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Home and Community-Based Services (HCS)

The Home and Community-based Services (HCS) program provides individualized services and supports to people with intellectual disabilities who are living with their families, in their own homes or in other community settings, such as small group homes where no more than four people live. The local authority provides service coordination.

What services are provided?

  • Adaptive aids
  • Day habilitation
  • Dental treatment
  • Minor home modifications
  • Nursing
  • Residential assistance
  • Respite
  • Specialized therapies
  • Supported employment

Who can get services?

  • You can of be any age.
  • You must qualify for care in an intermediate care facility for individuals with an intellectual disability or related conditions (ICF/IID).
  • You must have a determination of an intellectual disability (ID) in accordance with state law, or have a diagnosis of a related condition with an IQ of 75 or below.
  • You cannot be enrolled in another waiver program.
  • Your income and resources may not exceed specified limits.

How do I apply for services?

Contact your local authority.

Above information taken directly from HHSC website:


Respite & ISS Services

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