PCS is a non-waiver Medicaid benefit which provides attendant care services to individuals under 21 years of age who require assistance with activities of daily living and instrumental activities of daily living because of a physical, cognitive, or behavioral limitation related to their disability or chronic health condition. The Texas Health and Human Services Commission (HHSC) are responsible for the Medicaid PCS program. Department of State Health Services (DSHS) case managers conduct PCS intakes and assessments and make determinations about an individual’s need for attendant care services.
In contrast, habilitation services through the waiver include assistance with acquisition, retention, or improvement in skills related to activities of daily living, such as those listed above, and the social and adaptive skills necessary to enable the individual to reside in a non-institutional setting. Habilitation services do not include routine care and supervision which would be expected to be provided by a family member or activities or supervision for which a payment is available by a source other than the Medicaid waiver.