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The TxHmL Program provides selected essential services and supports to people with a diagnosis of intellectual and developmental disabilities (IDD) or a related condition who live in their family homes or their own homes.

Covered Services:

The cost of covered services may not exceed $17,000 per year. Services include:

• Adaptive aids
• Minor home modifications
• Specialized therapies (includes audiology, speech/language pathology, occupational therapy, physical therapy, and dietary services)
• Behavioral support
• Dental treatment
• Nursing
• Community Support
• Respite
• Day habilitation
• Employment assistance
• Supported employment
• Service coordination to all individuals enrolled in TxHmL

Financial eligibility requirements

• Age: No limit
• Income and Resources: The applicant must be Medicaid eligible prior to enrollment in the program. An applicant is financially eligible if he or she is: eligible for supplemental security income (SSI); eligible for Medical Assistance Only (MAO) protected status; under 20 years of age, financially the responsibility of TDFPS in whole or in part and is being cared for in a foster home or group home licensed or certified and supervised by TDFPS in which a foster parent is the primary caregiver residing in the home; currently receiving Medicaid for Youth Transitioning Out of Foster Care; or a member of a family that receives full Medicaid benefits as a result of qualifying for Temporary Aid to Needy Families.

Additional Criteria:

In addition, applicants must:

• qualify for an ICF/IDD Level of Care I;
• have a determination of IDD made in accordance with state law or have been diagnosed by a physician as having a related condition;
• have an Individual Plan of Care for waiver services which does not exceed $15,000;
• not be assigned a Pervasive Plus level of need (LON 9);
• live in his or her own or family home;
• have made a choice of the TxHmL Program over the ICF/IDD Program; and
• not be enrolled in another 1915(c) waiver program.

Making the first steps

• Intake: Call for information, 1-325-305-8633 please note you must include the 1  when dialing, and an appointment will be scheduled if needed.
• Assessment: Testing is done to see if a person is eligible for services.
• Referral: Staff provides information about other services.
• Placement: If needed, staff helps find group home placement in the community or in a state school.