Revision 15-6; Effective November 6, 2015

Enrollment Process and Test

Local Intellectual and Developmental Disability Authorities (LIDDAs) are responsible for completing all enrollment activities for individuals seeking Texas Home Living (TxHmL) and Home and Community-based Services (HCS) waiver services. Each LIDDA must designate staff to complete all enrollment activities, and these staff must complete the Department of Aging and Disability Services (DADS) online enrollment training, with at least one staff person designated to receive training on an annual basis.

  • The LIDDA enrollment training link should point here.

Enrollment Section of CARE User's Guide

The enrollment section of the MRA CARE User's Guide includes instructions for data entry of an HCS or TxHmL enrollment. It is available at:

Note: The CARE User's Guide is only available to those who have access to the CARE system.

Transition Assistance Services (TAS), Pre-Enrollment Minor Home Modifications (MHM) and Pre-Enrollment MHM and Assessments

Applicants enrolling in the HCS Program who are being discharged from a nursing facility, an intermediate care facility for applicants with an intellectual disability or related conditions, or a general residential operation (a child-care facility regulated by the Texas Department of Family and Protective Services) are now eligible to receive TAS, pre-enrollment MHM and pre-enrollment MHM assessments. 

For TAS, see Form 8604, Transition Assistance Services (TAS) Assessment and Authorization.

For pre-enrollment MHM and pre-enrollment MHM assessments, see Form 8611, Pre-Enrollment MHM Authorization Request, and Form 8612, TAS/MHM Payment Exception Request.