Helpful information for individuals, families, LARs, and service coordinators.
Answers to the Questions Families Ask
A place to start when you are learning how HCS and TxHmL work, how to get services, and what your choices are. Read at your own pace, and reach out any time you want to talk it through.
What Is HCS?
Home and Community-based Services is a Texas Medicaid waiver program for people with an intellectual disability or a related condition. It supports people to live in the community, with family, in their own home, with a host family, or in a small group home.
What Is TxHmL?
Texas Home Living is a Medicaid waiver program for people who live in their own home or their family's home. It adds essential services, like community support, respite, and therapies, to the help a person already has.
The Interest List & Your LIDDA
Both programs start with the Local Intellectual and Developmental Disability Authority (LIDDA) for your county. They add you to the interest list, and when an offer comes, they help you apply and coordinate your services.
Your Person-Directed Plan
Your services are built around a plan that starts with what you want for your life. You, your family or LAR, your service coordinator, and your provider build it together and update it as your goals change.
Consumer Directed Services (CDS)
If you live in your own or family home, CDS lets you hire, train, and manage some of your own support workers, with help from a financial management services agency that handles payroll and background checks.
Choosing or Changing Providers
You choose your provider from those available in your area, and you can change providers at any time, even if you move. Your service coordinator helps arrange the change, and we are glad to talk it through first.
Straight From the State
Texas Health and Human Services (HHSC) runs both programs. These links open the state's own pages in a new tab.
Every family and every situation is different. If you would like to talk through your options or find out whether Abricare is the right fit, our team is glad to help. There is no pressure, only support.