Texas Home Living Services

The TxHML program provides selected essential services and supports to people with an intellectual disability or a related condition who live in their own home or their family’s home. Select a link below to jump to that section.

Adaptive Aids
Behavioral Support Services
Community Support
Day Habilitation
Dental Treatment
Employment Assistance
Minor Home Modifications
Nursing
Respite
Specialized Therapies
Supported Employment

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Adaptive Aids (AA)

An adaptive aid is an item or service that enables an individual to retain or increase the ability to perform activities of daily living or to control the individuals environment. (Click here to see a the list of billable adaptive aids) The repair and maintenance of a billable item not covered by warranty is also billable for the adaptive aids service component.[rule_top]

Behavioral Support Services

Specialized interventions that assist an individual in increasing adaptive behaviors and replacing or modifying maladaptive or socially unacceptable behaviors that prevent or interfere with the individual’s inclusion in the community.[rule_top]

Community Support

The community support service component is the provision of assistance and support necessary for an individual to perform personal care, health maintenance and independent living tasks; participate in community activities; and develop, retain and improve community living skills.[rule_top]

Day Habilitation

The day habilitation service component is the provision of assistance to an individual that is necessary for the individual to acquire skills to reside, integrate and participate successfully in the community. Day habilitation may be provided to an individual only in a setting that is not the residence of the individual, unless the provision of day habilitation in a residence is justified because of the individual’s medical condition or behavioral issues or because the individual is of retirement age, and such justification is documented in the individual’s record.[rule_top]

Dental Treatment

The dental treatment service component includes emergency dental treatment, preventative dental treatment, therapeutic dental treatment and orthodontic dental treatment. Dental treatment may be provided only to an individual 21 years of age or older. The maximum amount DADS pays a program provider for all dental treatment provided to an individual is $1,000 per IPC year.[rule_top]

Employment Assistance

The Employment Assistance service component helps a participant to locate paid employment in the community by assisting the participant to identify employment preferences, job skills, requirements for the work setting and work conditions, and prospective employers offering employment compatible with participant’s identified preferences, skills and requirements. This service component facilitates the participants employment by contacting prospective employers on behalf of the participant and negotiating the participants employment. The team must approve continuation of Employment Assistance every 180 days.[rule_top]

Minor Home Modifications

A minor home modification is a physical adaptation to an individuals residence that is necessary to address the individual’s specific needs and that enables the individual to function with greater independence in the individual’s residence or to control his or her environment. (Click here to see a list of billable minor home modifications) The rapier and maintenance of a billable adaptation not covered by warranty is also billable for the minor home modifications service component. Payment by DADS to a program provider for minor home modifications is subject to the following limitations; a program provider may be paid an initial amount of $7,500 for an individual, with such payment occurring in one or more IPC years; and beginning the first full IPC year after the $7,500 amount is paid, the maximum amount DADS pays a program provider is $300 per individual, per IPC year.[rule_top]

Nursing

Registered Nursing
The registered nursing service component is the provision of professional nursing, as defined in Texas Occupations Code, Chapter 301, provided to an individual with a medical need.

Licensed Vocational Nursing
The licensed vocational nursing service component is the provision of licensed vocational nursing, as defined in Texas Occupations Code Chapter 301, to an individual.

Specialized Registered Nursing
The specialized nursing service component is the provision of professional nursing, as defined in Texas Occupations Code, Chapter 301, to an individual who has a tracheostomy or is dependent on a ventilator.

Specialized Licensed Vocational Nursing
The specialized licensed vocational nursing service component is the provision of licensed vocational nursing, as defined in Texas Occupations Code, Chapter 301, to an individual who has a tracheostomy or is dependent on a ventilator.[rule_top]

Respite

The respite service component is the temporary provision of assistance and support necessary for an individual to perform personal care, health maintenance and independent living tasks, participate in community activities, and develop, retain and improve community living skills. The component also provides relief to the primary care giver.[rule_top]

Specialized Therapies

The specialized therapies service component consists of Audiology Services- The provision of audiology as defined in Texas Occupations Code, Chapter 401.

Behavioral Support Services
Specialized interventions that assist an individual in increasing adaptive behaviors and replacing or modifying maladaptive or socially unacceptable behaviors that prevent or interfere with the individual’s inclusion in the community.

Dietary Services
The provision of nutrition services as defined in Texas Occupations Code, Chapter 701.

Occupational Therapy Services
The practice of occupational therapy as described in Texas Occupations Code, Chapter 453.

Physical Therapy Services
The provision of physical therapy as defined in Texas Occupations Code, Chapter 453.

Social Work Services
The practice of social work as defined in Texas Occupations Code, Chapter 505.

Speech and Language Pathology Services
The provision of speech-language pathology as defined in Texas Occupations Code, Chapter 401.[rule_top]

Supported Employment

Supported employment is a service that assists an individual to sustain competitive, integrated employment.[rule_top]