Home and Community-based Services and Texas Home Living Services are Medicaid Waiver programs approved by the Centers for Medicare & Medicaid Services. These programs offer individuals and their families an alternative to institutional care. They are administered by Texas Department of Health and Human Services and operated by a statewide network of providers.
HCS and TxHmL services are individualized, community-based, consumer-driven, and responsive to changing needs. Individual choice is the driving force behind both the HCS and TxHmL programs. By encouraging personal choices, the HCS and TxHmL programs empower consumers to lead lives of independence and self-determination, to achieve inclusion in the community, and to affirm the rights, dignity, and respect of each person served.