HCS facilities are 3- or 4-bed group homes that are available through the Home and Community Services Medicaid waiver program which is certified and licensed by the state. Individuals must be diagnosed with an intellectual disability and have an IQ of 75 or below with a related condition.

We also serve individuals who live on their own in an apartment setting.

Private pay option: Individuals with developmental disabilities who do not have Medicaid funding can pay privately for services in a 3-bed or 4-bed group home. We also serve individuals who live on their own in apartment settings.

Adults with developmental disabilities can choose to live in a foster home with a family member or other individual as their foster care provider.

RMI contracts with the foster care provider to assist with daily living skills, personal care, transportation, and other activities that allow the client to live as independently as possible in a safe and supportive environment.

To apply to be a Foster Care Provider contact Manny Vela.

Funding for foster care is covered by the Home and Community-Based Services (HSC) Medicaid program.

Individuals who do not qualify or are waiting for HCS funding may pay privately to live in a foster home.

ICF facilities are 6-bed group homes funded by Medicaid. These homes are certified and licensed by the state to provide a full range of training and care to individuals with intellectual and other developmental disabilities.

ICF group homes include:

• 24 hours nursing supports
• Therapy
• Nutritional and dietary supports
• Behavior supports
• Medical and dental supports that are not funded by Medicaid
• Active training to master new skills

This program is for individuals with intellectual and other developmental disabilities (IDD).

All services are paid by Medicaid and personal income is managed by the provider, representative payee, or the client themselves. If the client works, a percentage of earnings is refunded to Medicaid. SSDI (Social Security Disability Income) funds can continue with a percentage repaid Medicaid.

RMI's Life Enrichment Day Program provides life skills training and social activities that help adults with developmental disabilities live and work successfully in the community.

The Life Enrichment curriculum includes training on personal care and hygiene, communication skills, academic skills, and job preparation.

Parties, group projects, and community outings provide opportunities for social, educational, and cultural experiences.

This program is for individuals with intellectual and other developmental disabilities (IDD).

RMI's Semi-Independent Apartment program gives adults with intellectual and developmental disabilities the ability to live in the community with more freedom and more responsibility. Residents in this program lease their own apartment and pay their own expenses. They may choose to live by themselves or share an apartment with a roommate.

At San Mateo Apartment Homes, Waters at Elm Creek and other apartment communities in San Antonio, RMI residents work, play, shop and worship with others in their neighborhoods. With ongoing support from RMI staff, residents are able to meet the everyday challenges of living independently.

RMI’s LIfe Enrichment Day Program provides life skills training and social activities that help adults with developmental disabilities live and work successfully in the community. The Life Enrichment curriculum includes training on personal care and hygiene, communication skills, academic skills, and job preparation. Parties, group projects, and community outings provide opportunities for social, educational, and cultural experiences.

Reaching Maximum Independence takes pride in providing one of San Antonio's finest Job Placement Programs for people with disabilities. Through a network with the Texas Workforce Vocational Rehabilitation Services (TWS-VRS), local employers, as well as trained and experienced staff, participants receive an array of services designed to enhance employment. Our motto is Find, Get, and Keep employment.

Find
An individual job coach works one-on-one with each participant to determine interests that aid in finding the most suitable type of work. Often employers are contacted to help "carve" out various tasks that could be done on a part-time basis.

Get
Once a job has been found, RMI, often in conjunction with the TWS-VRS, provides a one-on-one "Job Coach." A job coach is the person that facilitates the training process with the participants and the employer. Very few individuals are unable to learn the tasks required by employers.

Keep
Ongoing Support allows specific goals and objectives to be addressed regarding the individuals employment, address concerns, and be a second set of "eyes and ears" to verify success. In order to keep a job, RMI provides Ongoing Employer Support. This involves continual communication with the employer to ensure the participant maintains expectations of success. If problems arise, such as "new tasks" or "changes," RMI staff is prepared to reinitiate the training process.

This program is for adults with intellectual and other developmental disabilities (IDD).

Individuals with developmental disabilities can get support services that allow them to live as independently as possible with their family or in their own home.

RMI staff provide assistance with housekeeping, meal preparation, medication, personal care, transportation and other independent living activities. 

The time spent providing services each week is based on the needs of the client and their family. Supported Home Living services can be funded through the Home and Community Based Services (HCS) Medicaid program. Individuals who do not qualify or are waiting for HCS funding may private pay for these services.