The Home and Community-based Services (HCS) program provides individualized services and supports to individuals with intellectual disabilities who are living with their families, in their own homes or in other community settings, such as small group homes where no more than four people live. The local authority provides service coordination. Funding for this program comes from The Department of Aging and Disability Services.
The TxHmL Program provides services and supports to Texans with a Developmental or Intellectual Disability. TxHmL offers services to support people who live in their own homes or with their families. TxHmL services are intended to supplement instead of replace services and supports a person my receive from other programs, such as the Texas Health Steps Program, or from natural supports such as his or her family, neighbors, or community organizations. TxHmL Program services are limited to a yearly cost of $17,000 per participant. The Department of Aging and Disability Services is the funding source for this program.
Case Management helps people access medical, social, educational, and other appropriate services and supports that will help them achieve an acceptable quality of life and community participation. Case Management is provided by a RYFS staff person who is typically referred to as a case manager.
Community supports are individualized activities that are consistent with the person-directed plan and provided in the person’s home and at community locations, such as libraries and stores.
Supports may include:
Respite is either planned or emergency short-term relief provided to the person’s caregiver when the caregiver is temporarily unavailable. Respite is provided by trained staff in the person’s home or another location. If enrolled in other services, the person continues to receive those services as needed during the respite period.
Employment assistance helps people locate paid, individualized, competitive employment in the community, and includes helping the person identify:
Home and community Based Services, Texas Home-Living, Provider Service Array, Supportive Home Living/Community support, Respite, Employment Assistance, Supported Employment, Nursing, Behavioral Supports, Specialized Therapies, Vocational Training, Day Habilitation.
Community First Choice (CFC) is a program that enables Texas Medicaid to provide the most cost effective approach to basic attendant and habilitation service delivery. The services available in CFC are:
Helping Others Help Themselves
Supported employment is provided to a person who has paid, individualized, competitive employment in a setting that includes non-disabled workers to help him or her sustain that employment. It includes individualized support services consistent with the person-directed plan, as well as supervision and training.
Nursing is provided to people who require treatment and monitoring of health care procedures that are:
Behavioral Supports are specialized interventions by professionals to help people increase adaptive behaviors and to replace or modify maladaptive behaviors that prevent or interfere with their inclusion in home and family life or community life.
Specialized therapies are:
Assessment and treatment by licensed or certified professionals for social work services, counseling services, occupational therapy, physical therapy, speech and language therapy, audiology services, dietary services, and behavioral health services other than those provided by a local mental health authority pursuant to its contract with the Texas Department of State Health Services (DSHS); and Training and consulting with family members or other providers.
Vocational training is a day training service provided to people in industrial enclaves, work crews, sheltered workshops, or affirmative industry settings to help them get a job.
Day Habilitation is assistance with acquiring, retaining, or improving self help, socialization, and adaptive skills necessary to live successfully in the community and to participate in home and community life. Individualized activities are consistent with achieving the outcomes identified in the person-directed plan and are designed to reinforce therapeutic outcomes targeted by other service components, school, or other providers. Day habilitation is normally provided in a group setting (not in the person’s residence) on a regular basis and includes personal assistance for those who cannot manage their personal-care needs during day habilitation, and assistance w/ medications and performing tasks delegated by a registered nurse in accordance with state law.
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