Is there a waiting list for the Texas HCS program?

Yes. Texas HCS has one of the longest Medicaid waiver waitlists in the country, with wait times that can exceed a decade. Families are encouraged to apply as early as possible.

Texas uses an “interest list” system for HCS, and demand far exceeds available program slots. More than 170,000 individuals are currently waiting across Medicaid waiver programs, and placement is primarily based on how long someone has been on the list.

Families join the list by contacting their local LIDDA, completing an eligibility screening, and confirming a qualifying diagnosis and level of need. It is important to stay in contact and respond to updates to maintain placement.

While the wait can be long, families do not need to delay support. Many children with autism can begin receiving services immediately through Texas Medicaid, including ABA therapy, without being enrolled in HCS. Families may also explore other waiver programs, school-based supports, or grant funding.

If you are navigating next steps, Alpaca’s resources on Texas Medicaid coverage for ABA therapy and autism resources in Texas can help you access support while waiting.

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How does the Texas Home and Community-Based Services (HCS) Program work?

Texas HCS is a Medicaid waiver program that provides long-term, community-based support for individuals with intellectual and developmental disabilities. Services are coordinated through a local authority and require Medicaid eligibility and a qualifying diagnosis.

How does the Colorado Home and Community-Based Services (HCS) Program work?

Colorado’s HCBS program provides Medicaid-funded support that allows individuals with disabilities to receive care at home or in the community instead of institutional settings. Services are delivered through waiver programs under Health First Colorado, and eligibility depends on Medicaid enrollment and functional need.

Do IEPs or 504 Plans include ABA therapy in Texas?

IEPs and 504 Plans are school-based supports and typically do not include ABA therapy, which is usually provided through insurance or Medicaid outside of school.

Which plan (IEP or 504) is right for my child in Texas?

A 504 Plan is best if your child needs classroom accommodations, while an IEP is better if your child needs specialized instruction or services.

IEP vs. 504 Plan in Texas - Key Differences

The main difference is that IEPs provide specialized instruction and services, while 504 Plans provide accommodations only.

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