Texas HCS Waiver Program: Community-Based Care for Individuals with IDD
The Home and Community-based Services (HCS) Program is a Texas Medicaid Waiver program providing long-term services and supports to children and adults with intellectual and developmental disabilities (IDD) — empowering meaningful lives in inclusive community settings across Texas.
Administered by the Texas Health and Human Services Commission (HHSC), the program helps individuals live in community-based settings rather than institutional facilities.
Eligibility is determined by the Local Intellectual and Developmental Disability Authority (LIDDA) and Medicaid approval.
Authorized services under the Texas HCS Waiver Program
Tailored to each Individual Plan of Care (IPC).
24-Hour Residential Support
Group home settings with round-the-clock care, supervision, and structured daily routines.
Supervised Living
Live-in staff providing continuous support while promoting independence and life skills.
Host Home / Companion Care
Personalized, family-style living in carefully screened provider homes.
Individualized Skills & Socialization
ISS services through contracted facilities to build independence and community connections.
Behavioral & Therapeutic Services
Nursing, behavioral support, speech therapy, OT, and PT through licensed contracted providers.
Clinical Coordination
Ongoing collaboration with Service Coordinators, therapists, and healthcare professionals.
All clinical and day services are provided by licensed or approved contracted providers as authorized by the individual's IPC.
Who we serve
Children and adults enrolled in the Texas HCS Waiver Program requiring residential placement and individualized support.
- LIDDAs
- Service Coordinators
- Hospitals
- Families
- Transition Programs
Texas HCS eligibility & enrollment, answered
Common questions from families, LIDDAs, and Service Coordinators about the Texas HCS Medicaid Waiver Program.
Still have questions? Contact our team — we'll respond within one business day.
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Get information about the Texas HCS Program
Send us a quick request — attach any helpful documents (assessments, IPC, referrals). We'll respond within one business day.
Medicaid Disclaimer. Minds n Motions participates in the Texas HCS Medicaid Waiver Program. Services are provided based on eligibility and authorization through the Individual Plan of Care (IPC). Coverage, availability, and services are subject to Medicaid approval and HHSC regulations.
Minds N Motion does not discriminate based on race, religion, gender, disability, age, or national origin.