Texas Home and Community-based Services (HCS) Waiver Documentation Software
CareHub for HCS Waiver providers, built for HHSC compliance.
Serving providers in Texas • See Texas state page
About the HCS Waiver
The Texas HCS Waiver is the state's primary HCBS waiver for individuals with intellectual disabilities, providing residential support, day habilitation, supported employment, and respite as an alternative to institutional care. HCS providers must maintain HHSC licensure under Texas Administrative Code Title 26 and Title 40, including staffing qualifications, physical site standards, and service delivery documentation. Texas has the strictest abuse/neglect/exploitation (ANE) reporting timeline in the country, all allegations must be reported to the Department of Family and Protective Services (DFPS) within 1 hour. CareHub supports HCS providers with HHSC-aligned templates, immediate ANE flagging with countdown timers, IPC management with person-directed planning, and Certified Medication Aide (CMA) credentialing tracking.
Who qualifies
Texans with intellectual disabilities or related conditions who meet ICF/IID level-of-care criteria. Eligibility is determined through HHSC's interest-list and assessment process.
Services covered under HCS Waiver
CareHub supports documentation for every service type in the waiver.
Residential Support
Three- and four-person small-scale residential settings.
Day Habilitation
Skill-building and community engagement programming.
Supported Employment
Job placement and ongoing employment supports.
Respite
Short-term supports for primary caregivers.
Behavioral Support
Behavioral assessment, planning, and ongoing intervention.
Adaptive Aids
Specialized equipment and home modifications.
Key documentation requirements
What HHSC expects providers to document.
ANE Reporting (1 Hour to DFPS)
Texas requires all allegations of abuse, neglect, or exploitation to be reported to the Department of Family and Protective Services within 1 hour of discovery, the strictest ANE reporting timeline in the country.
Individual Program of Care (IPC)
IPCs must follow HHSC person-directed planning requirements with documented choices, measurable outcomes, and service coordinator participation.
Medication Administration (Certified Medication Aides)
Staff administering medications must hold Certified Medication Aide (CMA) certification. MAR documentation must include administration records, PRN rationale, controlled substance counts, and error reporting.
HHSC Licensing Standards
Providers must maintain HHSC licensure under TAC Title 26 and Title 40, including staffing qualifications, physical site standards, and service delivery documentation.
Crisis Intervention Certification
DSPs must hold CPR/First Aid certification, Certified Medication Aide certification, and SAMA (or approved crisis intervention) certification per HHSC standards.
How CareHub helps HCS Waiver providers
Purpose-built features for HHSC compliance.
IPC management with person-directed planning, measurable outcomes, and service coordinator workflow
ANE flagging with 1-hour countdown to DFPS reporting and supervisor alerts
MAR with Certified Medication Aide verification and error reporting
Staff credentialing dashboard tracking CMA, CPR, SAMA, and HHSC competency requirements
Templates aligned with HHSC TAC standards
Compliance dashboard surfacing documentation gaps before HHSC reviews
Share this HCS Waiver guide
Frequently Asked Questions
Common questions from HCS Waiver providers.
How does CareHub handle the 1-hour ANE reporting deadline?
CareHub immediately flags incidents involving allegations of abuse, neglect, or exploitation and starts a 1-hour countdown timer. Supervisors and compliance officers receive urgent alerts; the system documents the exact reporting timeline for DFPS compliance.
Does CareHub use Texas IPC terminology?
Yes. CareHub automatically uses Individual Program of Care (IPC) terminology throughout the platform for Texas providers, including plan templates, progress notes, and review documentation.
Can CareHub track Certified Medication Aide certifications?
Yes. CareHub tracks every staff credential including Certified Medication Aide (CMA), CPR/First Aid, and SAMA crisis intervention, with expiration alerts to supervisors before certifications lapse.
Does CareHub support TxHmL providers as well?
Yes. CareHub supports both HCS and TxHmL waivers with shared infrastructure and program-specific templates.
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