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The Home and Community- based Services (HCS) is a Medicaid waiver program offered by PepperTree Complte Care (PTCC).
The HCS program provides services and supports to people with an intellectual disability (ID) or a related condition who live with their families, in their own homes, or in small group homes with no more than 4 beds.
A related condition is a disability, other than an ID or mental illness, that begins before age 22 and will not likely end. This condition must also cause major functional limitations, similar to an individual with an ID. Autism and other developmental disabilities such as cerebral palsy, seizure disorders, and spina bifida are examples of related conditions.
This waiver is an alternative to receiving services in an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID).
HCS may be available to any Texas resident not living in an institutional setting who:
Income and assets may not be more than specified limits: a monthly income of up to 300% of the monthly income limit for Supplemental Security Income (SSI) and no more than $2,000 in assets. This refers to your child’s income, not the family income.
● 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
PTCC 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.
A person enrolled in the HCS Program
A person seeking services in the HCS Program
HCS may be available to any Texas resident not living in an institutional setting who:
1. Has an IQ of 69 or below or has an approved related condition with an IQ of 75 or below.
2. Has mild to severe deficits in adaptive behavior.
3. Is eligible for Medicaid benefits.
4. Is not enrolled in any other Medicaid waiver program.
Through CDS, individuals who live in their own home or family home can self-direct certain services and will assume and retain responsibility to:
The following services are available through the CDS option:
Individuals who use the CDS option must select a financial management services agency (FSMA) that will provide training, pay the service providers, pay federal and state taxes, and conduct criminal history checks.
The Texas Health and Human Services Commission (HHSC) contracts with public and private entities to provide HCS services. HHSC regularly monitors these providers to ensure quality ofservices.When enrolling in the HCS program, applicants choose their provider from a list of available providers in their area. Individuals are able to change providers at any time, even if they move to another area of Texas. Individuals can also choose to hire and train their ownservice providers under the consumer directed services option.
Those interested in receiving HCS services are placed on an interest list by contacting the local intellectual and developmental disability authority (LIDDA) that serves the county in which they live. Enrollment into the HCS program depends on individual need, one’s date of placement on the interest list and the availability of funding for the program. Once HHSC approves an offer for HCS, the LIDDA serving a local service area will assist with the application process, as well as coordinate the enrollment and ongoing services.
Applying for HCS and TxHml Services Contact your Local Intellectual & Developmental Disability Authority (LIDDA)
To schedule a 30- minute consultation to see if we are the right fit.
***New Applicant must select a provider within 14 days of receipt of your offer letter from HHSC.***