Help Center
Why Choose KCCL
People first: We listen before we act and tailor services to each individual’s specific needs and wants.
Quality without compromise: We maintain high standards for our work throughout every step of the process.
Clear partnership: We communicate openly, follow through, and ensure easy collaboration while remaining active in the community.
Forward thinking: We seek smarter, sustainable ways to provide services and consistently think outside the box.
Home and Community-Based Services (HCS)
The HCS program is a Texas Medicaid waiver providing long-term services and support so that people with Intellectual or Developmental Disabilities (IDD) can live in community settings instead of institutions.
You should contact your Local Intellectual and Developmental Disability Authority (LIDDA) to request an intake evaluation and to be placed on the interest list.
Yes, individuals are highly encouraged to sign up for multiple waiver interest lists (such as TxHmL or CLASS) at the same time.
Applicants must have an approved IDD diagnosis (or related condition with an IQ of 75 or lower), meet Medicaid income/asset limits (up to 300% of the SSI limit and a $2,000 asset cap), and require facility-level support.
It provides residential support (group homes and host homes), day habilitation (Individualized Skills and Socialization), nursing, specialized therapies, adaptive aids, and minor home modifications.
No, approved HCS services are fully covered through Texas Medicaid at no direct cost to the individual or their family.
Yes, participants may transfer from one HCS provider agency to another if their needs change or they are unsatisfied, which is coordinated through their LIDDA Service Coordinator.
No, you cannot be enrolled in two Medicaid waiver programs at once. If an HCS slot opens while you are on TxHmL, you can transition to HCS for higher funding or residential options.
Texas Home Living (TxHmL) Program
Getting Started with HCS and TxHmL
Texas Home Living (TxHmL) is a Medicaid program providing essential services and supports to people with intellectual and developmental disabilities (IDD) who live in their family home or their own home.
Applicants must have a diagnosis of an intellectual disability (IQ of 69 or lower) or a related condition (IQ of 75 or lower) and adaptive behavior deficits. They must also be eligible for Medicaid.
No, there is no age limit to receive TxHmL services.
No. Individuals cannot be enrolled in two Medicaid waiver programs at once. However, a child can remain on other waiver interest lists (like HCS) while they are actively enrolled in TxHmL.
Yes, TxHmL is unique because it considers the child’s income rather than the parents’ when determining financial eligibility (up to 300% of the SSI monthly limit with a $2,000 asset limit).
The program provides community support, day habilitation, nursing, respite care, employment assistance, adaptive aids, and minor home modifications.
No. TxHmL is designed for individuals who live in their own homes or family homes. It does not cover 24-hour residential or group home placements, unlike the HCS waiver program.
Yes, TxHmL offers a Consumer Directed Services (CDS) option, allowing individuals and families to self-direct and maintain control over hiring, training, and managing their service delivery.
No, in TxHmL the Level of Need (LON) does not determine the funding amount. While you are assigned a LON based on needs, the maximum annual funding amount for any individual in TxHmL is capped at $31,000.
Yes. If an HCS program slot becomes available and you choose to transition, you can move from TxHmL to HCS, which offers higher funding caps and broader residential options.
A LIDDA (Local IDD Authority) is a regional entity designated by the Texas Health and Human Services Commission to serve as the entry point for IDD programs. These authorities handle eligibility determinations, manage Medicaid waiver interest lists, and provide service coordination to help individuals access community support.
You can check your existing Medicaid waiver interest list status in Texas online through the Your Texas Benefits portal or by phone.
Method 1: Check Online
The fastest way to view your position on any Texas waiver list is via the official portal:
1. Log in to Your Texas Benefits.
2. Find "Quick Links" and click on "Interest List Manager."
3. Click on "Find my Interest List ID."
4. Verify your identity using your ID, Social Security Number, or Medicaid ID.
5. The portal will display every waiver list you are on and your place in line.
Method 2: Check by Phone
For HCS and TxHmL, you must contact the LIDDA that manages your specific county. They maintain the official records for the county and can look up your current status.
You can reach out to your local authority (LIDDA) for regional questions, or contact the Texas HHS Office of the IDD Ombudsman to resolve complaints or understand your legal rights.
Pro-Tip for Families
Texas requires regular contact to keep your status active. Your LIDDA or HHSC will reach out periodically (via mail or phone) to verify your interest.
Always respond immediately to these notices and proactively call or log in at least once a year to ensure your contact information remains current so you do not lose your spot.