Home and Community-based Services (HCS)

Your Day Habilitation Service is changing, find out more (PDF).

What is HCS?

The Home and Community-based Services program provides individualized services and supports to persons with intellectual disabilities who are living with their family, in their own home or in other community settings, such as small group homes.

Provider Communications

Read news, information letters (ILs) and provider letters (PLs).

Don't Miss Out on Emails from HHS

The Texas Health and Human Services Commission contracts with a company called Granicus to provide email updates, called GovDelivery. In accordance with your contract, and contracting rules at 40 Texas Administrative Code §49.302(g), you must subscribe to receive HHSC email updates, using this GovDelivery signup, and select Information Letters, Provider Alerts and the contract program type(s).

When you sign up for email updates, you are giving your information to both HHSC and to Granicus. When HHSC has your information, it is subject to the HHSC privacy policy. When Granicus has your information, it is subject to the Granicus GovDelivery privacy policy.

Infection Control Resources

Contact Program Staff

Statutes and Rules



Other Rules and Statutes

HB 3720

Review Tools and Forms

Additional Resources

IDD and PI Quarterly Webinars

Regulatory Comment Card Survey

Please take a short survey about the recent visit to your facility by Texas Health and Human Services Long-Term Care Regulatory.


Information & Provider Letters

Case-sensitive. Use commas to separate multiple entries.
Note: These files are in PDF format unless otherwise noted.
Number Title/Notes Date Published
PL 2023-11 Cooperation with HHSC Provider Investigations
IL 2023-16 Termination of Waiver Services Due to Denial of Medicaid Eligibility
IL 2023-13 Ending of Temporary Emergency Rate Increases for Home and Community-based Services Programs Effective during the COVID-19 Emergency Declaration
IL 2023-15 Provider Owned or Controlled Residential Host Home/Companion Care Settings

Note: Replaces IL 2023-09, originally issued February 24, 2023.

PL 2023-06 Provider Compliance with HCBS Settings Rules
IL 2023-12 Cost Report Units of Service Information HCS and TxHmL Programs
IL 2023-11 COVID-19 Public Health Emergency (PHE) Ending May 11, 2023
IL 2023-10 In-Home Individualized Skills and Socialization Information for Program Providers for COVID-19

Note: Replace IL 2023-06, originally issued January 30, 2023.

IL 2023-08 Enhanced Staffing Rate for Off-Site Individualized Skills and Socialization
IL 2023-07 Implementation of Individualized Skills and Socialization