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Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IID)

The ICF/IID program is a community-based residential service option provided in homes with six or fewer individuals. This ICF/IID program provides similar services provided in an HCS residential home. The services include staff available to assist individuals with identified needs, access to medical care, the opportunity to attend Day Habilitation or similar programs, and participation in community activities.

If you choose to access the ICF/IID residential option, you are able to keep your current placement on interest lists for home and community-based waiver services, such as HCS, Texas Home Living, Community Living Assistance and Support Services, and Deaf Blind with Multiple Disabilities programs.

For information about ICF/IID program, please visit:

http://www.dads.state.tx.us/services/intellectual/getservices.html. Information at http://www.dads.state.tx.us/providers/icf/search/index.cfm allows you to search ICFs/IID homes with vacancies by county, city or zip code. It also lists any special services or areas of expertise.

If you are interested in this residential option, contact us at 254-757-3933. We will assist you in applying for the service. The application process for admission to an ICF/IID involves sharing an individual's diagnosis and medical and support needs with ICF/IID providers to ensure they have the appropriate services and resources to best meet an individual's needs.

What is the Home and Community-Based Services (HCS) Waiver?

HCS is a program that provides community based services and supports to eligible people as an alternative to the Intermediate Care Facilities for Persons with Intellectual and Developmental Disabilities program. Services are available to people living in their own home and living with their family or paid companion. Services may also be provided to people living in small group homes where no more than four people may live. HCS Services are provided by Public and Private HCS providers who contract with and are certified by the Department of Aging and Disabilities Services (DADS).

HCS "slots" are made available for people on the HCS Interest List, people in state-supported living centers, people in nursing homes, and others who are at risk of institutionalization because of significant service needs. There are eligibility guidelines for HCS.

Eligibility for HCS

Eligibility is restricted to adults and children with an Intellectual or Developmental Disability or related condition who:
  • Meet the Intermediate Care Facility for Persons with Intellectual and Developmental Disabilities Level of Care (LOC) 1 criteria;
  • Are eligible for Supplemental Security Income (SSI) or eligible for Medicaid under one of the optional Medicaid groups covered by the HCS program;
  • Require services that do not exceed the cost limits set by the state of Texas;
  • Are not enrolled in another Medicaid waiver program; and
  • Choose to participate in the HCS program instead of the ICF/MR program.

Services offered through HCS

A planning team which includes the HCS Participant, the Legally Authorized Representative (LAR), Service Coordinator, and other people chosen by the participant or LAR develops a plan for services. The plan describes the goals, services and supports the participant needs to ensure his/her health and welfare in the community and to attain his/her desired goals. The services and supports may include:
  • Supported Home Living
  • Day habilitation
  • Nursing
  • Supported Employment
  • Respite
  • Residential Assistance (Group Home or Foster Care)
  • Specialized Therapies such as Behavioral Support
  • Dental Treatment
  • Adaptive Aids
  • Minor Home Modifications

Enrollment into HCS

At all times you will be guided through the enrollment process by Local Authority staff. The first step for HCS enrollment is for the person's name to be entered into the statewide waiting list for HCS services. You can be placed on this waiting list by calling 254-757-3933 and stating that you wish to be placed on the list. It's that easy. Once your name rises to the top of the list and when a slot is available, you will be notified by the Local Authority and enrollment into the program will begin.

If you think you may already be on the waiting list but are not sure, Local Authority staff can find that out for you. It is important to get on the waiting list as soon as possible if you think you are interested in HCS. Because the list is statewide, it is long. And the wait for an HCS slot can be as long as 8 to 10 years.

Once a slot is offered to you, one of the first steps to enrolling in the program is choosing a provider. There are many active HCS providers in the Heart of Texas area. Click here to view the current HCS Provider list. You will be asked to contact these providers and question them about how they could best meet your needs in the HCS program. You will then choose whichever provider you think will best meet your needs. Most of the time, this first choice works out very well. If it does not work out well, you always have the option of changing providers. A review of the latest compliance reports for providers in this area can be viewed at:

  1. www.dads.state.tx.us
  2. In the middle of the page, click on the 'LINKS' tab;
  3. Under 'Find and Compare Long Term Care Providers', click on 'DADS Quality Reporting System';
  4. Click on the link for 'Home and Community-Based Services programs';
  5. Click on link for 'Home and Community Based Services Waiver';
  6. Enter appropriate County or Zip Code.

Additional Information

If you have additional questions about HCS, please call 254-757-3933.


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