1501 W. Beauregard
San Angelo, Texas 76901
Phone: (325) 658-7750
Fax: (325) 658-8381
Crisis: (800) 375-8965
or (325) 653-5933

IDD Services Authority Crisis and Provider

Local Intellectual & Developmental Disabilities Authority (LIDDA) Services


Authority Services include determining a person’s eligibility for services, enrolling a person into programs, and coordinating on-going services for a person. Other important responsibilities include placing individuals on the Home and Community-Based Services Interest List, helping students transitioning from school services to community-based services, and aiding families who request residential services for children and adults. Authority Services include:

Intake and Screening

This is the central point of entry for all Intellectual & Developmental Disabilities Services. This is where the initial screening for eligibility begins and where information is provided about all service options available in the Center, community and state.

Eligibility Determination

This assessment determines whether a person has an intellectual or developmental disability, and whether a person is a member of the priority population for developmental disabilities services.


Enrollments into General Revenue, Home and Community Services (HCS), and Texas Home Living (TxHmL) are completed by Authority Services staff. Additionally, staff is responsible for facilitating enrollments into State Supported Living Centers (SSLC) and for providing information about private ICF/IID (Intermediate Care Facility for Individuals with Intellectual Disabilities) programs, when individuals indicate a preference for these services. When individuals are recommended for enrollment in a Medicaid HCS or ICF/IID program upon discharge from a state hospital. SSLC or nursing facility, Authority Services staff facilitates the transfer and completes the enrollment into the HCS or referral to ICF/IID program chosen by the individual or family.

Service Coordination

This service makes available assistance to an individual in accessing training, treatment, medical, social, educational and other services and support, which are necessary for the individual to live successfully in a community setting. This service is further defined by the program that the individual participates in and the individual’s place of residence. Service Coordination is provided to participants in Home and Community Based Services Medicaid Waiver program, the Texas Home Living Medicaid program, and General Revenue funded services. Service Coordination is provided to eligible individuals who live in the community (own home, family home, host home or group home), in State Supported Living Centers, and Nursing Facilities.

Community Access: CLOIP, PASRR, and Continuity of Care

Individuals who live in a nursing facility are evaluated to determine their eligibility for specialized IDD Services, to include service coordination to assist with transition to a community living setting. Individuals who live at San Angelo State Supported Living Center are provided information and educational opportunities to learn about their options for moving to a community setting. Individuals who leave a nursing facility or state supported living center to reside in the community receive intensive supports to facilitate a successful transition to their new living environment.

Home and Community–Based Care Services (HCS) Interest List

The state has federal authority to limit the number of persons served in the HCS Medicaid Waiver program. The number of requests is greater than the number of available program “slots,” creating an Interest List of persons requesting the HCS Waiver when funds become available. For persons residing in one of MHMR Services for the Concho Valley’s counties, Authority Services is responsible for the addition of a person to the Interest List and also for contacting each individual on the local HCS Interest List on a biennial basis to ascertain his or her continued interest in HCS services.

Transition Services in Schools

Transition Services assist individuals approaching 22 years of age as they move from receiving services through a school district to receiving services from MHMR Services for the Concho Valley or other community-based programs. The Service Coordinator (Authority Services) works with school districts to participate in the student’s annual Transition – Admission, Review and Dismissal (ARD) Meetings held at the schools. Information about all service options is shared annually with all school districts, and when requested at the Transition ARD Meetings.

Permanency Planning

Permanency Planning is a philosophy and planning process that focuses on obtaining family support for children and young people with intellectual and developmental disabilities and facilitating permanent living arrangements for them in natural home environments. Authority Services manages the completion of the planning process, documentation and reporting for all individuals under age 22 residing in institutional settings (public and private) in the center’s service area.

For more information about services, send an e-mail to info@mhmrcv.org or call 325-658-7750. 

IDD Crisis Services (The Haven)


The Haven provides services to individuals with intellectual & developmental disabilities who present in a psychiatric/behavioral crisis through an intensive wraparound support team. Services include:

Dual Diagnosis Clinic - Psychiatric outpatient services are designed to provide psychiatric diagnostic evaluations and subsequent pharmacological management services delivered by a board certified psychiatrist.  Additional services include nursing and specialized counseling with a Licensed Professional Counselor. 

Mobile Crisis Outreach - Crisis response provides a combination of services in the community that include emergency care, urgent care, and crisis follow-up and crisis prevention services. The team provides prompt assessment and evaluation in the community, stabilization in the least restrictive environment, crisis resolution, and linkage to appropriate services.

Crisis Respite – Emergency short-term, community-based residential, crisis treatment to persons who have a low risk of harm to self or others and may require direct supervision and care.

For more information about services, send an e-mail to info@mhmrcv.org or call 325-658-7750. 

IDD Provider Services


Provider Services include programs, services and supports provided by MHMR Services for the Concho Valley to eligible individuals in the community. These services are intended to provide individuals the skills and supports to be able to continue to live in the community and to function to their potential. 

The services are described in the following sections. They are delivered within two major types of funding sources:

  • State-supported General Revenue Services
  • Medicaid Waiver Services

State Supported General Revenue Services include:

Day Habilitation – Site Based programming that assists with acquiring, retaining or improving self help, socialization and adaptive skills necessary to live successfully in the community and to participate in home and community life. Betty Hardwick Center offers this service to both children and adults.

Vocational Services - Training Services provided to a consumer in an industrial enclave, a work crew, a sheltered workshop, or an affirmative industry, to enable the consumer to obtain employment.

Employment Assistance/Supported Employment – Services to assist a consumer in finding individualized competitive employment in the community and to sustain the employment.

Respite – Planned or emergency short term relief services provided to the consumers’ unpaid caregiver when the caregiver is temporarily unavailable to provide supports.

Community Support Services – Individualized activities that are consistent with the consumer’s person directed plan and provided in the home or community locations. Supports included activities that foster ability to perform daily living skills, activities to preserve the family unit, transportation between home and employment or day habilitation site or community activities

Nursing - Treatment and monitoring of health care procedures prescribed by physician or medical practitioner or required by standards of professional practice or state law to be performed by licensed nursing personnel.


Medicaid Waiver Services

MHMR Services for the Concho Valley is certified for the provision of two Medicaid Waiver programs: Home and Community-based Services (HCS) and Texas Home Living Services (TxHmL).

Home and Community Based Services – Services and supports available in a person’s own home or family home, or in a small residential setting. Residential settings include supervised living, residential support, and host homes. Additional services include adaptive aids, specialized counseling, audiology, speech/language pathology, occupational therapy, physical therapy, dietary services, social work, behavioral supports, minor home modifications, dental treatment, nursing, respite, day habilitation, vocational training, supported home living, and supported employment. 

Texas Home Living Program (TxHmL) – Services and supports, such as, community support, day habilitation, employment assistance, supported employment, respite, nursing, behavioral support, physical therapy, occupational therapy, audiology, speech/language pathology, behavior supports, dietary services, minor home modifications, adaptive aids, and dental treatment, for persons who live in their own home or their family’s home.

For more information about services, send an e-mail to info@mhmrcv.org or call 325-658-7750.