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Texas Medicaid Waiver Program • TxHmL
Texas Home Living (TxHmL) Services
Empowering individuals with intellectual and developmental disabilities to thrive in the comfort of their own homes or family homes. ABACO Healthcare provides compassionate, certified support, personal assistance, daytime habilitation, and therapies across Richmond, Fort Bend County, and Greater Houston.
In-Home Community Living Support
Day Habilitation & Respite
Therapies & Minor Modifications
Richmond, TX Based Provider
About TxHmL
What is the Texas Home Living (TxHmL) Program?
The Texas Home Living (TxHmL) program is a Medicaid waiver program authorized under Section 1915(c) of the Social Security Act. It provides essential community-based services and supports to individuals with an intellectual disability or a related condition who live in their own homes or in their family’s homes.
Unlike 24-hour residential waiver models, TxHmL is specifically tailored for individuals and families who desire targeted daytime support, community living assistance, specialized clinical therapies, caregiver relief, and physical home adaptations while maintaining independent family residence.
- Person-Centered Planning: Support schedules and developmental objectives crafted to fit the individual’s unique lifestyle and family routine.
- Comprehensive Benefits: Essential services including Community Support, Day Habilitation, Respite, Nursing, and Specialized Therapies.
- Certified Direct-Care Staff: Rigorously trained, background-checked caregivers committed to dignity, empowerment, and safety.
- Local LIDDA Coordination: Seamless partnership with Local Intellectual & Developmental Disability Authorities throughout Texas.
10+
Essential Community & Health Services Covered
100%
Certified & Background-Checked Support Professionals
20+
Years of Compassionate Healthcare Leadership in Texas
Services Breakdown
TxHmL Services We Provide
Under the Texas Home Living waiver, ABACO Healthcare coordinates a complete spectrum of certified in-home, community, and clinical services.
Daily Living
Community Support Services
Direct face-to-face assistance that enables individuals to acquire, retain, and improve essential self-help, socialization, and adaptive skills right in their home and neighborhood.
- Personal hygiene and grooming support
- Meal preparation and nutritional assistance
- Budgeting, shopping, and life skills
Day Program
Day Habilitation
Structured, meaningful daytime activities provided Monday through Friday (5+ hours daily) focused on socialization, vocational preparation, community volunteerism, and recreation.
- Socialization and peer relationship building
- Community outings and cultural trips
- Safe transportation included
Caregiver Relief
Respite Care Services
Compassionate, dependable short-term relief for family members and primary caregivers. Available in-home or in certified community settings for planned breaks or sudden emergencies.
- Flexible hourly and overnight options
- 24/7 dedicated supervision
- Peace of mind for devoted caregivers
Career & Jobs
Vocational & Supported Employment
Comprehensive job readiness, application mentoring, and on-site job coaching that empowers individuals to earn competitive wages and succeed in inclusive Texas workplaces.
- Job search and application coaching
- One-on-one workplace training
- Long-term job retention mentoring
Assistive Tools
Adaptive Aids & Medical Supplies
Specialized devices and daily living aids that enhance mobility, communication, and independence, coordinated directly through licensed therapists and authorized under TxHmL limits.
- Mobility chairs, walkers, and positioning aids
- Augmentative speech & communication tools
- Full Medicaid evaluation and authorization
Accessibility
Minor Home Modifications
Essential architectural adaptations to the individual’s residence that eliminate physical barriers, enhance personal safety, and enable effortless accessibility throughout the home.
- Wheelchair ramps and widened doorways
- Roll-in showers and bathroom grab bars
- Turnkey project management & inspections
Clinical & Professional
Specialized Clinical Support Under TxHmL
In addition to daily living and daytime programs, TxHmL provides access to certified healthcare professionals who ensure overall health, communication, and emotional wellness.
Nursing (RN / LVN)
Comprehensive clinical assessments, medication oversight, health maintenance protocols, and direct care staff training performed by licensed registered nurses.
Physical & Occupational Therapy
Licensed PT and OT therapies that improve fine and gross motor coordination, posture, mobility, strength, and activities of daily living.
Speech & Language Pathology
Targeted speech therapy to enhance receptive and expressive communication, feeding and swallowing therapies, and assistive communication technology training.
Behavioral Support Services
Functional behavior assessments and positive behavior intervention plans designed by certified behavioral specialists to encourage social and emotional growth.
Eligibility & Details
Frequently Asked Questions About TxHmL
Key information to help Texas families understand program guidelines and provider selection.
Who is eligible to participate in Texas Home Living (TxHmL)?
To be eligible for the TxHmL waiver program, an individual must:
- Live in their own home or in their family’s home in Texas.
- Have a diagnosis of an intellectual disability or a related condition with an onset before age 22.
- Meet the Level of Care I criteria for an Intermediate Care Facility for Individuals with an Intellectual Disability (ICF/IID).
- Be eligible for Texas Medicaid benefits.
- Not be enrolled in another Medicaid waiver program simultaneously.
How does TxHmL differ from the HCS waiver?
The primary distinction is residential placement. The HCS program includes 24-hour residential options (such as 3-bed or 4-bed group homes and foster/companion care), whereas TxHmL is specifically designed for individuals living in their own home or family home. TxHmL provides targeted daytime, in-home, and clinical supports to help families care for their loved ones independently.
Can an individual receive Day Habilitation and Respite together?
Yes. Many TxHmL participants attend our structured Day Habilitation center Monday through Friday for daytime socialization and vocational development, while their family also utilizes Respite services for evening, weekend, or planned relief.
How do I select ABACO Healthcare as my TxHmL provider?
You have the absolute right to choose or transfer your provider at any time. Simply notify your Local Intellectual and Developmental Disability Authority (LIDDA) service coordinator that you wish to select ABACO Healthcare as your certified provider. Our intake team will assist you with every step of the paperwork and transition process.
Coverage
Counties & Communities We Serve
Providing prompt, personalized TxHmL and HCS services across Southeast Texas.
Fort Bend County
Richmond, Rosenberg, Sugar Land, Missouri City, Stafford, Katy, Needville, Fulshear, Pleak, and surrounding communities.
Harris County & Greater Houston
Houston, Bellaire, Cypress, Humble, Spring, Tomball, Katy, Pasadena, and the Greater Houston metropolitan area.
Brazoria & Adjacent Counties
Pearland, Alvin, Angleton, Lake Jackson, Manvel, Freeport, and neighboring Gulf Coast communities.
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