Home and Community (HCS)

Day habilitation is assistance with getting, keeping or improving self-help, socialization and adaptive skills necessary to live successfully in the community and to participate in home and community life. Day habilitation is normally provided regularly in a group setting (not in the person’s residence) and includes personal assistance for those who cannot manage their personal care needs during day habilitation, and assistance with medications and performing tasks delegated by a registered nurse.

Day Habilitation

Community supports are individualized activities that are provided in the person’s home and at
community locations, such as libraries and stores. Supports may include:
• habilitation and support activities that foster improvement of, or facilitate, the person’s
ability to perform daily living activities
• activities for the person’s family that help preserve the family unit and prevent or limit out of-home placement of the person
• transportation for the person between home and his or her community employment site or
day habilitation site
• transportation to facilitate the person’s employment opportunities and participation in
community activities

Community Support

The TxHmL program provides essential services and supports so that people with IDD can continue to live with their families or in their own homes.  TxHmL services supplement but do not replace services and supports from other programs such as the Texas Health Steps Program, or from natural supports such as family, neighbors or community organizations.  Services consist
of community support, nursing, adaptive aids, minor home modifications, specialized therapies, behavioral support, dental treatment, respite, day habilitation, and employment services.  


Respite is either planned or emergency short-term relief provided by trained staff to the person’s
unpaid caregiver when the caregiver is temporarily unavailable. If enrolled in other services, the person continues to receive those services as needed during the respite period.

Employment assistance helps people locate paid jobs and includes the following:
• identify employment preferences, job skills, and work requirements
and conditions
• identify prospective employers who offer appropriate employment

Supported employment is provided to a person who has paid employment to help him or her sustain that employment. It includes individualized support services, supervision and training.

Employment Assistance


 Nursing is provided to people who require treatment and monitoring of these health care procedures:
• prescribed by a physician or medical practitioner
• required by standards of professional practice or state law to be performed by licensed nursing personnel.


Behavioral  Support

Behavioral supports are specialized interventions 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.

Supports include the following:
• assessing and analyzing assessment findings so that an appropriate behavior support plan can be designed
• developing an individualized behavior support plan consistent with the outcomes identified in the person-directed plan
• training and consulting with family members or other providers and, as appropriate, to the person
• monitoring and evaluating the success of the behavioral support plan and modifying it as necessary

Texas Home Living Program

The Home and Community based Services program provides services to people with IDD who live with their family, in their own home, in a host home/companion care setting, or in a residence with no more than four people who also receive services.  Services meet the person’s needs so the person can maintain himself or
herself in the community and have opportunities to participate as a citizen to the maximum extent
possible.  Services consist of adaptive aids, minor home modifications, professional therapies,
behavioral support, dental treatment, nursing, residential assistance, respite, day habilitation
and employment services. 

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