Texas Home Living (TxHml)

Service Description
The TxHmL Program provides selected essential services and supports to people with a diagnosis of mental retardation or a related condition who live in their family homes or their own homes.

Funding Sources
Title XIX Medicaid 1915(c) Home and Community-Based Services Waiver and State Funds

Covered Services
The cost of covered services may not exceed $17,000 per year.
Services include:

• Adaptive aids
• Minor home modifications
• Specialized therapies (includes audiology, speech/language pathology, occupational therapy, physical therapy, and dietary services)
• Behavioral support

Dental treatment

• Nursing
• Community Support
• Respite
• Day habilitation
• Employment assistance
• Supported employment

The local MR Authority provides service coordination to all individuals enrolled in TxHmL.

Consumer Eligibility

• Age: No limit
• Income and Resources: The applicant must be Medicaid eligible prior to enrollment in the program. An applicant is financially eligible if he or she is:
  • eligible for supplemental security income (SSI);
  • eligible for Medical Assistance Only (MAO) protected status;
  • under 20 years of age, financially the responsibility of TDFPS in whole or in part and is being cared for in a foster home or group home licensed or certified and supervised by TDFPS in which a foster parent is the primary caregiver residing in the home;
  • currently receiving Medicaid for Youth Transitioning Out of Foster Care; or
  • a member of a family that receives full Medicaid benefits as a result of qualifying for Temporary Aid to Needy Families. 

Additional Criteria
In addition, applicants must:

• qualify for an ICF/MR Level of Care I;
• have a determination of mental retardation made in accordance with state law or have been diagnosed by a physician as having a related condition;
• have an Individual Plan of Care for waiver services which does not exceed $17,000;
• not be assigned a Pervasive Plus level of need (LON 9);
• live in his or her own or family home;
• have made a choice of the TxHmL Program over the ICF/MR Program; and
• not be enrolled in another 1915(c) waiver program.

Provider Base
Public and private entities. Individuals electing to direct their own employees may choose a Consumer Directed Services Agency (CDSA) to assist with payroll responsibilities for any TxHmL service.

Service Availability
Statewide