TX HHS Aging

HCS Program Services Texans Intellectual Disabilities

The Texas Health and Human Services Commission publishes this HCS (Home and Community-based Services) Program page as the primary informational hub for providers serving Texans with intellectual disabilities. The page consolidates applicable federal statutes (Social Security Act §1915(c)) and state administrative rules (TAC Title 26, Chapters 263, 264, 565; TAC Title 1, Chapter 352), provider forms, and a mandatory GovDelivery email subscription requirement for contracted providers. Archived webinar recordings (including Feb. 18, 2026 and Oct. 29, 2025 sessions) are available, along with contact information for HCS policy, contracting, eligibility, and regional nursing staff.

Texas ALF Types, Services, Licensing, Regulatory Resources

Texas HHS provides an informational overview of Assisted Living Facilities (ALFs), categorizing them as Type A (for residents who can follow emergency directions without nighttime attendance) or Type B (for residents requiring staff assistance and nighttime attendance). The page lists applicable statutes including Texas Health and Safety Code Chapter 247 and TAC Title 26 Chapter 553, along with resources such as a provider directory, training courses, webinars, and contact numbers for the Licensing and Certification Unit at 512-438-2630.

Texas Medicaid Recipients Can Self-Direct Long-Term Care Services

Texas Medicaid recipients can self-direct long-term care services through the Consumer Directed Services (CDS) option, which allows them to hire and manage their own service providers. The CDS option originated as a 1997 pilot authorized by the 75th Texas Legislature and was later codified by Senate Bill 1586, 76th Legislature, into Texas Administrative Code, Chapter 264. Multiple Medicaid programs including Community Living Assistance and Support Services, Home and Community-based Services, STAR Kids, and STAR+PLUS now participate in the CDS option, offering services such as personal care, nursing, therapy, employment assistance, and respite.