Home and Community-based Services is a Texas Medicaid waiver program that helps eligible people with intellectual disabilities or related conditions receive services in community settings. Depending on authorization and need, HCS can include residential assistance, individualized skills and socialization, respite, nursing, professional therapies, behavioral support, employment services, adaptive aids, minor home modifications, dental treatment, transition assistance, and applicable CFC services.

Texas Home Living is a Texas Medicaid waiver program for eligible people with intellectual disabilities or related conditions who live in their own home or family home. It provides selected essential supports that supplement natural supports and other resources.

HCS offers a broader range of services and may include residential assistance. TxHmL does not provide residential services; the person continues living in their own home or family home.

No. Medicaid coverage by itself does not automatically make a person eligible for HCS or TxHmL. Texas Health and Human Services and the appropriate local authority determine program, level-of-care, financial, and other eligibility requirements.

No. United Hands can explain its services and participate in provider selection and service planning, but HHSC and the applicable LIDDA manage eligibility and enrollment processes.

Individuals have provider-choice rights. Contact your LIDDA service coordinator and ask to learn more about United Hands. You may also contact us directly for service information, current availability, and a tour or introductory meeting.

United Hands may provide or arrange authorized HCS residential assistance options based on current capacity, setting readiness, staffing, compatibility, and the individual’s assessed needs and choices. Residential placement is not automatic. TxHmL does not include residential services.

Host Home/Companion Care is an HCS residential assistance option in which the individual and qualified provider share the same residence. The provider supports authorized daily living, safety, skill-building, transportation, medication-related, and community activities as applicable to the person’s plan.

Yes. United Hands welcomes interest from adults in Beaumont, Port Arthur, and surrounding Southeast Texas communities whose residence, household, qualifications, availability, and values may fit current or future Host Home/Companion Care needs.

Yes. For Host Home/Companion Care, the qualified provider and individual must have the same residence. The home must be leased or owned by the provider or the individual—not by United Hands—and must meet applicable program requirements.

Applicable HCS requirements limit the residence to no more than three people receiving Host Home/Companion Care or a similar service. United Hands may approve fewer based on the home, household, individual needs, compatibility, safety, and current program decisions.

Experience can be valuable, but qualification is reviewed under applicable HCS requirements. An applicant must meet the education or permitted competency-and-reference pathway, complete required screening and training, demonstrate the ability to provide safe person-centered support, and meet all other United Hands and program requirements.

Yes, after the provider is fully qualified, has an active authorized placement, signs the applicable agreement, delivers the required service, and completes acceptable documentation. Compensation, classification, expenses, and payment timing are explained in writing. The website should not promise a fixed rate unless a current rate has been formally approved.

No. Application does not guarantee qualification, contracting, employment, payment, a match, or placement. Decisions depend on screening, home readiness, required training, individual choice, the authorized plan, compatibility, current needs, and United Hands’ capacity.

The proposed relationship and responsibilities must be stated in the written agreement presented by United Hands. Applicants should not assume a classification from the website and will have an opportunity to review the agreement before accepting.

ISS is person-centered support that helps an individual develop, maintain, or strengthen skills and relationships through on-site, off-site, or authorized in-home services. Activities must connect to the person-directed plan and implementation objectives.

United Hands coordinates qualified nurses and contracted licensed professionals for authorized services. Depending on the program and plan, services may include nursing, occupational therapy, physical therapy, speech-language pathology, audiology, dietary services, behavioral support, and certain additional HCS professional services.

Some services may be provided through secure synchronous audio-video technology when the applicable program permits it, the individual or legally authorized representative consents, the professional determines it is appropriate, privacy requirements are met, and the authorized plan supports it.

United Hands may provide authorized in-home or other allowable respite to temporarily relieve an unpaid caregiver who routinely provides support. Availability depends on the authorized plan, setting, staffing, and current capacity.

Transportation may be available as an authorized HCS or TxHmL service, as part of another authorized service, or through a separate non-emergency transportation arrangement. Routes, distance, schedule, accessibility, staffing, funding, and vehicle capacity are reviewed individually.

Meals and snacks may be available during center-based programming. Dietary needs, allergies, texture requirements, and meal supports are reviewed before services begin. Food is not represented as a separate HCS or TxHmL entitlement.

United Hands reviews every request individually. We consider the authorized plan, assessments, nursing or clinical requirements, staffing, training, environment, emergency planning, and current resources. We accept services only when we can meet the person’s needs safely and responsibly.

No. United Hands respects each person’s religion, culture, preferences, and right to choose. Any spiritual activity is voluntary, and declining participation does not affect access to services.

Call (409) 767-7000, complete the website inquiry form, or ask your LIDDA service coordinator to contact United Hands. Please do not send private medical records through the general website form.