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Explanation of the

Texas Home Living (TxHmL) Program


What is the purpose of TxHmL?

¶     The TxHmL Program provides services and supports to Texans with mental retardation or a related condition so that they can continue to live with their families or in their own homes.


Who is eligible for TxHmL?

A person is eligible for the TxHmL Program if he or she:

¶     has accepted an offer to enroll in the TxHmL program;

¶     chooses to participate in the TxHmL program instead of the ICF/MR Program;

¶     lives in his or her own home or family home;

¶     has mental retardation or a related condition and meets the criteria for a Level of Care I in an Intermediate Care Facility for Persons with Mental Retardation (ICF/MR);

¶     is a Medicaid recipient (i.e., has a Medicaid card);

¶     does not require intensive one-to-one supervision to prevent dangerous behavior;

¶     has an Individual Plan of Care (IPC) approved by the Texas Department of Aging and Disability Services (DADS); and

¶     is not enrolled in another Medicaid waiver program (such as the CLASS Program or the Medically Dependent Children Program).


What services are available?

¶     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 the services and supports a person may 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 $13,000 per participant.


Does TxHmL offer residential services?

¶     No, the TxHmL Program does not offer residential services.


Is the TxHmL Program the same as the Home and Community-based Services (HCS) Program?

¶     No. TxHmL is a different program.

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