Community-Based Services – HCS

HCS is a Medicaid waiver program that supplies services and supports to Texans with an intellectual disability (ID) or a related condition so that they can live in the community.

The Home and Community-based Services (HCS) program at Ability Connection (AC) provides the help and support necessary for individuals with intellectual or developmental disabilities to live as independently as possible in their own homes, with family, a paid companion care provider or in small group home settings in the community.

Our HCS team works with each individual, focusing on client choice and autonomy, to ensure his or her needs are met and coordinates a variety of services to ensure individuals with disabilities are able to live autonomously.

HCS participants have an array of services to support independence in community life, such as:

  • Residential services
  • Group home
  • Host home/ companion care
  • Respite services
  • Day habilitation
  • Employment services
  • Nursing services
  • Dental services
  • Behavioral support
  • Supported home living (transportation)
  • Social work
  • Occupational therapy
  • Physical therapy
  • Speech therapy
  • Dietary services
  • Audiology services
  • Cognitive rehabilitation services (services for people with brain injury)
  • Accessible minor home modifications
  • Adaptive aids
  • Transition assistance services

The HCS provider can also provide personal assistance services, habilitation or emergency response services through the Community First Choice (CFC) program to individuals who live in their own home or family home. Individuals can also receive unlimited prescriptions through the Medicaid Vendor Drug Program.

The HCS program is overseen by the Texas Department Health & Human Services (TXHHS). To be eligible for the HCS program, individuals must have a diagnosis of an intellectual disability or related condition and qualify for Medicaid.

Eligibility guidelines are available on the TXHHS website:

Enrollment for the HCS program is overseen by Local IDD Authority (LIDDA) To find the LIDDA in your county, please call 211 for assistance.

There is an ever-growing interest list for Home and Community Based Services (HCS) program. If you are not currently on the interest list, please contact your LIDDA.

For additional questions, please contact:
Katrina Weger – Director, HCS/TxHmL
Office Phone: (214) 351-2500 x2253
Send an Email to Katrina

Companion Care- HCS

Host Home/Companion Care is an option within the Home and Community Based Services (HCS) program that allows the individual with a disability to remain in their own home, the home of family member or a friend after the age of 18. What makes this possible is that the primary caregiver, whether that be the client’s parents, relatives or a close family friend, receives a daily rate of pay for assisting in their care. This caregiver lives full time with the individual. The rate of pay is based on the individual’s level of care.

What sets Ability Connection Texas apart from other HCS providers?

Ability Connection prides itself on its outstanding customer service, going above and beyond by providing detailed training to all companion care providers. This ensures that there is a complete understanding of their responsibilities as paid providers. Ability Connection’s HCS staff are available for questions and concerns to all clients and caregivers. Ongoing training is always available to our Companion Care providers to enable the individual(s) they serve to live with personal freedom and autonomy while receiving the care and service they need. Ability Connection maintains regular contact with the individual and their Companion Care provider; including phone calls, and home & community visits.

How you can get involved

There is a great need for compassionate, loving adults who have a strong desire to serve people with disabilities to serve as Companion Care providers in our communities. Companion Care providers must be available to have someone with a physical or intellectual disability live with them just like a family member. A detailed screening process is involved to ensure that all of Ability Connection’s Companion Care providers meet the requirements for this kind of work. If you are interested in learning more about Ability Connection’s Companion Care program, click the Contact Us button on the navigation bar above.

Do you know someone who has a diagnosis of an intellectual disability (or related condition) and qualifies for Medicaid waiver services? If so, they may be eligible for HCS services. Eligibility guidelines may be found at Enrollment for the HCS program is overseen by the Local Authority. To find the Local Authority in your county, please visit (enter your city, then scroll down to see your Local Authority listing). Contact your Local Authority to enroll for HCS services.

Katrina Weger – Director, HCS/TxHmL
Office Phone: (214) 351-2500 x2253
Send an Email to Katrina