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Home and community -based SERVICES (HCS)

What is HCS?

HCS is a Medicaid waiver program that supplies services and supports to Texans with an intellectual disability (ID) or a related condition so that they can live in the community. HCS services are intended to supplement rather than replace services received from other programs, such as Texas Health Steps, or from natural supports, including families, neighbors, or community organizations. 


  •  Residential services 
  •  Group home 
  •  Host home/ companion care 
  •  Respite services 
  •  Individualized skills and socialization 
  •  Employment services 
  •  Nursing services 
  •  Dental services 
  •  Behavioral support 
  •  Supported home living (transportation) 
  •  Social work 
  •  Occupational therapy 
  •  Physical therapy 
  •  Speech therapy 
  •  Dietary services 
  •  Audiology services 
  •  Cognitive rehabilitation  
  •  Accessible minor home modifications 
  •  Adaptive aids 
  •  Transition assistance services 

Texas Home Living Services (txhml)

What is txhml?

TxHmL is a Medicaid waiver program that supplies essential services and supports to Texans with an intellectual disability (ID) or a related condition so that they can continue to live in the community. 


TxHmL services are intended to supplement rather than replace services received from other programs, such as Texas Health Steps, or from natural supports, including families, neighbors, or community organizations. 


  •  Respite services 
  •  Individualized skills and socialization 
  •  Employment services 
  •  Nursing services 
  •  Dental services 
  •  Behavioral support 
  •  Community support (transportation) 
  •  Occupational therapy 
  •  Physical therapy 
  •  Speech therapy 
  •  Dietary services 
  •  Audiology services 
  •  Minor home modifications 
  •  Adaptive aids 


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