Notice of Privacy Practices

Home and Community Based Services (HCS) in the Heart of Texas area - Click for Info

ADMISSION for routine services:

Adult Mental Health: 254.752.3451

Children/Adolescent Mental Health: 254.752.7889

Early Childhood Intervention:

Intellectual/ Developmental Disabilities: 254.757.3933

Toll Free for all services:

Welcome! We hope this website will assist you in finding the services you require.


Strap on your running/walking shoes because YOU are invited to our annual Striding for Wellness 5K Run! This is a great opportunity to participate in a fun fitness activity benefiting a great cause.

When: Saturday, October 10, 2015

Where: Brazos Park East, off MLK Jr. Boulevard, between Herring Avenue and Lake Shore Drive, Waco, Texas.

Time: Race starts at 8:30 am

Registration is $20 before 9-25-15 and $27 after. This covers the cost of your participation in the 5K and a T-Shirt. All proceeds will benefit the Employee and Consumer Wellness programs.

Hope to see you there! Please contact Molly Howard with any questions at 254-297-7065.

Click here to print registration form

Who We Are

The Heart of Texas Region MHMR (HOTRMHMR) Center is made up of caring professionals who are dedicated to helping individuals and families cope with mental illness, intellectual and developmental disabilities, developmental delays, and emotional conflict. The Heart of Texas Region MHMR Center does not discriminate against any individual based on race, color, national origin, religion, sex, age, or disability. The HOTRMHMR Center may not deny medically necessary mental health community services based on an individual's sexual orientation or political affiliation. Currently we serve over 20,000 people each year in a six-county area. Read here for more...

Highlights and News

Community First Choice

Community First Choice (CFC) is a Federal Medicaid benefit allowing states to provide Home and Community Based services and supports to Medicaid recipients with disabilities. As a result of House Bill 7 from the 83rd Texas Legislative session, HHSC and DADS began implementation of CFC as a new Medicaid State plan benefit June 1, 2015. CFC in Texas is implemented through managed care organizations; Superior and United Healthcare are the two MCOs responsible for CFC in the Heart of Texas region.

For people with Intellectual and Developmental Disabilities, CFC means the addition of a Medicaid entitlement that assures no waiting list for services, unlike the current waiting lists for other Medicaid Waivers such as Home and Community Based Services (HCS) and Texas Home Living Services (TxHmL). CFC includes Personal Attendant Services (PAS), Habilitation Services (HAB), Emergency Response Services (ERS), and Support Management.

PAS involves a provider completing activities of daily living for someone who cannot do those things for themselves. Activities such as grocery shopping, house cleaning, laundry and assistance with personal hygiene are services under PAS. HAB services involve some of the same types of activities as PAS, but the goal is for the person to learn to complete these activities independently. ERS is most easily described as the "I've fallen and I can't get up" service. And Support Management is assistance in learning how to hire your own employees. The MCOs are required to develop a provider network for CFC services. Heart of Texas Region MHMR Center is precluded from being a CFC provider because of their unique role for people with IDD eligible for CFC.

The Local Intellectual and Developmental Disabilities Authority (LIDDA), the IDD division of HOTRMHMR, is charged with three important tasks in the CFC porogram. First, the LIDDA determines whether or not an individual meets eligibility requirements for CFC. Eligibility is based on diagnoses of ID or a related condition and functional behavioral deficits. Second, the LIDDA conducts individual CFC assessments and develops individual, person-centered service plans. And third, the LIDDA provides ongoing service coordination to assure the services needed by the individual are provided and are meeting the intended need. The SC role, which includes determining the amount and type of services needed by the individual, is seen as a conflict of interest if HOTRMHMR were to be a provider of CFC services.

Implementation of CFC will roll out slowly across the state, with an emphasis on getting people who are currently on the Waiver program Interest Lists and who are not currently receiving other services into the program first. If you are interested in or think you may be eligible for CFC, please contact Alex Canterbury at 254-757-3933, or your representative with either United Healthcare or Superior. You may also get information about CFC from the following website:


The hotline is a continuously available telephone service staffed by trained and competent crisis counselors that provides information, screening and intervention, support, and referrals to callers 24 hours per day, 7 days per week. The number is 1-866-752-3451. Or click here for full contact information including TDD.

Center Closing Dates

Please note that crisis services are available 24 hours a day, 7 days a week, even on the dates we are closed. If you need emergency assistance, call our toll-free number at 1-866-752-3451.

Here are the dates we will be closed in 2015:

January 19, 2015 - Martin Luther King Day
April 3, 2015 - Good Friday
May 25, 2015 - Memorial Day
July 3, 2015 - Independence Day
September 7, 2015 - Labor Day
November 26 & 27, 2015 - Thanksgiving
December 24-25, 2015 - Christmas
January 1, 2016 - New Year's Day


Click here for the Heart of Texas Region MHMR home page Click here for the Heart of Texas Region MHMR home page Click here for more contact numbers for Heart of Texas Region MHMR