What is IDD?

An intellectual or developmental disability, also called IDD, includes many severe, chronic conditions that are due to mental and/or physical impairments. IDD can begin at any time, up to 22 years of age. It usually lasts throughout a person's lifetime. People who have IDD have problems with major life activities such as:

  • Language
  • Mobility
  • Learning
  • Self-help
  • Independent living

The Explanation of IDD Services and Supports (PDF) describes programs to help people with IDD.

Who Can Get Help?

Each IDD service has its own rules. Most programs require that:

  • You have limited income and assets.
  • You show a need for services.
  • You be a U.S. citizen or a qualified legal alien who lives in Texas.

Some services — such as those for children — have age limits. Others are for people of all ages.

In Texas, your local IDD authority will determine if you can get services. To get services, one of the following must apply:

  • You must have a diagnosis of IDD.
  • You must have a pervasive developmental disorder, such as autism, as defined in the current edition of the Diagnostic and Statistical Manual.
  • You must have a related condition and be eligible for, and enroll in, a DADS program that serves people with IDD.
  • You must be a nursing home resident with a diagnosis of IDD or a related condition.
  • You must be eligible for Early Childhood Intervention services.

Where Can I Get Services if I Have IDD?

People with IDD can choose where to live. Where you live depends on what you want, as well as which services you qualify for. You can live in:

  • Your own home
  • A group home with other people with IDD
  • An intermediate care facility for individuals with an intellectual disability or a related condition (ICF/IID) in your community
  • A state supported living center

Community ICF/IIDs

Community ICF/IIDs come in many shapes and sizes. You can live in a home with a few other people or you can live in a facility with many people. At both, employees are there to help you 24 hours a day.

You get to help decide on the types of services you get. This is called your individual service plan. This plan is reviewed once a year. The plan can be changed as needed.

You will have help with managing things, such as:

  • Taking medicine
  • Dressing, cooking or bathing
  • Managing your behaviors

Who Monitors ICF/IIDs?

The Texas Department of Aging and Disability Services (DADS) certifies ICF/IIDs and inspects each facility once a year. The state looks into complaints against facilities.

Learn More

Your Rights

People who live in an ICF/IID have the same rights as everyone else. These brochures will help you understand your rights.

Home and Community-based Services Program

People who get services from the Home and Community-based Services (HCS) program can live in their own home or in a small group home.

Interest List

Because there are more people who want HCS services than the state can pay for, your name would be placed on an interest list. You will be contacted when you can start getting services.

Service Planning

You get to help decide on the types of services you get. This is called your individual service plan. This plan is reviewed once a year to see if it still works for you. The plan can be changed as needed.

People in HCS may get:

  • Adaptive aids
  • Caregiver respite
  • Daytime programs
  • Dental treatment
  • Nursing services
  • Specialized therapies
  • Supported employment
  • Supported home living

Group Homes

If you live in an HCS group home, you will share a home with up to 4 people who also have IDD. People will help you take medicine, get dressed or bathe, cook, and manage your behaviors.

Learn More

Your Rights

People in the HCS program have the same rights as everyone else. These brochures will help you understand your rights.

Texas Home Living Program

Texas Home Living (TxHmL) helps people with IDD who live with their families or in their own homes. Limits are set on how much they will pay for services.

Service Planning

You get to help decide on the types of services you get. This is called your individual service plan. This plan is reviewed once a year. The plan can be changed as needed.

If you qualify for the TxHmL program, you might receive:

  • Adaptive aids
  • Behavior support
  • Caregiver respite
  • Community support
  • Daytime programs
  • Dental treatment
  • Help getting and keeping a job
  • Nursing services
  • Specialized therapies

Learn More

Your Rights

People in the TxHmL program have the same rights as everyone else. These brochures will help you understand your rights.

State Supported Living Centers

Texas has 13 state supported living centers which are managed by the Texas Department of Aging and Disability Services (DADS). They are in all parts of the state. They specialize in helping people who have medical and behavioral problems. Visit the living center website to learn more.

Service Planning

If you choose to call a living center home, you will help plan the types of assistance you get. This is called your individual service plan. This plan will be reviewed§ once a year. The plan can be changed as needed.

You will have help with managing things, such as:

  • Taking medicine
  • Dressing, cooking or bathing
  • Managing your behaviors

Who Monitors Living Centers?

DADS certifies the state supported living centers and inspects them once a year. The state also looks into complaints.

Each living center has a full-time ombudsman to help residents, family members, staff and others who have concerns about the centers.

To Learn More

Your Rights

Living center residents have the same rights as everyone else. These brochures will help you understand your rights.

How Do I Find Someone To Provide IDD Services?

Once HHS decides which services you can get, you will need to find someone to provide those services for you. It could mean finding someone to come to your home to help you or it may mean finding group home or an intermediate care facility.

The Long-term Care Provider Search is one resource to use when choosing someone to help you. You can use the provider search to get information about a provider or to compare providers. However, the provider search is not meant to be the only way you choose someone to help you.

After finding providers you want to look at, you need to visit them. Discuss your choices with a doctor or other medical professional who knows your needs and those of your family. It helps if they are familiar with local service providers.

The Long-term Care Provider Search is organized by provider type. Here are the types of providers that help people with intellectual and developmental disabilities:

Where Do I Call To Get These Services?

Begin by calling your local IDD authority, which will guide you through the application process and help you find the best place for you to live.

What You Need to Know About Services

Click here to find out other things you need to know, including the application process, your rights and interest lists.