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Texas Home Living Program (TxHmL)

Fact Sheet

This program provides selected essential services and supports to people with intellectual disability who live in their family homes or their own homes.


  • Adaptive aids
  • Minor home modifications
  • Specialized therapies (audiology, speech/language pathology, occupational therapy, physical therapy, and dietary services)
  • Behavioral support
  • Dental treatment
  • Nursing
  • Community support
  • Respite
  • Day habilitation
  • Employment assistance
  • 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.
  • Have a determination of intellectual disability made in accordance with state law or have been diagnosed by a physician as having a related condition.
  • Not be assigned a pervasive plus level of need (LON 9).
  • Live in their own home or with their family.
  • Not be enrolled in another Medicaid waiver program.
  • Have a plan of care that does not exceed the specific program annual cost limit.
  • Have chosen TxHmL over the Intermediate Care for Facility for Persons with intellectual disability program.

How to Apply for Services

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