Skip to content

All rows

Texas Home and Community-based Services (HCS) Program 1915(c) waiver

The Medicaid.gov State Waivers List shows the TX Home and Community-Based Services (HCS) Program Waiver (0110.R08.00) with waiver authority 1915 (c) and status Approved. Approval is dated 09/29/2026, effective 09/01/2023 and expiring 08/31/2028. The Medicaid.gov waiver factsheet says it provides respite, nursing, supported home living, residential assistance (host home/companion care/supervised living/residential support services), minor home modifications, adaptive aids and financial management services, among other services, to individuals with intellectual disabilities or developmental disabilities ages 0 or older who meet an ICF/IID level of care.

Texas · Effective · Implementation Aug 31, 2028

What it is

What changed
The Medicaid.gov waiver list shows the Texas Home and Community-based Services (HCS) Program (0110.R08.00) with status Approved, a CMS approval date of 09/29/2026, an effective date of 09/01/2023 and an expiration date of 08/31/2028. The Medicaid.gov Texas factsheet says it provides respite, nursing, supported home living, residential assistance (host home, companion care, supervised living, residential support), minor home modifications, adaptive aids and financial management services to people with intellectual or developmental disabilities of any age who meet an ICF/IID level of care.
Why it matters
Families deciding whether a Texas Medicaid waiver can pay for respite, in-home or caregiver supports need to know which approved waiver covers the person they care for and when its approval period ends.
Who it touches
People receiving carepeople with intellectual or developmental disabilities
What it does
Funds programs or services

Sources

Last reviewed Oct 15, 2026. This is information, not legal advice; check the source for the current text.