Services are available to assist individuals with a diagnosis of Intellectual Disability with IQ level 69 or lower and onset previous to age of 18, as well as Related Conditions (such as Autism, Epilepsy, Down Syndrome, Cerebral Palsy, among many others), with IQ level 75 or lower and onset previous to age of 22. Some services and supports have interest lists because they do not have immediate openings available. People who want particular services or supports should add their name to the appropriate interest list as soon as possible. People who are now receiving particular services or supports may add their names to the interest list for other services and supports.
Services Provided
- Intake and Eligibility – At initial contact, TTBH provides detailed information on IDD Services and Supports, eligibility criteria, and interest lists. TTBH also gathers information to determine the need and potential eligibility for services. Once an individual starts approaching an offer for services, a formal Determination of Intellectual and Developmental Disability (DIDD) assessment or endorsement is completed to determine if a person has an Intellectual Disability or is a member of the DADS priority population for IDD.
- Disability Benefits Assistance – Assists TTBH individuals in accessing financial resources by determining potential eligibility for disability benefits through the Social Security Administration and other financial benefits. The program assists individuals in making application for benefits and follows the process through to resolution.
- Service Coordination – Service coordination helps people access medical, social, educational and other services and supports that will help them achieve an acceptable quality of life and community participation. Service Coordination is provided every time an individual is actively receiving IDD services.
- Enhanced Community Coordination – For all individuals diverting or transitioning from a Nursing Facility (NF) or State Supported Living Center (SSLC), Enhanced Community Coordination is provided. Enhanced Community Coordination ensures intensive and flexible support to achieve success in a community setting, including arranging for support needed to prevent and manage a crisis, pre- and post-transition services, and intensive monitoring of the individual.
- Respite – Either planned or emergency short-term relief provided by trained staff to the person's unpaid caregiver when the caregiver is temporarily unavailable. If enrolled in other services, the person continues to receive those services as needed during the respite period.
- Community Support – Individualized activities that are provided in the person's home and at community locations, such as libraries and stores. Supports may include habilitation and support activities that foster improvement of, or facilitate, the person's ability to perform daily living activities; activities for the person's family that help preserve the family unit and prevent or limit out-of-home placement of the person; transportation for the person between home and his or her community employment site or day habilitation site; and transportation to facilitate the person's employment opportunities and participation in community activities.
- Employment Assistance – Helps people locate paid jobs, and includes helping them identify employment preferences, job skills, and work requirements and conditions; and identify prospective employers who offer appropriate employment.
- Day Habilitation – Assistance with getting, keeping or improving self-help, socialization and adaptive skills necessary to live successfully in the community and to participate in home and community life. Day habilitation is normally provided regularly in a group setting (not in the person's residence), and it includes personal assistance for those who cannot manage their personal-care needs during day habilitation, and assistance with medications and performing tasks delegated by a registered nurse.
- Behavioral Support – Specialized interventions to help people increase adaptive behaviors and to replace or modify maladaptive behaviors that prevent or interfere with their inclusion in home and family life or community life. Supports include developing an Individualized Behavior Support Plan (BSP) based on assessments; training and consulting with the individual, family, and others actively involved in his or her life; monitoring and evaluation of the success of the BSP.
- Crisis Intervention – Crisis services are available to individuals with an IDD diagnosis whose mental or physical health is at risk of serious deterioration. TTBH strives to ensure that individuals who are facing these imminent risks have access to a therapeutic and holistic array of services. Services provided facilitate opportunities for these individuals to develop and strengthen socialization skills, safety and rights awareness, development of coping skills, as well as the reduction and avoidance of stressors to prevent future crisis events. Services offered include MCOT IDD, behavior support, in-home and out-of-home crisis respite, referrals to or diversion from 24-hour residential settings (State Supported Living Centers and Community ICF-IIDs), and the participation of a Crisis Intervention Specialist. This professional completes assessments, planning and coordination of specialized services, monitoring of services (progress and lack of progress; satisfaction and lack of satisfaction), as well as crisis prevention and management.
- Nursing Services – Nursing is provided to people who require care and monitoring of health care procedures that are prescribed by a physician or medical practitioner, or required by standards of professional practice or state law to be performed by licensed nursing personnel.
- Specialized Therapies – Assessment and care by licensed or certified professionals for social work services, counseling services, occupational therapy, physical therapy, speech and language therapy, audiology services, dietary services, and behavioral health services other than those provided by a local mental health authority; as well as training and consultation with family members or other providers.
- Community First Choice (CFC) – Basic attendant and habilitation services available to Medicaid Recipients. TTBH can refer and link eligible individuals to CFC services facilitated by an external provider, who is reimbursed through a Managed Care Organization (MCO). CFC services include:
- Personal assistance services – Services to help people perform activities of daily living, such as eating, toileting, grooming, dressing, bathing, meal planning and preparation, managing finances, shopping for food, clothing, and other essential items, as well as health-related tasks.
- Habilitation – Acquisition, maintenance and enhancement of skills necessary for people to accomplish activities of daily living, activities related to living independently in the community, and health-related tasks.
- Support management – Training on how to select, manage and dismiss attendants.
- Emergency response services – Back-up systems and supports including electronic devices to ensure continuity of services and supports.
- Continuity of Services (COS) – Service Coordination (SC) provided to individuals admitted to and transitioning from a State Supported Living Center (SSLC).
- Community Living Options Information Process (CLOIP) – Helping individuals receiving services in a SSLC to develop awareness of existing living options in the community. During CLOIP, a Service Coordinator conducts a discovery process to identify the person's level of awareness, residential goals and needs for the future. This process is conducted at the time of admission to a SSLC and then annually.
- Preadmission Screening and Resident Review (PASRR) – A federally mandated program that is applied to all individuals seeking admission to a Medicaid-certified nursing facility, regardless of funding source. PASRR must be administered to identify individuals who have an Intellectual Disability or a Developmental Disability (also known as Related Conditions); the appropriateness of placement in the nursing facility; and the eligibility for specialized services. If the presence of an IDD diagnosis is verified, Nursing Facility Service Coordination (NF SC) is provided to those who agree with the provision of this service. An NF SC provides information on Community Living Options (CLO) at the time of the individual's initial NF meeting and then annually.
- Permanency Planning – Permanency planning focuses on achieving family support for children (younger than 22) living in an institution by finding them a permanent living arrangement that includes an enduring and nurturing parental relationship. Institutions include Nursing Facility, Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID), and a setting that provides residential assistance services through the Home and Community Based Services (HCS) Program. Each child's service plan must include permanency planning goals that are ongoing and reviewed at least semiannually. The law also requires a child's name be added to a waiver program interest list appropriate to his or her needs. It is important for the child and his or her parents, guardians, friends, and advocate to be actively involved in the permanency planning process.
- Home and Community Based Services (HCS) Program – Provides services to people with IDD who live with their family, in their own home, in a host home / companion care setting, or in a residence with no more than four people who also receive services. Services meet the person's needs so the person can maintain themselves in the community and have opportunities to participate as a citizen to the maximum extent possible. Services consist of adaptive aids, minor home modifications, professional therapies, behavioral support, dental services, nursing, residential assistance, respite, day habilitation, and employment services. Service coordination is also provided. This program requires registration in a Statewide interest list.
- Texas Home Living (TxHmL) Program – Provides essential services and supports so that people with IDD can continue to live with their families or in their own homes. TxHmL services supplement but do not replace services and supports from other programs. Services consist of community support, nursing, adaptive aids, minor home modifications, specialized therapies, behavioral support, dental services, respite, day habilitation, and employment services. Service coordination is provided. TxHmL has an annual limit of $17,000.00 per individual served. This program also requires registration in a Statewide interest list.