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Revision 21-3; Effective September 1, 2021
This program provides selected essential services and supports to people with intellectual disabilities who live with their families or in their own homes in the community. TxHmL services are intended to supplement, rather than replace, the services and supports a person may receive from other programs, such as the Texas Health Steps Program, or from family, neighbors or community organizations.
Waiver Eligibility Component
HHSC is responsible for determining if the person meets the criteria specific to TxHmL for the waiver eligibility component and that the person:
- has an ICF/IID level of care;
- has an approved plan of care or service plan;
- has a service begin date no later than 30 days from certification;
- is residing in the community; and
- is a Medicaid recipient or would be eligible under either ME – SSI, ME – Pickle, ME – Disabled Widow(er), ME – Early Aged Widow(er), ME – Disabled Adult Child or ME – Medicaid Buy-In for Children (MBIC).
Financial Medicaid Eligibility Component
The TxHmL Program requires that the person be eligible for Medicaid or would be eligible under either ME – SSI, ME – Pickle, ME – Disabled Widow(er), ME – Early Aged Widow(er), ME – Disabled Adult Child or ME – Medicaid Buy-In for Children (MBIC). A person cannot be determined eligible for this waiver under the special income limit program, and HHSC will not certify a person for Medicaid as a condition of the TxHmL Program.
Notes:
- People who are Medicaid eligible under Texas Works do not need to be redetermined eligible under an MEPD program. Assist the provider in verifying Medicaid eligibility coverage and take no further action on these cases.
- Restitution and reconciliation policy does not apply.
- Medicaid Buy-In for Children (MBIC) eligible recipients can have Texas Home Living (TxHmL) paid by MBIC systems eligibility codes.
Related Policy
Application for Waiver Programs, O-1100