Our Services

Support That Moves Life,
Forward

The right support can make everyday life more manageable, meaningful, and fulfilling. Ability First Care provides residential services that help individuals navigate daily routines, strengthen practical skills, stay connected to their communities, and pursue the goals that matter to them.

Our services are coordinated with each individual’s Individual Plan of Care (IPC) and delivered with the consistency, professionalism, and attention to detail families can count on.

Person-Centered Services
Services Provided

Services Designed for Everyday Living

Authorized services under the Texas HCS Waiver Program, tailored to each Individual Plan of Care.

i.

Residential Support

24-hour residential support in a safe, structured, home-like environment. Staff provide supervision, household support, community participation, and assistance with routines based on each individual’s authorized services and person-centered plan.

ii.

Personal Care & Daily Living

Assistance with personal care and activities of daily living, including grooming, bathing, dressing, meals, and other daily routines while promoting dignity, choice, and independence.

iii.

Life Skills Development

Support with developing and maintaining practical skills for everyday living, including household routines, decision-making, self-advocacy, and skills that promote greater independence.

iv.

Community Integration

Support to participate in meaningful community activities, pursue personal interests, develop relationships, and build confidence and independence in everyday life.

v.

Behavioral Supports

Individualized behavioral support coordinated with qualified professionals and aligned with the individual’s needs, preferences, and person-centered plan.

vi.

Transportation & Community Access

Transportation support for authorized appointments, community activities, employment-related activities, and other approved destinations that support participation and independence.

vii.

Medication Support

Assistance with medication routines and medication-related supports, as authorized and permitted under applicable requirements.

viii.

Individualized Skills & Socialization Support

Support for individuals attending authorized Individualized Skills & Socialization (ISS) services through qualified providers.

ix.

Coordinated Professional Supports

When authorized and needed, Ability First Care coordinates with qualified professionals and providers to support the individual’s needs, including nursing, behavioral, and therapeutic services.

How We Work

Collaboration With Accountability

Quality support is built on communication, coordination, and follow-through. Guided by each individual’s Individual Plan of Care (IPC), we work collaboratively with the people and professionals involved in their support.

How We Coordinate Support

We maintain open communication with the individual’s support team, share relevant updates, participate in planning and coordination, and follow through on identified needs. When circumstances change, we communicate with the appropriate members of the team so that support can be addressed promptly and appropriately.

Who We Work With

  • Families & Guardians
  • LIDDAs
  • Service Coordinators & Case Managers
  • HHSC Staff & Representatives
  • Hospitals & Discharge Planners
  • Behavioral Health Professionals
  • Licensed Nursing & Therapy Providers

Payment Options

HCS Medicaid Waiver

Ability First Care is an HCS Program Provider serving individuals enrolled in the Texas Home and Community-Based Services (HCS) Medicaid Waiver Program.

Services are provided based on the individual’s approved HCS services and authorization. Eligibility and enrollment are coordinated through the Local Intellectual and Developmental Disability Authority (LIDDA).

Private Pay

Private-pay options are available for individuals and families who are not using HCS Medicaid or who prefer a private-pay arrangement. Contact us to learn more about available services and pricing.

What to Know Before You Reach Out Choosing residential support is an important decision, and we want families to have a clear understanding of what to expect.

Ability First Care supports individuals with intellectual and developmental disabilities (IDD), ages 18 and older. Age is only one consideration when exploring services. For individuals enrolled in the Texas Home and Community-Based Services (HCS) Waiver Program, eligibility and authorization of services are determined through the applicable Texas HCS process—not by Ability First Care.

Whether Ability First Care may be an appropriate provider depends on factors such as an individual’s authorized services, support needs, preferences, location, current service arrangements, and the services we are able to provide.

Not currently enrolled in HCS? You’re still welcome to contact us. We can share information about our services and help you identify questions to discuss with your Local Intellectual and Developmental Disability Authority (LIDDA), service coordinator, or other appropriate professional.

Service coordinators and other authorized professionals are also welcome to contact us regarding services for an individual.

Interested in Our Services?

Learn how to submit a referral or inquiry.

How to Submit a Referral or Inquiry

Frequently Asked Questions

What Is the Texas HCS Program?

HCS is a Texas Medicaid waiver program that provides individualized services and supports to help people with intellectual and developmental disabilities live in the community.

Who Administers the HCS Program?

The HCS Program is administered by the Texas Health and Human Services Commission (HHSC) through the Texas Medicaid program. For current program information, visit HHSC.

Who Is HCS For?

HCS is designed for individuals with an intellectual disability or related condition who meet program eligibility requirements and need supports to live in the community.

How Does Someone Get an HCS Waiver?

Eligibility and enrollment are determined through the State of Texas, with LIDDAs playing a key role in the HCS interest list and enrollment process. Individual providers do not determine HCS eligibility or manage the interest list. For current guidance, visit Texas Health and Human Services or contact your local LIDDA.

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Questions About Services?

We’re here to answer your questions, learn more about your needs, and help you understand what the right support could look like for the individual or loved one in your care.