Medically Dependent Children Program/Home and Community Services (MDCP/HCSS)

These services are designed to support families in caring for children who are medically dependent, and to encourage de-institutionalization of children in nursing facilities.

Services include:

  • Minor Home Modification
  • Financial Management Services
  • Respite for Family Members or Caregivers
  • Transition Assistance Services
  • Supported Employment
  • Adaptive Aids
  • ADL and IADL Assistance

To be eligible for this service under the Texas Department of Aging and Disability Services (DADS), the individual must meet the following criteria:

  • You must be under 21. If under 18, you must live with an adult family member (such as a parent, guardian or sibling) or with a foster family that includes no more than four children unrelated to you.
  • You must be a U.S. citizen or an alien with approved status who lives in Texas.
  • You must meet Medicaid eligibility guidelines including:
    • be a low-income family with children, as provided in ยง1931 of the Social Security Act;
    • be receiving Supplemental Security Income;
    • be eligible for Medical Assistance Only; or
    • meet eligibility for all other mandatory and optional Temporary Assistance for Needy Families criteria in the Texas Medicaid State Plan.
  • You must meet the medical necessity determination for nursing home care.
  • You cannot be enrolled in another waiver program.

Source: https://www.dads.state.tx.us