Home and Community-based Services (HCS)
Services and supports available to individuals diagnosed with an intellectual disability or a related condition, who are living with their family, in their own home or in other community settings, such as small group homes. Services include residential assistance (host home/companion care, supervised living, residential support), adaptive aids, dental treatment, minor home modifications, professional therapies, behavioral support, nursing, day habilitation, employment assistance, supported employment and respite. Click here to read more about HCS.
Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID)
24-hour residential and habilitation services provided in homes for groups ranging in size from six to more than 100 people. Click here to read more about ICF/ID.
IDD Community Services (Local Authority Services)
Services and supports, such as day habilitation, community support and respite provided to assist persons to live in the community. Click here to read more about local authorities.
State Supported Living Center (SSLC)
State-operated centers that provide 24-hour residential and habilitation services for people with a severe or profound intellectual disability, or those people with an intellectual disability who are medically fragile or have behavioral problems. Click here to read more about living centers.
Texas Home Living Program (TxHmL)
Services and supports available to individuals diagnosed with an intellectual disability or a related condition, who live in their family homes or their own homes. Services include adaptive aids, dental treatment, minor home modifications, professional therapies, behavioral support, nursing, day habilitation, employment assistance, supported employment and respite. Click here to read more about TxHmL.
Additional Services
Relocation Assistance
Assistance available to individuals living in a nursing facility to transition back to their own homes or community setting. For more information, click here to find your DADS local office.
Texas Health Steps
Available through the Texas Department of State Health Services, this program provides periodic preventive medical checkups, diagnosis and treatment, including the activities that promote and support preventive health care, for Medicaid enrolled children through age 20. An expanded portion of the Texas Health Steps program, called the Comprehensive Care Program, includes treatment in freestanding psychiatric hospitals, developmental speech therapy, developmental occupational therapy, augmentative communication devises/systems and private duty nursing. For more information, call 1-877-847-8377.
STAR+PLUS Waiver Program
A Texas Medicaid program administered by the Health and Human Services Commission that provides services through a managed care system. STAR+PLUS serves specific areas of the state and provides an alternative to nursing facility placement. Covered services include doctor and hospital visits, prescription medication, adult day services, foster care, assisted living, personal attendant services (meal preparation, bathing, dressing, toileting, household chores, etc.), nursing services, therapies, medical supplies and minor home modifications.
Community First Choice
A state plan Medicaid entitlement program available to individuals who meet an institutional level of care (i.e., nursing facility, ICF/IID, hospital or Institution for Mental Disease) that provides personal assistance services, habilitation, emergency response services, support management, financial management services and support management to eligible individuals.
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