Texas Home Living (TxHmL)
- Serves children and adults with an intellectual disability (ID) or a related condition.
- To be served, this wavier requires the FAMILY to meet income minimums and the person must have an IQ of less than 70 or 75 with an approved related condition. There are additional eligibility requirements, so please check the fact sheet at the link above.
The TxHmL waiver was the first Texas Medicaid waiver to allow board certified behavior analysts (BCBAs) as approved providers for behavior support services, but the dollar caps are the lowest of all the waivers. For information contact your local intellectual and developmental disability authority (LIDDA) that serves the county in which you live. Find the LIDDA that serves your area at https://apps.hhs.texas.gov/contact/la.cfm or by searching the web directory at https://apps.hhs.texas.gov/contact/search.cfm
Home and Community Services (HCS) Waiver Program
Special Population Served:
Those with an IQ under 70 OR, if the person has a diagnosis of autism, an IQ under 75. IQ restrictions are strictly enforced. HCS also allows board certified behavior analysts (BCBAs) to become approved providers and offer behavior support services.
Funded HCS Services:
What services can HCS provide?
● Residential services
● Group home
● Host home/ companion care
● Respite services
● Day habilitation
● 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 services (services for people with brain injury)
● Accessible minor home modifications
● Adaptive aids
● Transition assistance services
The HCS provider can also provide personal assistance services, habilitation or emergency response services through the Community First Choice (CFC) program to individuals who live in their own home or family home. Individuals can also receive unlimited prescriptions through the Medicaid Vendor Drug Program.
The CDS (Consumer Directed Services) option is available under HCS. This allows the family/client the freedom to hire and fire the people working for them.
For information and to place a name on the waiting/interest list, contact your local intellectual and developmental disability authority (LIDDA) that serves the county in which you live. Find the LIDDA that serves your area at https://apps.hhs.texas.gov/contact/la.cfm or by searching the web directory at https://apps.hhs.texas.gov/contact/search.cfm
Contact information for the main centers in the Greater Houston area:
The Harris Center for Mental Health and IDD
7011 Southwest Freeway
Houston, TX 77074
Intake Phone: 713-970-7000
Main Phone: 713-970-7000
Crisis Phone: 866-970-4770
County served: Harris
4910 Airport Ave.
Rosenberg, TX 77471
Intake Phone: 281-239-1363
Main Phone: 281-239-1300 or 866-4TEXANA
Crisis Phone: 800-633-5686
Austin, Colorado, Fort Bend, Matagorda, Waller, and Wharton
Tri-County Behavioral Healthcare
1506 Old Montgomery Rd.
Conroe, TX 77304
Intake Phone: 936-334-3275 (City of Liberty)
281-432-3075 (City of Cleveland) 936-521-6200 (Montgomery County)
936-291-5875 (Walker County)
Main Phone: 936-521-6100
Crisis Phone: 800-659-6994
Counties served: Montgomery, Walker, and Liberty
Gulf Coast Center
10000 Emmett F. Lowry Expressway
Texas City, TX 77591
Intake Phone: 800-643-0967
Main Phone: 409-763-2373
Crisis Phone: 866-729-3848
Counties served: Brazoria, and Galveston
Make an effort to sign up on the CLASS and HCS/TxHmL lists. Please note that you will need to call two different agencies to sign up. A call to your local IDD authority will not sign you up for both lists. Be sure that you receive confirmation letters that you are on these lists. Also, be careful to notify both lists of your contact information if you move.
Community Living Assistance and Support Services (CLASS)
Special Population Served:
Persons of any age with a disability that originated before the age of 22 and affects daily living functionality. Individuals with Intellectual Disability (formerly called mental retardation) may be eligible, but this waiver is not intended to serve those with a primary diagnosis of intellectual disability. An autism diagnosis will qualify a child to be placed on the list. Services provided include attendant care & respite care, among others. Board certified behavior analysts (BCBAs) are approved providers of behavior support services.
This waiver program has a very long “interest list”, so you are wise to sign your child up as early as possible.
CLASS Program Services
- Adaptive aids and medical supplies Case management
- Consumer Directed Services (CDS) option Habilitation
- Minor home modifications Nursing services Occupational therapy Physical therapy
- Prescription drugs, if not covered through Medicare Behavioral services
- Respite care Specialized therapies Speech pathology
Telephone number for information and to place a name on the waiting/interest list for CLASS: (877) 438-5658
This is a Medicaid Waiver program and qualification for the service is based on the child’s income, not the parent’s income
Up until a few years ago the providers of CLASS services were contracted through Attendant care companies called the DSA (Direct Service Agency). The attendant care company was completely responsible for the service providers – the hiring, training, and firing. These attendant care providers can still be utilized in the CLASS system but families have the additional option to become their own company. This is called Consumer Directed Services (CDS) and allows the family the freedom to hire and fire the people working with their child. The family is responsible for training and for faxing in the employee time sheets but the CLASS Direct Service Agency does all the employee paperwork for state and federal taxes and writes the paychecks. A substantial number of attendant care hours are provided to people on the CLASS program, making it a worthwhile interest list to be on. A substantial amount of respite hours are also provided.
If you are already on the waiting list, you can call and check your position on the list. If not on the list, call and sign up soon. Don’t be discouraged by the long list. Getting your child’s name on the list is one of the best ways to send the message to the state that the need is there and more funding needs to be allotted to these services.
Make an effort to sign up on the CLASS and HCS/TxHmL lists. Please note that you will need to call two different agencies to sign up. A call to your local IDD authority will not sign you up for both lists but the IDD center can often provide you with the contact information for CLASS. Be sure that you receive confirmation letters that you are on these lists. Also, be careful to notify both lists of your contact information if you move.
Medically Dependent Children’s Program (MDCP)
- Serves children and youth under the age of 21 years who have significant medical disabilities and would typically be eligible for nursing home care; provides respite, nursing, and home modifications. *
- Available statewide.
- Website: https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/medically-dependent-children-program-mdcp
- Telephone number for information and to place a name on the waiting/interest list: (877) 438-5658.
*This waiver does cover children with an autism spectrum diagnosis. The waiting list is not as long as the CLASS and HCS lists and does provide some home services that most parents find helpful.
Respite/attendant care hours are available based on established need. Hours per week are based on a score given by a medical professional.
Consumer Directed Services (CDS) are now available with this waiver. CDS allows the family the freedom to hire and fire the people working with their child. The family is responsible for training and for faxing in the employee time sheets but the Direct Service Agency does all the employee paperwork for state and federal taxes and writes the paychecks.