Call us at 877.283.2121

Metrocare has been caring for people for 50 years.

1.9 million Texans live with a serious and persistent mental illness

6.4 million Texans have a mental illness and would benefit from treatment

Last year, nearly 50,000 adults received services from Metrocare

Last year, 15,000 children received care from Metrocare

70% to 80% of parents with a child with autism will get divorced

40% of children with autism do not talk at all

Autism impacts more children than childhood cancer, juvenile diabetes, Down syndrome, and cystic fibrosis combined

Early diagnosis and intervention of an individual with autism can reduce the lifetime support costs by 66%

Home and Community-Based

Hours of Operation

24-Hour Program (Monday-Sunday)


The Home- and Community-Based (HCS) service array is broad, and has been established by the Texas State Medicaid Waiver. The service array includes the following: Case Management, Respite Service, Supported Home Living, Foster Care, Residential Support, Social Work Service, Occupational Therapy, Physical Therapy, Speech Services, Audiology Services, Psychology Services, Nursing Services, Dietary Services, Adaptive Equipment ($10,000/year), Minor Home Modification ($7,500 lifetime/$300 annual maintenance) and Dental Services ($1,000), Day Habilitation of Supported Employment ($3,000/year).

Populations Served

The Dallas County Mental Health and Mental Retardation Center Home- and Community-Based Services program does not target any particular population beyond the program eligibility criteria.

Admission Criteria

The applicant for HCS must be eligible for Medicaid coverage. Other requirements include assignment of a level of care by the Texas Department of Health, and a determination of mental retardation (DMR) or Diagnosis and Evaluation (D & E) prior to the proposed admission. The projected service needs must also be within the established ceiling cost for HCS services. Eligible individuals must reside in Dallas County to receive services through the Dallas County Mental Health and Mental Retardation Center HCS program.

Core Services and Program Activities

Metrocare's HCS program is committed to the provision of consumer support services that are consumer-driven and facilitate consumer integration within their community setting. Presently the HCS program serves consumers in a variety of environments. The program offers support services and respite to consumers that reside in their natural family environment. The program also presently operates twenty-five alternative living residences serving no more than three HCS consumers in a shift-staffed community home.

Success Story

A forty-eight-year-old male was placed in a state facility when he was five years old. His mother did have contact with him during the time he was in school, but financially was unable to care for him while maintaining employment. During his late thirties he was placed in an Intermediate Care Facility for Mental Retardation in the Dallas community and attended a day program. There were numerous incidents of attention-seeking behaviors, including disruptive behavior and destroying property. This past year he received a HCS slot and his mother became his foster provider. He successfully lives in the community in an apartment and his behaviors have decreased because of his new environment. He attends a day program, and participates in numerous activities such as movies, bowling, church, and going out to dinner in public restaurants. The mother and son appear to be happy and well adjusted to this new quality of life.

you can help

Sign Up for Our Newsletter