IDD Services in Texas Supporting Independence. Enriching Lives.

At The Center for Health Care Services, we provide long-term care and support services for adults living with intellectual and developmental disabilities (IDD) across Bexar County. Our programs are built around dignity, choice, and the belief that every person, regardless of ability, deserves to live a full and meaningful life.

Call now to enroll in services.

Call 210-261-CHCS (2427) Enroll in Services

What is IDD?

Intellectual or developmental disabilities (IDDs) are chronic conditions that can impact the physical, intellectual, and/or emotional development of a person throughout the course of their life. It is important to note that IDD is not "one-size-fits-all," and every individual will have different needs or assistance.

Intellectual disabilities manifest before adulthood and include problems with both intellectual and adaptive functioning. Developmental disabilities manifest before a person reaches the age of 22, and include an intellectual or physical impairment, or a combination of both that affects a person throughout the course of life.

Although there are many causes of IDD, some of which are unknown, common causes include genetics, complications during pregnancy, problems during birth, and exposure to diseases or toxins. IDD should not be confused as an illness; IDD is a life-long condition that currently does not have a cure.

A CHCS service coordinator with a client

Examples of intellectual and developmental disabilities may include:

  • Down syndrome
  • Autism spectrum disorders (ASD)
  • Cerebral palsy
  • Traumatic brain injury
  • Fragile X syndrome
  • Fetal alcohol syndrome
  • Spina Bifida

People living with IDD may experience challenges with:

  • Communication and language
  • Self-care and daily living skills
  • Learning and memory
  • Mobility and physical development
  • Social and interpersonal skills
  • Independent living

Despite no cure, early intervention, education, support services, and a range of therapies can help those with IDD live a rich and independent life.

Our programs

  • A CHCS community living support visit

    Community living

    Our community living support services help adults with IDD live as independently as possible within their own homes and communities. Services are tailored to the individual and may include assistance with daily living skills, personal care, safety planning, and community integration. Our goal is to help each person build the skills and confidence they need to thrive in their own life.

Eligibility & enrollment

Eligibility for long-term services through CHCS for people with intellectual and developmental disabilities is determined by the Alamo Area Council of Governments (AACOG). You or your loved one must be pre-approved before beginning services with CHCS.

To find out more about eligibility criteria and enrollment, contact AACOG for more information.

Contact AACOG

Alamo Area Council of Governments

2700 NE Loop 410, Suite 101
San Antonio, TX 78217
Call (210) 832-5020 →

Insurance & financial assistance

The Center for Health Care Services accepts many insurance plans, including Medicaid and Medicare. We offer a sliding fee scale for individuals who qualify, and we will never refuse services based on inability to pay.

View Monthly Ability to Pay Fee Schedule →

What to bring to enrollment

Financial assistance is determined based on your income and family size. To apply, complete a Financial Assessment at the time of enrollment and provide:

  • Proof of insurance
  • Proof of residency
  • Proof of income

Find developmental disability services in San Antonio

Living with IDD looks different for every person — and so does the support they need. CHCS is here to help you understand your options, navigate the eligibility process, and find the right programs for you or your loved one.

Call 210-261-CHCS (2427) or contact AACOG at (210) 832-5020 to begin the eligibility process today.

Call 210-261-CHCS (2427) Enroll in Services →

Frequently asked questions

How do I pay for services? What insurance do you accept?

The Center for Health Care Services accepts many insurance plans including Medicaid and Medicare. Payment of your estimated consumer portion is expected at the time services are provided. This includes deductibles, copays, and any other predetermined fees due for this visit. CHCS will not refuse services to a person based on inability to pay. You may qualify for financial assistance toward your payments. This qualification will be determined based on your income and family size. To determine the appropriate monthly fee, you must provide the required documents and complete a Financial Assessment. Please be prepared to show proof of insurance, proof of residency, and family income upon check-in.

View Monthly Ability to Pay Fee Schedule