Texas Home Living (TxHmL) Waiver Documentation Software
CareHub for TxHmL providers, built for HHSC compliance.
Serving providers in Texas • See Texas state page
About the TxHmL
Texas Home Living (TxHmL) is a Medicaid waiver supporting individuals with intellectual disabilities who live in their own homes or with family. It provides community support, employment assistance, adaptive aids, dental treatment, and other services that enable individuals to live in the community rather than in institutional settings. TxHmL has the same HHSC compliance framework as HCS, IPC documentation, Certified Medication Aide credentialing, ANE reporting within 1 hour, and TAC Title 26/40 standards, with services adapted to in-home and family-based settings. CareHub serves TxHmL providers with the same HHSC-aligned templates as HCS, configured for home-based service delivery.
Who qualifies
Texans with intellectual disabilities who live in their own home or with family and who meet HHSC eligibility criteria. Eligibility is determined through the HHSC interest-list and assessment process.
Services covered under TxHmL
CareHub supports documentation for every service type in the waiver.
Community Support
Skill-building and community engagement supports in the individual's home.
Employment Assistance
Job placement and ongoing employment supports.
Adaptive Aids
Specialized equipment and home modifications.
Dental Treatment
Routine and emergency dental services.
Respite
Short-term relief for family caregivers.
Behavioral Support
Behavioral assessment and intervention.
Key documentation requirements
What HHSC expects providers to document.
ANE Reporting (1 Hour)
Same 1-hour DFPS reporting requirement as HCS.
Individual Program of Care
IPC documentation with person-directed planning.
MAR & CMA Credentialing
MAR documentation with Certified Medication Aide credentialing.
TAC Title 26/40 Standards
HHSC licensing standards for in-home service delivery.
Service Coordinator Workflow
Service coordinator participation in IPC development and quarterly reviews.
How CareHub helps TxHmL providers
Purpose-built features for HHSC compliance.
IPC management adapted to in-home and family-based service delivery
ANE flagging with 1-hour DFPS countdown
MAR with CMA verification
Mobile-first design, DSPs document during visits, not after
Staff credential dashboard with CMA/CPR/SAMA tracking
Multi-service-type support, TxHmL alongside HCS or other Texas programs in one license
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Frequently Asked Questions
Common questions from TxHmL providers.
Can CareHub run TxHmL alongside HCS?
Yes, CareHub supports multiple service types under one license. Many Texas providers run both HCS and TxHmL programs in CareHub simultaneously.
Does CareHub work for in-home visits?
Yes. CareHub is mobile-first; DSPs document during visits on their phone with EVV-ready clock-in/out and geofencing.
How does CareHub handle adaptive-aid documentation?
Adaptive aids and home modifications are tracked through the forms engine with custom templates as needed.
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