Your Goals Lead. Our Support Follows.

The Home and Community-based Services program helps eligible Texans with intellectual disabilities or related conditions receive services in community settings rather than institutional settings.


As an HCS program provider, United Hands works with each individual, legally authorized representative, service coordinator, and service planning team to deliver authorized supports connected to the person-directed plan and individual plan of care.

The Plan Belongs to the Person.


HCS services are not selected from a generic package. The individual’s preferences, assessed needs, desired outcomes, authorized plan, health and safety, and chosen living arrangement shape what support looks like.

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HCS Services Available Through United Hands


Every authorized service has a purpose: greater independence, stronger health and safety, meaningful

relationships, community belonging, and progress toward the life the individual chooses.

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A Home Should Feel Like Home.


When an HCS residential option is authorized and available, United Hands focuses on privacy, choice, relationships, safety, daily routines, community access, and the individual’s control over ordinary life.



Residential placement is never automatic. It depends on the person’s authorized plan, informed choice, compatibility, setting readiness, staffing, health and safety needs, and United Hands’ ability to meet those needs.

Understanding HCS Eligibility


HCS eligibility and enrollment are determined through Texas Health and Human Services and the applicable local intellectual and developmental disability authority—not by United Hands.


A person must meet program, level-of-care, financial, and other requirements and have an available waiver opportunity. United Hands can explain its provider services and participate in the provider selection and service-planning process, but cannot promise eligibility or a waiver slot.

Already Enrolled in HCS?


Tell your LIDDA service coordinator that you would like to learn more about United Hands. You may also contact us directly so we can explain our services, review current availability, arrange a meeting or tour, and coordinate the next appropriate steps with your service planning team.

Help Turn More Houses Into Homes.


United Hands is seeking qualified host/home/compañer care provider applicants who are ready to

share their residence and provide dependable, person-centered support. Every potential match is

reviewed thoughtfully around the individual’s goals, compatibility, health, and safety needs,

authorization, and provider readiness.


  • Shared Residence
  • The provider and the individual live in the same home.
  • Build respectful, supportive everyday routines.
  • Qualified Provider
  • Applicants complete required screening.
  • Complete qualification, training, and readiness steps.
  • Thoughtful Match
  • Compatibility and preferences guide each potential match.
  • Support needs, location, and informed choice are considered.
  • Authorized Service
  • Services begin only after all program requirements are satisfied.
  • Required plan, contracting, and placement requirements must be completed.

Home and Community-Based Services (HCS)