Mosaic in Southeast Texas partners with people with intellectual disabilities to provide a meaningful life in a caring community, giving a voice to their needs.



Mosaic in Southeast Texas provides a variety of supports in both the Spring, Bryan and Alvin communities, including:

Residential Services: For people served by the following Medicaid waivers, Mosaic offers a wide variety of residential options ranging from total care to intermittent support. Services are tailored to meet each individual’s needs and preferences.

Home & Community-Based Services (HCS)

Group Homes – Neighborhood home with 24 hr shift staff providing individualized care for 4 individuals

Host Home Residences – Community living in a family atmosphere

Community First Choice – Intermittent, as needed supports for individuals living on their own or with their families

Respite Services – Caring staff provide a break for primary caretakers

Texas Home Living (TxHmL)

Community First Choice – intermittent, as needed supports for individuals living on their own or with their families

Respite Services – caring staff provide a break for primary caretakers

Independent Care Facility (ICF)- Mosaic has 6 person group homes in Byran and Madisonville offering compassionate 24 hour care.

Additional Services: Mosaic provides a Case Manager to each client to assist in planning and accessing our full range of services. These services may be used alone or in conjunction with our residential services:


Day habilitation

Nursing and Dietary Services

Dental Services

Adaptive Aids and Minor Home Modifications

Phys. and Occupational Therapy

Speech & Audiology Therapy

Psychology/Behavior Support

Supported Employment and Employment Assistance


Other Opportunities

Recreational Opportunities: These opportunities help meet the recreational, social, and leisure needs of people using community resources. Trips to museums, festivals, plays, and sporting events are vital to supporting growth in people’s lives.

Spiritual Opportunities: With the assistance of staff and volunteers, people are encouraged to participate in the religious services of their choice. Mosaic strives to work with all religions to promote inclusion within various faith communities.

Advocacy: Mosaic offers support and guidance for people to lend their voices to public conversations about the future of services for people with intellectual disabilities and their role in their communities.

For more information, attend a Discover the Possibilities event or contact us.

Texas Home Living Program (TxHmL)

Texas Home Living Program (TxHmL)
Texas Home Living Program (TxHmL)

TxHmL Services

The TxHmL Program provides services and supports to Texans with intellectual disabilities or a related condition so that they can continue to live with their families or in their own homes. There is no age limit for this program.

A person is eligible for the TxHmL Program if he or she:

  • chooses to participate in the TxHmL Program instead of the ICF (Intermediate Care Facility) Program
  • lives with their family or in their own home
  • is diagnosed with an intellectual disability or related condition and meets the criteria for a Level of Care 1 in an ICF
  • is a Medicaid recipient
  • is not assigned a pervasive plus level of need (LON 9)
  • is not enrolled in another Medicaid Waiver Program, such as HCS Program, CLASS Program or Medically Dependent Children Program

TxHmL Program services are intended to supplement, rather than replace the services and supports a person may receive from other programs. TxHmL Program services are limited to a yearly cost of $17,000 per participant. TxHmL Program does not offer residential services.

If you are on the HCS Program interest list (waiting list), you may still receive TxHmL Program services and your name will stay on the HCS Program interest list with no change to the date it was put on the list.

There are two service categories with a combined yearly cost of not exceeding $17,000.

TxHmL Program service categories and service components include:

Community Living Supports

annual service category limit is $13,600

  • Community support
  • Day habilitation
  • Employment assistance
  • Supported employment
  • Respite

Professions and Technical Supports

annual service category limit is $3,400

  • Skilled nursing
  • Behavioral support
  • Physical and occupational therapy
  • Dietary
  • Speech and language pathology
  • Audiology

Minor home modifications - These are limited to a lifetime maximum of $7,500. Once lifetime maximum is reached, the Department of Aging and Disability Services (DADS) allows $300 per year to be used for additional modifications or repairs of modifications.

Adaptive aids - Limited to 6,000 per year and cannot be increased more than that.

Dental treatment - Limited to $1,000 per year and cannot be increased more than that.

When your need for a service or a combination of services in a service category is greater than the annual service category limits, DADS may approve a request to increase the service category limit as long as the total annual cost of your plan of care does not exceed $17,000. You, your representative, or your TxHmL Program provider can let your service coordinator know that you need to increase a service category limit.

For more information on the TxHmL Program, attend a Discover the Possibilities event or contact us.