TxHmL is a Medicaid waiver program approved by the centers for
Medicare and Medicaid Services (CMS) to provide community-based
services and supports to eligible individuals who live in their
own houses or in their family homes. The TxHmL program services
only to persons residing in the counties specified in our geographical
areas.
• Community Support services are provided to persons residing
in all counties within the State of Texas
• Day Habilitation services are provided only to those residing
in Harris and Fort Bend Counties.
• Respite services are provided only to those residing in
Harris and Fort Bend Counties.
CASE MANAGEMENT
Each individual is assigned a Case manager who is responsible
for:
• Coordinating the development and implementation of each
person’s Individual Service Plan
• Coordinating the delivery of each person’s Individual
Plan of care
• Coordinating and monitoring the delivery of waiver and
generic services
• Integrating various aspects of services delivered under
the waiver and through other sources
• Recording each person’s progress
• Pre-discharge plan development
• Record keeping
• Arranging transportation
RESIDENTIAL ASSISTANCE
Each individual is given the opportunity of choosing
their type of resident8al assistance from the following options:
• Supported Home Living – this service type is provided
to individuals residing in their own residence or the residence
of their natural or adoptive family or to individuals receiving
foster care services from the Texas Department of Protective and
Regulatory Services or the Texas Department of Human Services.
• HCS Foster/Companion Care – this service type is
provided to individuals in a residence by a foster companion care
provider exclusive of Texas Department of Protective and Regulatory
Services or Texas Department of Human Services foster care programs.
• Residential Support – This service type is provided
to individuals by daily shift staff or by individual staff member
with periodic relief staff.
RESIDENTIAL ASSISTANCE SERVICES INCLUDE:
• Direct personal assistance with activities of
daily living (grooming, eating, bathing, dressing, and personal
hygiene)
• Assistance with meal planning and preparation
• Securing and providing transportation
• Assistance with housekeeping
• Assistance with ambulation and mobility
• Reinforcement of counseling and therapy activities
• Assistance with medications and performance of tasks delegated
by a Registered Nurse
• Supervision of individual’s safety and security
• Facilitating inclusion in community activities, use of
natural supports, social interaction, participation in leisure
activities, and development of socially valued behaviors
• Habilitation, exclusive o Day Habilitation
DENTAL TREATMENT
Each adult individual as determined by individual needs
is eligible for dental services including:
• Emergency dental treatment
• Preventive dental treatment
• Therapeutic dental treatment
• Orthodontic dental treatment, excluding cosmetic orthodontia
DAY HABILITATION
Each adult individual under legal age is provided the
opportunity to participate in a day activity, pre-vocational,
or vocational setting six (6) hours per day, five (5) days per
week as determined by individual needs which provides for:
• Assisting individuals in acquiring, retaining, and/or
improving self-help, socialization, and adaptive skills necessary
to reside successfully in the community
• Providing individuals with age-appropriate activities
that enhance self-esteem and maximize functional level
• Complementing any counseling and therapies listed in the
Individual Plan of Care
• Reinforcing skills or lessons taught in school, therapy,
or other settings
• Training and support activities which promote the individual’s
integration in the community
• Providing assistance for individuals who cannot manage
their personal care needs during day habilitation activities.
• Providing transportation necessary for the individual’s
participation in day habilitation activities.
• Providing transportation necessary for the individual’s
participation in day habilitation activities.
• Providing services which are not funded under Section
110 of the Rehabilitation Act 1973 or Section 602 (16) and (17)
of the Individuals with Disabilities Education Act.
SUPPORTED EMPLOYMENT
Each individual as determined by individual needs.
• Employment in an integrated work setting away from the
individual’s place of residence
• Provision of on-going individualized support needed to
sustain paid work by the individual, including supervision and
training
• Compensation by the employer to the individual in accordance
with the Fair Labor Standards Act.
• Provisions of services not available or funded through
the state education agency or the state rehabilitation agency.
NURSING
Each individual as determined by individual needs is
provided the services of a nurse to perform health care procedures
and monitor health conditions including:
• Administering medications
• Monitoring the individual’s use of medications
• Assisting the individual to secure emergency medical services
• Making referrals for appropriate medical services
• Performing health care procedures ordered/prescribed by
a Physician/Medical Practitioner
• Delegation and monitoring of tasks assigned to other service
providers by an R.N. in accordance with state law.
RESPITE
Each individual living in their family home as determined
by individual needs is eligible for respite services to include:
• Assisting with training in self-help and independent living
skills
• Provision of room and board when provided overnight in
a setting other than the person’s normal residence
• Support for emergency of planned short-term care
• Support on a 24-hour increment or any part of that increment
for no more than 30 days per year
• Assistance with securing and providing transportation
ADAPTIVE AIDS
Each individual as determined by individual needs and
authorized by the Interdisciplinary team based on documentation
from a licensed specialist as necessary and appropriate to meet
the specific needs of the individual is eligible for adaptive
aids including:
• Lifts
• Mobility aids
• Control switches/pneumatic switches and devices
• Environmentally control units
• Medically necessary supplies
• Communication aids
• Repair and maintenance not covered by the warranty
MINOR HOME MODIFICATION
Each individual as determined by individual needs as necessary
for the health and safety of the individual is eligible for minor
home modifications including:
• Purchase and repair of wheelchair ramps
• Modification/additions to bathroom facilities
• Modification/additions to kitchen facilities
• Specialized accessibility and safety adaptations/additions,
including repair and maintenance
COUNSELING AND THERAPEUTIC SERVICES
• Audiology services
• Speech/language pathology services
• Occupational Therapy services
• Physical Therapy services
• Dietary services
• Social Work services
• Psychology services
