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Home and Community-Based Services (HCS)

Fact Sheet

The HCS Program provides individualized services and supports to persons with intellectual disabled who are living with their family, in their own home or in other community settings, such as small group homes.


  • Case management
  • Adaptive aids
  • Minor home modifications
  • Counseling and therapies (includes audiology; speech/language pathology, occupational or physical therapy; dietary services; social work; and psychology)
  • Dental treatment
  • Nursing
  • Residential assistance
    • Supported home living
    • Foster/companion care
    • Supervised living
    • Residential support
  • Respite
  • Day habilitation
  • Supported employment

Financial Eligibility Requirements

Financial eligibility is determined by the Texas Health and Human Services Commission. For more information, please visit their website.

Other Eligibility Requirements

  • No age limit.
  • Must not be enrolled in another Medicaid waiver program.
  • Must have had a determination of intellectual disabled made in accordance with state law or have been diagnosed by a physician as having a related condition.
  • Must qualify as a Level of Care 1.
  • Must have chosen the HCS Program over the Intermediate Care Facilities for Persons with intellectual disabled Program.
  • Have an individual plan of care that does not exceed a specific annual cost limit.

How to Apply for Services

Coming Soon
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