TX Home and Community-Based Services Program Waiver

Published on
December 19, 2023
Last updated
April 19, 2024
Written by
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Katie Wilkinson
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The TX Home and Community-Based Services Program Waiver provides services to individuals with intellectual disabilities or developmental disabilities ages 0 or older who meet an ICF/IID level of care.
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Overview of Texas Home and Community-Based Services (HCS) Program Waiver

The Texas Home and Community-Based Services (HCS) Program Waiver, authorized under 1915(c) of the Social Security Act, enables Medicaid beneficiaries to receive a range of home and community-based services. This program aims to prevent institutionalization by offering support in community settings. The target population includes individuals with intellectual and developmental disabilities or related conditions. The HCS Waiver is designed with flexibility, allowing the state to tailor services to meet the unique needs of this population while promoting functional independence and quality of life.

Eligibility Requirements

Eligibility for the HCS Program Waiver includes several criteria:

Services and Supports

The Texas Home and Community-Based Services (HCS) Program Waiver provides a wide range of services and supports, including:

Statutory services, including individualized skills and socialization, respite, and supported employment.Extended state plan services, including adaptive aids, audiology, occupational therapy, physical therapy, prescribed drugs, and speech and language pathology.Supports for participant direction, including financial management services and a support consultation.Other services include behavioral support, cognitive rehabilitation therapy, dental treatment, dietary services, employment assistance, minor home modifications, nursing, residential assistance, and social work.

Compensation for Caregivers

The HCS Program Waiver includes a participant-direction option, allowing recipients to choose their caregivers. Compensation for caregivers is accessible through this program. Caregivers must comply with specific qualification criteria, and there are established procedures for documentation and reporting to ensure accountability and quality care.

Limitations and Challenges

While the HCS Program Waiver offers comprehensive support, it faces limited funding, potential waiting lists, and difficulty navigating eligibility and service options.

A Note from Givers

The Texas HCS Program Waiver provides critical support for individuals with disabilities, enhancing their ability to live and thrive in their communities. If you or someone you know could benefit from these services, we encourage you to fill out this form.


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