Host Home &
Companion Care
Personalized support in a home setting, with assistance for daily routines and opportunities to build relationships, confidence, and independence.
HCS & IDD support for Texas families
Care that honors your loved one.
A partner for your family.
Choosing support for someone you love is a meaningful decision. We listen to each person’s preferences, partner with the family and support circle they choose, and help coordinate authorized services that support everyday life, connection, and independence.
Providing services across the state of TexasPerson-centered supportEveryday independence
Understanding the program
Find your local LIDDA
What is Texas HCS?
Home and Community-based Services (HCS) is a Texas Medicaid waiver program administered by the Texas Health and Human Services Commission (HHSC). It provides eligible people with intellectual or developmental disabilities a range of supports in community settings, such as their own or a family member’s home, or a small group home.
HCS is designed to support eligible Texans with intellectual disability or a related condition in community settings. HCS supports supplement other available services and natural supports, including family and community resources. HHSC determines eligibility, and services must be authorized in the individual’s plan.
People interested in HCS can contact the local intellectual and developmental disability authority (LIDDA) serving their county to ask about the interest list and enrollment process. The timing of an offer depends on individual need, placement date, and available program funding. The LIDDA can guide applicants and families through next steps.
Open the HHSC HCS overview (PDF)Find your local LIDDA
Helpful next steps
HCS support links
These Texas HHSC resources can help individuals and families learn about services, find local support, and explore provider options.
Learn about HCS and IDD servicesReview HCS service planning, program information, and other Texas IDD options.Visit Texas HHSCFind your local LIDDASearch by county or ZIP code to locate the local authority that can explain eligibility and the interest list.Open the LIDDA directorySearch HCS vacanciesExplore HHSC’s HCS provider and vacancy listings by provider name or location.Search HCS vacanciesExplore Consumer Directed ServicesLearn about agency-managed and self-managed service options and the responsibilities involved.Read about CDS
Support for everyday lifeCare shaped around
Care shaped around
the person.
We work with each individual and, as they choose, their family and care team to explore residential, community, daily living, and nursing supports. Services depend on eligibility, the approved plan, and provider availability.
Host Home &
Group Home
Support
A supportive shared living environment with assistance that respects personal preferences, encourages participation, and supports everyday life.
Individualized Skills
& Socialization
ISS services, often called day programs, help individuals practice everyday skills, connect with others, and participate in meaningful community activities.
Community First Choice
CFC support for daily living and skill development, helping individuals participate in their routines and pursue greater independence.
Registered Nursing Services
Nursing support coordinated with the individual’s care plan and health needs, in collaboration with their support team.
A Connected
Care Team
Collaboration with individuals, families, service coordinators, and care professionals helps keep support focused on the person’s goals.
Support shaped around the individual. We listen to what matters to each person—including daily routines, food and activity preferences, communication style, relationships, community interests, and personal goals. When possible and authorized, the support plan can be tailored to those preferences and reviewed with the individual and their team.
Additional HCS supports to discuss
Depending on the person’s plan and provider availability, additional supports may be considered to reflect individual preferences and goals.
Additional waiver services are not automatic or available to everyone. They must meet HHSC program rules, be authorized in the individual’s plan, and be within the provider’s approved service capacity. We will discuss the person’s preferences and confirm which supports can be provided or coordinated.
Our commitment to individuals and familiesListen first.
Listen first.
Plan together.
Led by Dr. Renetta Hills, PsyD, BCMHC, Diversified Caring Homes, PLLC provides person-centered support for Texans with intellectual and developmental disabilities.
Families often know what helps their loved one feel safe, understood, and engaged. We welcome that insight and partner with the individual’s chosen support circle while keeping the person’s rights, preferences, and goals at the center.
Dignity in every interaction
Respect, patience, and kindness guide how we support each individual.
Choice in everyday life
Personal preferences and individual goals help shape daily routines and support.
Connection that matters
Meaningful relationships and community involvement are part of a fulfilling life.
Meet our ownerDr. Renetta
Dr. Renetta
Hills, PsyD,
BCMHC
Owner & Program Director
Diversified Caring Homes, PLLC
A commitment to dignity,
compassion, and purposeful care.
compassion, and purposeful care.
For families and support teams1 2 3
A clear, supportive path forward.
You do not have to sort through every option alone. Start with what matters to your loved one, then work with the LIDDA or service coordinator to understand eligibility, planning, and available services.
Your loved one leads. Families and trusted supporters can share what they know and take part in planning in keeping with the person’s preferences, rights, and consent.
Start with their voice
Talk about your loved one’s strengths, communication, routines, preferred setting, relationships, and personal goals.
Connect with the LIDDA
The local authority can explain HCS eligibility, the interest list, and the steps for enrollment and service planning.
Review options together
Contact us to discuss provider availability and whether our authorized services may fit your loved one’s approved plan and preferences.
Serving communities across Texas
Reach Us Here
Questions about HCS or service availability in your area? Reach out and we’ll help you identify a clear next step with your service coordinator.
Please do not email confidential health or personal information.
Helpful to know
Common questions.
Who are these services designed for?
Diversified Caring Homes supports individuals with intellectual and developmental disabilities. Eligibility, service authorization, and the individual’s approved plan determine which program services are available.
What is HCS?
Home and Community-based Services (HCS) is a Texas Medicaid waiver program for eligible people with intellectual disability or a related condition. Contact the local LIDDA serving your county to ask about the interest list and enrollment process. The attached HHSC overview is revised January 2025; confirm current requirements with HHSC or the LIDDA.
Can families participate in planning?
Yes. Families and authorized representatives can share important information and participate in planning in keeping with the person’s rights, preferences, consent, and representative role.
How do we confirm availability?
Ask your service coordinator to help arrange a provider conversation about current openings, service locations, and whether the available supports match the individual’s needs.
Your next stepLet’s make room
Let’s make room
for possibility.
Ask your service coordinator about Diversified Caring Homes, PLLC and the supports that may be appropriate for you or your loved one.
Review our services Contact usPrepare for a provider conversation
- Which services are included in the approved plan?
- What setting feels comfortable for the individual?
- What daily routines and goals matter most?
- What locations and openings are available?