Our Services

A-1 Affinity Care is a Home and Community-Based Services (HCS) provider serving individuals with intellectual and developmental disabilities and related conditions (IDD/RC) in Houston, Texas. Services are provided based on each individual's approved needs and are delivered through the HCS program to support daily living, health, and community participation. Our approach focuses on helping individuals receive appropriate support while living in their home or community setting.

Day Habilitation

Day Habilitation provides structured daytime support that helps individuals with intellectual and developmental disabilities and related conditions (IDD/RC) strengthen everyday skills used at home and in the community. At A-1 Affinity Care in Houston, Texas, this service is often part of an individual's Home and Community-Based Services (HCS) plan when they would benefit from guided activities that encourage greater independence, social interaction, and participation in daily community life.

How It Works

Day habilitation includes:

  • Assisting individuals in acquiring, retaining, and improving self-help, socialization, and adaptive skills necessary to reside successfully in the community
  • Providing individuals with relevant activities that enhance self-esteem and maximize functional level
  • Complementing any counseling and therapies listed in the IPC
  • Reinforcing skills or lessons taught in school, therapy, or other settings
  • Providing training and support activities which promote the individual’s integration and participation in the community
  • Assisting individuals who cannot manage their personal care needs during day habilitation activities
  • Providing transportation necessary for the individual’s involvement in day habilitation activities

What to Expect

Day Habilitation services are typically provided according to the individual's approved HCS plan and scheduled around their identified support needs. Activities may take place in community settings where individuals have opportunities to practice daily living, communication, and social skills while receiving appropriate supervision. Progress is reviewed over time so services continue to reflect the individual's current goals and level of participation.

Dental Care

Dental Care provides preventive, routine, and specialized oral health services for individuals with intellectual and developmental disabilities and related conditions (IDD/RC). At A-1 Affinity Care in Houston, Texas, this service supports individuals who may need ongoing dental care as part of their overall health plan, whether for routine checkups, treatment of dental concerns, or services that accommodate their specific support needs.

How It Works

Our Dental Services are provided by experienced licensed dentists. Among the services are:

  • Emergency dental treatment
  • Preventive dental treatment
  • Therapeutic dental treatment
  • Orthodontic dental treatment
  • Sedation dentistry

What to Expect

Dental services are arranged based on the individual's oral health needs and recommended treatment. Depending on the reason for the visit, care may involve preventive services, treatment for an existing dental condition, or follow-up appointments to complete ongoing care. Services are provided in a manner that supports the individual's health needs while considering their approved HCS services.

Minor Home Modifications

Our minor home modifications include the purchase and repair of wheelchair ramps, changes to bathroom facilities, alterations to kitchen facilities, and specialized accessibility and safety adaptations, including repair and maintenance.

How It Works

Minor Home Modifications may include approved accessibility improvements such as:

  • Purchase and repair of wheelchair ramps
  • Changes to bathroom facilities
  • Alterations to kitchen facilities
  • Specialized accessibility adaptations
  • Safety adaptations, including repair and maintenance

What to Expect

Home modifications are typically completed after the approved improvements have been identified based on the individual's support needs. The type of modification depends on the home's existing layout and the accessibility features required to support daily activities. Once the work is completed, the improvements become part of the residence to provide ongoing functional support.

Nursing

Nursing services provide ongoing health-related support for individuals with intellectual and developmental disabilities and related conditions (IDD/RC) whose medical needs require the involvement of licensed nursing personnel. At A-1 Affinity Care in Houston, Texas, this service is often included when individuals need assistance with medication management, physician-directed healthcare procedures, or routine monitoring to support their health while living in the community.

How It Works

Nursing services may include the following:

  • Administering medication
  • Monitoring the individual’s use of medication
  • Monitoring health data and information
  • Assisting the individual and/or LAR to secure emergency medical services for the individual
  • Making referrals for appropriate medical services
  • Performing health care procedures ordered or prescribed by a physician/medical practitioner and required by standards of professional practice or law to be performed by licensed nursing personnel
  • Delegating and monitoring tasks assigned to other service providers by a registered nurse (RN) in accordance with state law

What to Expect

Nursing services are provided according to the individual's approved HCS plan and physician orders when applicable. The level of nursing support may change as health needs evolve or new medical recommendations are made. Services are reviewed periodically to help ensure they continue to meet the individual's ongoing healthcare needs.

Professional Therapies

Professional Therapies provide specialized clinical services that help individuals with intellectual and developmental disabilities and related conditions (IDD/RC) address physical, communication, behavioral, nutritional, and functional needs. At A-1 Affinity Care in Houston, Texas, these services are arranged when an individual's HCS plan identifies therapies that support everyday functioning, participation, and overall well-being.

How It Works

We Contract Certified Qualified Professionals as needed to provide therapies and other specialized services including:

  • Physical Therapy
  • Occupational Therapy
  • Speech and Language Pathology
  • Audiology
  • Social Work
  • Behavior Support
  • Dietary Services
  • Cognitive Rehabilitation Therapy

What to Expect

Therapy services are provided based on the individual's identified needs and may occur on a scheduled basis depending on the type of therapy received. The frequency and duration of services vary according to the recommendations of the qualified professional and the individual's approved HCS plan. Progress is reviewed over time so services remain appropriate for the individual's current level of function and support needs.

Residential Assistance

Residential Assistance provides living arrangements and daily support for individuals with intellectual and developmental disabilities and related conditions (IDD/RC) who require assistance to live successfully in a community setting. At A-1 Affinity Care in Houston, Texas, the type of residential support is determined by the individual's living situation, level of independence, and ongoing support needs identified through the HCS program. [Read More]

How It Works

Residential Assistance is available through various living arrangements tailored to the individual's needs:

  • Own Home/Family Home – provided to individuals residing in their own residence or the residence of their natural or adoptive family, or to individuals receiving foster care services from the Texas Department of Protective and Regulatory Services.
  • Host Home/Companion Care – provided in a private residence by a foster or companion care provider who lives in the residence and who is not providing these services pursuant to a contract with the Texas Department of Protective and Regulatory Services.
  • Supervised Living – is provided in a residence in which the HCS program provider holds a property interest. Supervised living is provided by residential assistance providers who offer services and supports as needed by individuals and who are present in the residence during normal sleeping hours.
  • Residential Support – provided to individuals by daily shift staff or by an individual staff member with periodic relief staff.

What to Expect

Residential Assistance is provided in the setting that best matches the individual's approved level of support and living preferences. The amount of assistance varies depending on the residential model and the person's daily needs, with support adjusted as those needs change over time. Services are reviewed periodically to help ensure the living arrangement continues to promote the individual's health, safety, and participation in community life.

Respite Care

Respite Care provides temporary support for individuals with intellectual and developmental disabilities and related conditions (IDD/RC) when their primary caregiver needs planned time away or is unavailable due to an emergency. At A-1 Affinity Care in Houston, Texas, this service helps ensure individuals continue receiving appropriate assistance while allowing family members or caregivers to attend to personal responsibilities, medical appointments, or other short-term needs.

How It Works

Respite Care may include the following supports:

  • Assistance with training in self-help and independent living skills
  • Provision of room and board when provided overnight in a setting other than the person’s normal residence
  • Support of individuals in the MRLA Program who are eligible for respite and in need of emergency or planned short-term care
  • Assistance with receiving other needed services
  • Assistance with securing and providing transportation

What to Expect

Respite Care is typically provided for a planned period or in response to an unexpected caregiver need, depending on the individual's approved HCS services. The duration and setting of support vary based on the individual's circumstances and level of assistance required. Services are provided to maintain continuity of care while the primary caregiver is temporarily unavailable.

Supported Employment

Supported employment is provided in an integrated provision of ongoing individualized support services needed to sustain paid work by the individual, including supervision and training. The individuals receiving supported employment are compensated by the employer in accordance with the Fair Labor Standards Act. Supported employment is provided when these services are not available or funded through the state education agency or the state rehabilitation agency.

How It Works

Supported Employment services may include assistance such as:

  • Individualized support to help maintain paid employment
  • Ongoing supervision in the workplace as needed
  • Job-specific training to develop and reinforce work-related skills
  • Support that promotes continued success in an integrated work environment
  • Assistance provided when comparable employment supports are not available through the state education agency or state rehabilitation agency

What to Expect

Supported Employment services are provided according to the individual's employment goals and approved HCS plan. Support may be adjusted as the individual becomes more familiar with job responsibilities or workplace expectations. Services are reviewed periodically to ensure the level of assistance continues to align with the individual's employment needs.

Home and Community-Based Services (HCS)

Home and Community-Based Services (HCS) is a Texas Medicaid waiver program that supports individuals with intellectual and developmental disabilities and related conditions (IDD/RC) who choose to receive long-term services in their home or community rather than in an institutional setting. At A-1 Affinity Care in Houston, Texas, HCS services are designed around each individual's approved plan to help address daily support needs while encouraging participation in community life.

How It Works

Home and Community-Based Services may include supports such as:

  • Assistance with daily living and personal support needs
  • Residential assistance based on the individual's living arrangement
  • Nursing and professional therapies when included in the approved service plan
  • Day Habilitation and community-based skill development activities
  • Respite Care provides temporary relief for caregivers
  • Supported Employment and other approved HCS services based on individual needs

What to Expect

Individuals who qualify for the HCS program receive services based on their approved Individual Plan of Care (IPC) and identified support needs. The types of services provided may change over time as goals, health needs, or living circumstances evolve. Reviews are conducted periodically to help ensure services continue to reflect the individual's current needs and approved program eligibility.