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Texas Home Living (TxHmL) is a Medicaid waiver program that supplies essential services and supports to Texans with an intellectual disability (ID) or a related condition so that they can continue to live in the community.
TxHmL services are intended to supplement rather than replace services received from other programs, such as Texas Health Steps, or from natural supports, including families, neighbors or community organizations.
• Speech therapy
• Audiology services
• Dietary services
• Minor home modifications
• Adaptive aid
● 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. Individuals can also receive unlimited prescriptions though the Medicaid Vendor Drug Program.
A person enrolled in the TxHmL Program
A person seeking services in the TxHmL Program
TxHmL may be available to any Texas resident living in his or her own home or family’s home
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:
● Recruit their service providers.
● Conduct criminal history checks.
● Determine the competency of service providers.
● Hire, train, manage and fire their service providers.
All TxHmL services and CFC PAS/HAB are available through the CDS option. Financial management services and support consultation are also available to individuals who choose the CDS Option.
Individuals who use the CDS option must select a financial management services agency (FMSA) that will provide training, pay the service providers, pay federal and state employer taxes, and conduct criminal history checks.
The Texas Health and Human Services Commission (HHSC) contracts with public and private
entities to provide TxHmL services. HHSC regularly monitors these providers to ensure quality of
services. When enrolling in the TxHmL 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 own service
providers under the consumer directed services option.
Those interested in receiving TxHmL 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 TxHmL 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 TxHmL, 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.***