Texas Home Living (TxHmL)

What is TxHmL?

TxHmL provides selected essential services and supports to people with intellectual and developmental disabilities who live in their family homes or their own homes.

• What is TxHmL? (PDF in English)
• What is TxHmL? (PDF in Spanish)

Provider Communications

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

Resources

• Infection Prevention and Control Measures for Common Infections in LTC Facilities (PDF)
• COVID-19 FAQ for HCS and TxHmL Providers with General Questions also Applicable to ICF/IID (PDF)

Contact Program Staff

• Provider/policy information: txhml@hhsc.state.tx.us / txhmlpolicy@hhsc.state.tx.us
• Contracting information: 512-438-3234 / IDDWaiverContractEnrollment@hhsc.state.tx.us
• Eligibility information: Your local authority
• Regional nurses: Community Services regional contacts for your region

Publications

Explanation of the TxHmL Program brochure explains the types of services and supports provided to Texas with developmental disabilities or a related condition so they can continue to live with their families or in their own homes.

• TxHmL Program brochure (PDF in English)
• TxHmL Program brochure (PDF in Spanish)

Your Rights in the Texas Home Living Program brochure explains the rights and privileges consumers have when receiving services through the program. 

• Your Rights in a TxHmL Program brochure (PDF in English)
• Your Rights in a TxHmL Program brochure (PDF in Spanish)

Statutes and Rules

State

• Texas Administrative Code, Title 26, Part 1, Chapter 262: Texas Home Living (TxHmL) Program and Community First Choice (CFC)
• Texas Administrative Code, Title 26, Part 1, Chapter 566: Texas Home Living Program (TxHmL) and Community First Choice (CFC)
• Texas Administrative Code, Title 40, Part 1, Chapter 41: Consumer-Directed Services
• Texas Administrative Code, Title 40, Part 1, Chapter 49: Contracting for Community Services

Federal

• Social Security Act, §1915(c)

Other Rules and Statutes

• Health and Human Services Rulemaking
• Texas Legislature Online
• Texas Register
• Texas Statutes

HB 3720

• HCS and TxHmL Interpretive Guidance

Review Tools and Forms

• ISS Attestation and Provider Compliance Form (PDF)
• Form 8572, TxHmL Individual Profile Information

Additional Resources

• Provider and LIDDA CARE Report Crosswalk (PDF)
• Provider and LIDDA CARE Screen Crosswalk (PDF)
• Comprehensive Nursing Assessment (PDF)
• HCS and TxHmL Transformation Webinar (PDF)
• Interpretive Guidance Booklet (PDF)
• HCS & TxHmL Certification Principles Webinar Series: Participant Q&A (PDF)
• Regulation of Individual Skills and Socialization webinar (PDF)
• Regulation of Individual Skills and Socialization webinar recording

IDD and PI Quarterly Webinars

• January 31, 2024, IDD and PI Quarterly Webinar (PDF)
  • January 31, 2024, IDD and PI Quarterly Webinar Recording
• April 30, 2024, IDD and PI Quarterly Webinar (PDF)
  • April 30, 2024, IDD and PI Quarterly Webinar Recording
• July 31, 2024, IDD and PI Quarterly Webinar (PDF)
  • July 31, 2024, IDD and PI Quarterly Webinar Recording

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.

Communications