St. Giles Living Centers, Inc.

Home and Community Base Services (HCS)

The Home and Community Based Services (HCS) program is a choice-driven program which promotes and maintains consumer and family involvement in providing individualized program development and community support services for persons with intellectual and developmental disabilities. It provides services and supports to eligible individuals as an alternative to Intermediate Care Facilities for Persons with Mental Retardation or Related Conditions (ICF/MR) Program.

Who is eligible to receive HCS Services?

The individual must have a determination of mental retardation or a related condition, Medicaid and SSI eligibility, and their Plan of Care must meet program guidelines. HCS slots are filled from a waiting list by the community Mental Retardation Authority (MRA).

Individuals who are currently enrolled in an HCS program can also transfer to another service provider.

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.

Residential Service Options

Foster Care: This residential option provides home and support services by a foster care provider. The foster care provider assists the individual with direct personal assistance with activities of daily living and with facilitation inclusion in community activities, use of natural supports, social interaction, participation in leisure activities and supervision of the individuals' safety and security.

Group Home Living: This residential option provides services and supports as needed by individuals who choose to or who 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 the 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 an individual is present in the home. The staff provide assistance with daily living activities and training in the self-help and independent living skills.

Supported Home Living: This residential 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 foster care services from the 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.

Support Service Options:

Case Management: The coordination, integration, evaluation, monitoring and service delivery of all services provided to the individual.

Nursing Services: Nursing Services are provided to ensure the general health and well being of the individual.

Respite Services: Respite includes room and board and may not exceed 30 days per year per individual served. This service may include temporary and/or/emergency residential services.

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.

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.

Dental Treatment: Services are determined by individual needs including emergency, preventive, therapeutic, and orthodontic treatment.

Therapy Services: Audiology services, Speech/Language Pathology services, Occupational Therapy services, Physical Therapy services, and Dietary services to support the needs of the individual.

Social Services: To assist the individual in activities that promote independence, improve social skills and to understand and express feelings and emotions.

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.

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.

Supported Employment: Services provided in an integrated setting to include ongoing support, supervision, and training needed to sustain paid work for the individual.

Private Providers Association of Texas

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Corporate Office:

3007 South Medford Drive

Lufkin, Texas 75901

Telephone: 936-639-1600

Fax: 936-639-1632

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