the unpaid primary caregiver of a person who lives in their family home. This service provides a person with personal assistance with activities of daily living. This service includes habilitation activities that facilitate the person’s inclusion in community activities, use of natural supports and typical community services available to all people, social interaction and participation in leisure activities, and development of socially valued behaviors and daily living and functional living skills. Service is limited to 300 hours of combined respite and in-home respite annually. 

Assessment and treatment by licensed or certified professionals needed to support community living for a person with intellectual or developmental disabilities. Services may include Audiology, Cognitive Rehabilitation Therapy (CRT), Dietary, Occupational Therapy, Physical Therapy, or Speech Therapy. 

Transportation services to meet routine and daily needs identified in the person-directed plan and managed through an Individual Transportation Plan (ITP).

Home & Community-Based (HCS) Services: Girl holding hands with two adults at a table, eyes closed and smiling

Home and Community-Based Services

  • Behavior Supports/Applied Behavior Analysis
  • Cognitive Rehabilitation Therapy
  • Community First Choice
  • Dental Services
  • Employment Services
  • Day Services / Individualized Skills and Socialization Services
  • Minor Home Modification
  • Nursing Services
  • Residential Services
  • Respite Services
  • Specialized Therapies
  • Transition Assistance Services
  • Adaptive Aids

24/7 Mental Health Crisis Hotline

1 (800) 633-5686

Related Services

Home and Community Based Services (HCS)

Provides an array of services to assist and support people with developmental disabilities in the community.

Texas Home Living (TxHmL) Services

Provides an array of community based services including individualized skills, employment, nursing, and respite.

Community First Choice

Community First Choice (CFC) is a service that people with Medicaid coverage who qualify are entitled to receive.