Special needs group homes in Texas

“Special needs group home” is one of the phrases people actually type when they are looking for a residential option for an adult — or a young person approaching adulthood — with a disability. This site uses that everyday language on purpose.

Texas does not license a single category called a “special needs group home.” Homes that fit what families have in mind may be licensed intermediate care facilities, waiver-funded group homes, host homes, or supported living in a person’s own house or apartment. The right next step is usually the same: talk with the local authority that handles intake for publicly funded intellectual and developmental disability services in your county.

A practical path

  1. Search this directory for licensed ICF/IID homes in the city or county you have in mind, and verify anything you might visit in TULIP.
  2. Call the LIDDA for that county. Ask about intake, eligibility, and every residential option they can explain — not only ICF/IID.
  3. If a Medicaid waiver such as HCS or TxHmL may be a fit, ask to be placed on the interest list. Waiting is common; the official process is first-come, first-served based on the request date, and an offer depends on funding.
  4. When you visit, take a written list of questions about safety, staffing, daily life, rights, and money.

Official background on living options is on HHSC’s IDD long-term care page and in its Explanation of IDD Services and Supports (PDF).