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Home and Community Based Services (HCS)

The Home and Community-Based Services (HCS) program which promotes and maintains consumer and family involvement in providing individualized program development and community support services for individuals with an intellectual disability. The HCS program is a Medicaid waiver program. It provides services and supports to eligible individuals as an alternative to Intermediate Care Facility (ICF/IID) program.

Residential Service

Host Home/Companion Care

This residential service option, formerly known as “Foster Care” can be an excellent choice for many people in the HCS program.  As the title indicates, the individual lives with the host home provider in his or her home.  The provider assists the individual with daily activities and helps to establish and meet the individual’s personal goals.  Additionally, the provider facilitates transportation to day habilitation or a job in the community as well as inclusion in community activities. 

Biological parents can provide this service to their adult children in the HCS program.  St. Giles, Inc. can also help individuals find a host home provider that is compatible and has the ability to meet the needs of the individual.  St. Giles, Inc. provides all necessary training and strives to support the provider with administrative tasks as much as possible to keep the focus on the individual.   

If you would like to learn more about St. Giles, Inc. host home/companion care services, please call 972.786.2507.

Click the button below if you would like to complete a host home application and become a part of the St. Giles, Inc. family.

Group Home Living

This residential option provides services and supports as needed by individuals who choose to or who would benefit from living in a three or four person home. A three person home provides for supervised living where shift staff and/or live-in staff provide assistance with daily living activities to acquire skills necessary for independence. The staff are present in the residence and are able to respond to the needs of individuals on a 24-hour basis. A four person home provides for supervised living where shift staff are present in the residence and awake whenever and individual is present in the home. The staff provides assistance with daily living activities and training in self-help and independent living skills.

Residential Service

Service Components

The HCS program offers the following service components based on the needs of each individual served. These services are provided as needed, and be changed if need be, throughout each year.


Professional Therapies:

  • Behavioral Support Services- In House available

  • Physical and Occupational Therapy

  • Cognitive Rehabilitation Therapy

  • Audiology Services

  • Dietary Services

  • Social Work Services

  • Speech and Language Pathology Services

All Inclusive Community Integrated Day Program with Special Olympic training teams available

Registered Nursing/Licensed Vocational Nursing (Specialized, if needed)- In House available

Dental Services- Mobile services available

Residential Assistance:

  • Host Home/Companion Care

  • Residential Support

  • Supervised Living/Supported Home Living (transportation)


Respite Services

Supported Employment/Employment Assistance

Adaptive Aids

Minor Home Modifications

Frequently Asked Questions

Who is eligible to receive HCS Services?

An individual must have a determination of intellectual disability or a related condition, Medicaid and SSI eligibility, and their Plan of Care must meet program guidelines.
Your Local Intellectual and Developmental Disability Authority (LIDDA) will assist you in determining eligibility and completing the paperwork so that you may receive HCS services.

How are Plans of Care individualized?

Each consumer possesses a unique and individualized Individual Service Plan (ISP) and Individual Plan of Care (IPC) based on the participant’s skills, strengths, needs, and desires. The Individual Service Plan and the Individual Plan of Care are designed to meet and provide for the unique and personal needs of each person enrolled in the HCS program, with an emphasis on outcomes and supports needed to increase overall independent functioning of the individual. The HCS program offers the participant a full array of supportive and therapeutic services. The HCS program also promotes community involvement through the use of community supports and services for medical, social or day program needs, depending on the specific needs or choices of the individual.

Support Service Options:

  1. PAS/HAB: This support service option is supported by staff who coordinate and provide services to an individual living in his or her own home or the home of his or her natural or adoptive family members, or to an individual receiving host home/companion care services from Department of Family Protective Services. The individual is provided direct personal assistance with activities of daily living and coordination of community activities and skills development toward greater independence.
  2. Case Coordination: The coordination, integration, evaluation, monitoring and service delivery of all services provided to the individual.
  3. Nursing Services: Nursing services are provided to ensure the general health and well being of the individual. Nursing services provided by LVNs, RNs and 24-hour On-Call nursing staff.
  4. Respite Services: Temporary, short-term and/or emergency care provided as a break for the primary caregiver. Care provided in the individual’s home or at another location.
  5. Day Habilitation: Day activities designed to assist individuals in acquiring, maintaining and improving self-help, socialization and adaptive skills necessary to reside successfully in the community.
  6. Psychology Services: Services are designed to develop, modify or improve the cognitive, social and affective skills of the individual through the use of behavior intervention and learning theories.
  7. Dental Treatment: Services as determined by individual needs including emergency, preventative, therapeutic and orthodontic treatment.
  8. Specialized Therapies: Audiology services, Speech/Language pathology services, Occupational Therapy services, Physical Therapy services and Dietary services to support the needs of the individual.
  9. Adaptive Aids: Adaptive devices, controls or appliances, which enable persons to maintain or increase their abilities to perform activities of daily living or control the environment in which they live.
  10. Minor Home Modifications: This component includes assessing the need, arranging for and providing modifications and/or improvements to an individual’s home to allow for community living while ensuring safety, security and accessibility.
  11. Supported Employment: Services provided in an integrated setting to include ongoing support, supervision and training needed to sustain paid work for the individual.

Can you tell me more about the process of waiting list?

When there is a wait list for HCS services, stay in touch with LIDDA to be contacted when an opening becomes available.

LIDDA will provide a list of service providers from which you can choose to visit. If you’d like to visit us, contact us to schedule a tour.

How can I seek transfer?

Individuals who are currently enrolled in an HCS program can also transfer to another service provider. If you are currently receiving HCS services from any service provider and are unsatisfied with the services, contact your local LIDDA to discuss transfer options. The choice is yours!