HCS Services
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Address Medical
HCS Medical Waiver Services
Innovative Steps provides Home and Community-based Services (HCS) under the Texas Medicaid Waiver program — delivering residential supports, PAS/HAB, supported employment, nursing, behavioral services, and more tailored to each individual’s needs.
Residential Support
Small, home-like settings (typically 3–4 beds) with trained support professionals and dedicated live‑in staff. Support focuses on safety, independence, and meaningful daily routines.
Daily Living Support
Community Access & Skill Building
Foster Care / Host Home
A family-based living option where an individual receives support in a provider’s home. Host home services are designed to offer stability, structure, and a supportive environment while encouraging independence.
Family-Based Support
Person-Centered Planning
Specialized therapies (PT, OT, Speech, and Dietary)
Therapy services tailored to functional goals—supporting mobility, strength, communication, daily living skills, and nutrition needs based on the individual’s plan of care.
PT & OT Support
Speech & Dietary Support
Supported Employment
Job coaching and employment supports that help individuals explore work interests, develop job skills, and succeed in integrated community employment when appropriate.
Job Readiness & Placement Support
On-the-Job Coaching
Behavioral Support
Individualized behavioral supports focused on safety, skill-building, and quality of life. Services may include assessments, positive behavior strategies, and caregiver/staff guidance.
Positive Behavior Strategies
Collaborative Care
Dental, Nursing & Adaptive Aids
Supports that help individuals address health needs and maintain independence, including nursing services as authorized, dental coordination, and adaptive aids that improve daily functioning.
Nursing Support
Adaptive Aids & Accessibility
HCS Services FAQs – Support for Individuals with Disabilities
Find quick answers about HCS services, eligibility, enrollment, and how to get started with Innovative Steps.
What are HCS Services?
Who is eligible for HCS Services?
How does the enrollment process work?
How do I get started with HCS Services?

