Workforce Solutions Alamo (WSA) and Texas Workforce Solutions Vocational Rehabilitation program (TWS-VRS) are working together to provide a variety of services that assist eligible people with disabilities prepare for, obtain, retain or advance in employment.

Services include (as needed):

• vocational counseling and guidance
• referrals for hearing, visual and other examinations
• assistance with medical appointments and treatment
• rehabilitation deceives, including hearing aids, wheelchairs, artificial limbs, and braces
• therapy to address a disability, including occupational or speech therapy and applied behavioral analysis
• physical restoration services
• medical, psychological, and vocational assessments
• assistance with college education or trade certification
• on-the-job training
• training in workplace and employer expectations
• vocational adjustment training
• rehabilitation teachers services to help you learn Braille, orientation and mobility, and home and health management skills if you are blind or have a visual impairment
• supported employment

Job Matching & Placement Services

• transportation assistance to and from your job, including travel vouchers and vehicle modifications
• follow-up and supported employment services to help you maintain employment
• referral to Business Enterprises of Texas program, Criss Cole Rehabilitation Center, and other state, federal, and community agencies and organizations

Services may also include:

• referral to community support systems, such as peer support and advocacy organizations.
• vocational counseling and guidance, including exploring employment options and postsecondary education programs with high school students who have disabilities
• required assessments to determine eligibility and VR needs
• interpreter services for people who are deaf and hard of hearing
• needs assessment of assistive technology
• assistive devices such as hearing aids, prosthetics, braces, and wheelchairs to improve functioning on the job
• assistive technology and training, including training to use hearing aids, Braille, low-vision aids, and other types of technology to improve communication, access to information, and performance of job functions
• orientation and mobility training for participants who are blind.
• speech, physical, and occupational therapies
• outpatient psychiatric and psychological services
• Personal assistance services
• medical treatment to reduce or remove barriers to employment
• work-based learning experiences for high school students with disabilities, such as job shadowing, volunteer work, internships, and summer employment
• training in behaviors that are expected by employers in a work environment
• job coaches and support for customized employment, self-employment, and supported employment
• college, technical, and on-the-job training
• return-to-work, job retention, job development, and job placement assistance
• instruction in self-advocacy

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Workforce Solutions Alamo (WSA) and Texas Workforce Solutions Vocational Rehabilitation program (TWS-VRS) are working together to provide a variety of services that assist eligible people with disabilities prepare for, obtain, retain or advance in employment.

Services include (as needed):

• vocational counseling and guidance
• referrals for hearing, visual and other examinations
• assistance with medical appointments and treatment
• rehabilitation deceives, including hearing aids, wheelchairs, artificial limbs, and braces
• therapy to address a disability, including occupational or speech therapy and applied behavioral analysis
• physical restoration services
• medical, psychological, and vocational assessments
• assistance with college education or trade certification
• on-the-job training
• training in workplace and employer expectations
• vocational adjustment training
• rehabilitation teachers services to help you learn Braille, orientation and mobility, and home and health management skills if you are blind or have a visual impairment
• supported employment

Job Matching & Placement Services

• transportation assistance to and from your job, including travel vouchers and vehicle modifications
• follow-up and supported employment services to help you maintain employment
• referral to Business Enterprises of Texas program, Criss Cole Rehabilitation Center, and other state, federal, and community agencies and organizations

Services may also include:

• referral to community support systems, such as peer support and advocacy organizations.
• vocational counseling and guidance, including exploring employment options and postsecondary education programs with high school students who have disabilities
• required assessments to determine eligibility and VR needs
• interpreter services for people who are deaf and hard of hearing
• needs assessment of assistive technology
• assistive devices such as hearing aids, prosthetics, braces, and wheelchairs to improve functioning on the job
• assistive technology and training, including training to use hearing aids, Braille, low-vision aids, and other types of technology to improve communication, access to information, and performance of job functions
• orientation and mobility training for participants who are blind.
• speech, physical, and occupational therapies
• outpatient psychiatric and psychological services
• Personal assistance services
• medical treatment to reduce or remove barriers to employment
• work-based learning experiences for high school students with disabilities, such as job shadowing, volunteer work, internships, and summer employment
• training in behaviors that are expected by employers in a work environment
• job coaches and support for customized employment, self-employment, and supported employment
• college, technical, and on-the-job training
• return-to-work, job retention, job development, and job placement assistance
• instruction in self-advocacy

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Hill Country MHDD Centers provide compassionate care and support to individuals with intellectual and developmental disabilities by providing services that offer hope, support, and recovery.

Our Service Coordinators are trained in person-centered thinking and person-centered plan facilitation, which means they have learned skills to better support individuals to achieve their goals at home, school, work, and in the community.

The Service Coordination team assists with:

• determining eligibility for services;
• enrollment into programs;
• coordinating and monitoring ongoing services;
• placing individuals on the Home and Community-Based Services (HCS) and Texas Home Living Interest lists;
• helping students transition from school services to community-based services; and
• aiding families in finding residential services for children and adults.

If you are interested in IDD Services, please call our IDD Centralized Intake Line at 830-387-5970.

Hill Country is a contracted provider of Home and Community-Based Services (HCS) and Texas Home Living (TxHmL) Medicaid waiver programs; however, we also serve as the Local Intellectual and Developmental Authority (LIDDA), which means we cannot and do not endorse any particular provider. If you or someone you help support receives services through HCS or TxHmL, our Service Coordinators will present all available provider options, including Hill Country, in order to help you make an informed choice about the program that will best meet the needs and goals of the person served.

Mission work is one of the founding principles of our church, and there are many ways to get involved!

Little Free Food Pantry

What started as the Eagle Scout project of one of our high schoolers has grown into a service that provides critical aid to our community. Our Little Free Pantry makes deliveries every other week to several families in the area and also keeps a pantry stocked in our partnered Hill Country MHDD clinic for clients.

Act II Sewing

Act II Sewing is a group of ladies who meet on the third Tuesday of the month at 9:30 am to sew for a good cause. Some of their regular projects are stuffed animals for St. Jude Children’s Home, Presbyterian Children’s Home, and other organizations and occasions where children might need a bit of comfort.

They make clothing protectors, lap blankets, shawls, walker bags, and more for nursing home residents, hospice patients, and Meals on Wheels recipients. You don’t need to be skilled at sewing to help make these projects and more, just come by and lend a hand.

Kids Hope

Kids Hope is a national non-profit organization that partners young students in need with mentors from a local church, who provide a one-on-one relationship dedicated to supporting their growth.

Mentors meet with their students once a week for one hour, helping with homework, providing a listening ear, and being a steady source of support. Canyon Lake Presbyterian Church has been partnered with Kids Hope since 1998. If you would like to be a mentor or a prayer partner, please contact us to learn more.

Partnership with Mental Health Clinic

We are partnered with the Canyon Lake branch of the Hill Country Mental Health and Developmental Disability Center. The fully staffed mental health clinic operates full-time out of our Fellowship Hall and provides mental health, individual developmental disability, and substance abuse services to our community. If you are in need or wish to learn more, go to their website at https://www.hillcountry.org/services/canyon-lake-mh-center/ or call their office at 830-387-5995.

Donations

In addition to all of the more hands-on work we do at Canyon Lake Presbyterian Church, we make donations to many organizations in our local community and the larger world. These include, but are not limited to:

• CRRC Food Pantry
• John Knox Ranch
• Canyon Lake Meals on Wheels
• Mission Presbytery
• Mo-Ranch
• Presbyterian Church USA
• Presbyterian Disaster Assistance
• CARE of Canyon Lake

Click here to Donate

Click here to view the Calendar of Events

Provides assistance to disabled individuals with no insurence.

Uninsured or underinsured

Free

Workforce Solutions Alamo (WSA) and Texas Workforce Solutions Vocational Rehabilitation program (TWS-VRS) are working together to provide a variety of services that assist eligible people with disabilities prepare for, obtain, retain or advance in employment.

Services include (as needed):

• vocational counseling and guidance
• referrals for hearing, visual and other examinations
• assistance with medical appointments and treatment
• rehabilitation deceives, including hearing aids, wheelchairs, artificial limbs, and braces
• therapy to address a disability, including occupational or speech therapy and applied behavioral analysis
• physical restoration services
• medical, psychological, and vocational assessments
• assistance with college education or trade certification
• on-the-job training
• training in workplace and employer expectations
• vocational adjustment training
• rehabilitation teachers services to help you learn Braille, orientation and mobility, and home and health management skills if you are blind or have a visual impairment
• supported employment

Job Matching & Placement Services

• transportation assistance to and from your job, including travel vouchers and vehicle modifications
• follow-up and supported employment services to help you maintain employment
• referral to Business Enterprises of Texas program, Criss Cole Rehabilitation Center, and other state, federal, and community agencies and organizations

Services may also include:

• referral to community support systems, such as peer support and advocacy organizations.
• vocational counseling and guidance, including exploring employment options and postsecondary education programs with high school students who have disabilities
• required assessments to determine eligibility and VR needs
• interpreter services for people who are deaf and hard of hearing
• needs assessment of assistive technology
• assistive devices such as hearing aids, prosthetics, braces, and wheelchairs to improve functioning on the job
• assistive technology and training, including training to use hearing aids, Braille, low-vision aids, and other types of technology to improve communication, access to information, and performance of job functions
• orientation and mobility training for participants who are blind.
• speech, physical, and occupational therapies
• outpatient psychiatric and psychological services
• Personal assistance services
• medical treatment to reduce or remove barriers to employment
• work-based learning experiences for high school students with disabilities, such as job shadowing, volunteer work, internships, and summer employment
• training in behaviors that are expected by employers in a work environment
• job coaches and support for customized employment, self-employment, and supported employment
• college, technical, and on-the-job training
• return-to-work, job retention, job development, and job placement assistance
• instruction in self-advocacy

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Workforce Solutions Alamo (WSA) and Texas Workforce Solutions Vocational Rehabilitation program (TWS-VRS) are working together to provide a variety of services that assist eligible people with disabilities prepare for, obtain, retain or advance in employment.

Services include (as needed):

• vocational counseling and guidance
• referrals for hearing, visual and other examinations
• assistance with medical appointments and treatment
• rehabilitation deceives, including hearing aids, wheelchairs, artificial limbs, and braces
• therapy to address a disability, including occupational or speech therapy and applied behavioral analysis
• physical restoration services
• medical, psychological, and vocational assessments
• assistance with college education or trade certification
• on-the-job training
• training in workplace and employer expectations
• vocational adjustment training
• rehabilitation teachers services to help you learn Braille, orientation and mobility, and home and health management skills if you are blind or have a visual impairment
• supported employment

Job Matching & Placement Services

• transportation assistance to and from your job, including travel vouchers and vehicle modifications
• follow-up and supported employment services to help you maintain employment
• referral to Business Enterprises of Texas program, Criss Cole Rehabilitation Center, and other state, federal, and community agencies and organizations

Services may also include:

• referral to community support systems, such as peer support and advocacy organizations.
• vocational counseling and guidance, including exploring employment options and postsecondary education programs with high school students who have disabilities
• required assessments to determine eligibility and VR needs
• interpreter services for people who are deaf and hard of hearing
• needs assessment of assistive technology
• assistive devices such as hearing aids, prosthetics, braces, and wheelchairs to improve functioning on the job
• assistive technology and training, including training to use hearing aids, Braille, low-vision aids, and other types of technology to improve communication, access to information, and performance of job functions
• orientation and mobility training for participants who are blind.
• speech, physical, and occupational therapies
• outpatient psychiatric and psychological services
• Personal assistance services
• medical treatment to reduce or remove barriers to employment
• work-based learning experiences for high school students with disabilities, such as job shadowing, volunteer work, internships, and summer employment
• training in behaviors that are expected by employers in a work environment
• job coaches and support for customized employment, self-employment, and supported employment
• college, technical, and on-the-job training
• return-to-work, job retention, job development, and job placement assistance
• instruction in self-advocacy

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Workforce Solutions Alamo (WSA) and Texas Workforce Solutions Vocational Rehabilitation program (TWS-VRS) are working together to provide a variety of services that assist eligible people with disabilities prepare for, obtain, retain or advance in employment.

Services include (as needed):

• vocational counseling and guidance
• referrals for hearing, visual and other examinations
• assistance with medical appointments and treatment
• rehabilitation deceives, including hearing aids, wheelchairs, artificial limbs, and braces
• therapy to address a disability, including occupational or speech therapy and applied behavioral analysis
• physical restoration services
• medical, psychological, and vocational assessments
• assistance with college education or trade certification
• on-the-job training
• training in workplace and employer expectations
• vocational adjustment training
• rehabilitation teachers services to help you learn Braille, orientation and mobility, and home and health management skills if you are blind or have a visual impairment
• supported employment

Job Matching & Placement Services

• transportation assistance to and from your job, including travel vouchers and vehicle modifications
• follow-up and supported employment services to help you maintain employment
• referral to Business Enterprises of Texas program, Criss Cole Rehabilitation Center, and other state, federal, and community agencies and organizations

Services may also include:

• referral to community support systems, such as peer support and advocacy organizations.
• vocational counseling and guidance, including exploring employment options and postsecondary education programs with high school students who have disabilities
• required assessments to determine eligibility and VR needs
• interpreter services for people who are deaf and hard of hearing
• needs assessment of assistive technology
• assistive devices such as hearing aids, prosthetics, braces, and wheelchairs to improve functioning on the job
• assistive technology and training, including training to use hearing aids, Braille, low-vision aids, and other types of technology to improve communication, access to information, and performance of job functions
• orientation and mobility training for participants who are blind.
• speech, physical, and occupational therapies
• outpatient psychiatric and psychological services
• Personal assistance services
• medical treatment to reduce or remove barriers to employment
• work-based learning experiences for high school students with disabilities, such as job shadowing, volunteer work, internships, and summer employment
• training in behaviors that are expected by employers in a work environment
• job coaches and support for customized employment, self-employment, and supported employment
• college, technical, and on-the-job training
• return-to-work, job retention, job development, and job placement assistance
• instruction in self-advocacy

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Workforce Solutions Alamo (WSA) and Texas Workforce Solutions Vocational Rehabilitation program (TWS-VRS) are working together to provide a variety of services that assist eligible people with disabilities prepare for, obtain, retain or advance in employment.

Services include (as needed):

• vocational counseling and guidance
• referrals for hearing, visual and other examinations
• assistance with medical appointments and treatment
• rehabilitation deceives, including hearing aids, wheelchairs, artificial limbs, and braces
• therapy to address a disability, including occupational or speech therapy and applied behavioral analysis
• physical restoration services
• medical, psychological, and vocational assessments
• assistance with college education or trade certification
• on-the-job training
• training in workplace and employer expectations
• vocational adjustment training
• rehabilitation teachers services to help you learn Braille, orientation and mobility, and home and health management skills if you are blind or have a visual impairment
• supported employment

Job Matching & Placement Services

• transportation assistance to and from your job, including travel vouchers and vehicle modifications
• follow-up and supported employment services to help you maintain employment
• referral to Business Enterprises of Texas program, Criss Cole Rehabilitation Center, and other state, federal, and community agencies and organizations

Services may also include:

• referral to community support systems, such as peer support and advocacy organizations.
• vocational counseling and guidance, including exploring employment options and postsecondary education programs with high school students who have disabilities
• required assessments to determine eligibility and VR needs
• interpreter services for people who are deaf and hard of hearing
• needs assessment of assistive technology
• assistive devices such as hearing aids, prosthetics, braces, and wheelchairs to improve functioning on the job
• assistive technology and training, including training to use hearing aids, Braille, low-vision aids, and other types of technology to improve communication, access to information, and performance of job functions
• orientation and mobility training for participants who are blind.
• speech, physical, and occupational therapies
• outpatient psychiatric and psychological services
• Personal assistance services
• medical treatment to reduce or remove barriers to employment
• work-based learning experiences for high school students with disabilities, such as job shadowing, volunteer work, internships, and summer employment
• training in behaviors that are expected by employers in a work environment
• job coaches and support for customized employment, self-employment, and supported employment
• college, technical, and on-the-job training
• return-to-work, job retention, job development, and job placement assistance
• instruction in self-advocacy

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Our hospital provides primary care and specialty health services, including:

• mental health care
• geriatric evaluation
• foot care
• dental services
• kidney care and dialysis
• urology
• palliative care and hospice
• laboratory services
• orthopedics
• gastroenterology
• and much more

Click here to register for care.

For Mental Health, call 210-949-9702

If you have hearing loss, call TTY at 800-799-4889.

Workforce Solutions Alamo (WSA) and Texas Workforce Solutions Vocational Rehabilitation program (TWS-VRS) are working together to provide a variety of services that assist eligible people with disabilities prepare for, obtain, retain or advance in employment.

Services include (as needed):

• vocational counseling and guidance
• referrals for hearing, visual and other examinations
• assistance with medical appointments and treatment
• rehabilitation deceives, including hearing aids, wheelchairs, artificial limbs, and braces
• therapy to address a disability, including occupational or speech therapy and applied behavioral analysis
• physical restoration services
• medical, psychological, and vocational assessments
• assistance with college education or trade certification
• on-the-job training
• training in workplace and employer expectations
• vocational adjustment training
• rehabilitation teachers services to help you learn Braille, orientation and mobility, and home and health management skills if you are blind or have a visual impairment
• supported employment

Job Matching & Placement Services

• transportation assistance to and from your job, including travel vouchers and vehicle modifications
• follow-up and supported employment services to help you maintain employment
• referral to Business Enterprises of Texas program, Criss Cole Rehabilitation Center, and other state, federal, and community agencies and organizations

Services may also include:

• referral to community support systems, such as peer support and advocacy organizations.
• vocational counseling and guidance, including exploring employment options and postsecondary education programs with high school students who have disabilities
• required assessments to determine eligibility and VR needs
• interpreter services for people who are deaf and hard of hearing
• needs assessment of assistive technology
• assistive devices such as hearing aids, prosthetics, braces, and wheelchairs to improve functioning on the job
• assistive technology and training, including training to use hearing aids, Braille, low-vision aids, and other types of technology to improve communication, access to information, and performance of job functions
• orientation and mobility training for participants who are blind.
• speech, physical, and occupational therapies
• outpatient psychiatric and psychological services
• Personal assistance services
• medical treatment to reduce or remove barriers to employment
• work-based learning experiences for high school students with disabilities, such as job shadowing, volunteer work, internships, and summer employment
• training in behaviors that are expected by employers in a work environment
• job coaches and support for customized employment, self-employment, and supported employment
• college, technical, and on-the-job training
• return-to-work, job retention, job development, and job placement assistance
• instruction in self-advocacy

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Workforce Solutions Alamo (WSA) and Texas Workforce Solutions Vocational Rehabilitation program (TWS-VRS) are working together to provide a variety of services that assist eligible people with disabilities prepare for, obtain, retain or advance in employment.

Services include (as needed):

• vocational counseling and guidance
• referrals for hearing, visual and other examinations
• assistance with medical appointments and treatment
• rehabilitation deceives, including hearing aids, wheelchairs, artificial limbs, and braces
• therapy to address a disability, including occupational or speech therapy and applied behavioral analysis
• physical restoration services
• medical, psychological, and vocational assessments
• assistance with college education or trade certification
• on-the-job training
• training in workplace and employer expectations
• vocational adjustment training
• rehabilitation teachers services to help you learn Braille, orientation and mobility, and home and health management skills if you are blind or have a visual impairment
• supported employment

Job Matching & Placement Services

• transportation assistance to and from your job, including travel vouchers and vehicle modifications
• follow-up and supported employment services to help you maintain employment
• referral to Business Enterprises of Texas program, Criss Cole Rehabilitation Center, and other state, federal, and community agencies and organizations

Services may also include:

• referral to community support systems, such as peer support and advocacy organizations.
• vocational counseling and guidance, including exploring employment options and postsecondary education programs with high school students who have disabilities
• required assessments to determine eligibility and VR needs
• interpreter services for people who are deaf and hard of hearing
• needs assessment of assistive technology
• assistive devices such as hearing aids, prosthetics, braces, and wheelchairs to improve functioning on the job
• assistive technology and training, including training to use hearing aids, Braille, low-vision aids, and other types of technology to improve communication, access to information, and performance of job functions
• orientation and mobility training for participants who are blind.
• speech, physical, and occupational therapies
• outpatient psychiatric and psychological services
• Personal assistance services
• medical treatment to reduce or remove barriers to employment
• work-based learning experiences for high school students with disabilities, such as job shadowing, volunteer work, internships, and summer employment
• training in behaviors that are expected by employers in a work environment
• job coaches and support for customized employment, self-employment, and supported employment
• college, technical, and on-the-job training
• return-to-work, job retention, job development, and job placement assistance
• instruction in self-advocacy

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Early Childhood Intervention (ECI) is a statewide program within the Texas Health and Human Services Commission for families with children from birth up to age 3, with developmental delays, disabilities, or certain medical diagnoses that may impact development. ECI services support families as they learn how to help their children grow and learn.

Our Services:

• Parents and professionals work together as a team
• Services are convenient for families
• Children learn new skills through everyday activities
• Services are coordinated with others in the community
• Families of all income levels receive ECI services
• Professional Services
• Early Intervention Specialists
• Speech and Language Pathologists
• Physical Therapists
• Occupational Therapists
• Registered Dietitians
• Professional Counselors
• Hearing and Vision Specialists
• Social Workers
• Nurses

Age: Birth - 3.

Eligibility Requirements:

Call to schedule a screening to determine eligibility.

Must meet one of the following three criteria:

• Medically Diagnosed Condition
• Auditory or Visual Impairment
• Developmental Delay

The evaluations used to determine eligibility include the Battelle Developmental Inventory 3 (BDI-3) and Developmental Assessment of Young Children 2 (DAYC-2). The BDI-2 is used for Spanish-speaking families at this time.

If your child qualifies for services, the team identifies your family's daily routines and your child's strengths and needs. Based on the results of the evaluation and assessment, your team develops a plan for services, also known as the Individualized Family Service Plan (IFSP). Under the Individuals with Disabilities Education Act (IDEA), evaluations, assessments, and IFSPs are provided at no cost to parents.

Counties served: Kendall, Kerr, Kimble, Gillespie, Mason, and Menard.

Click here for more information

Families that qualify for Medicaid have no cost for service.

All other families have a cost share determined using a sliding fee scale based on family size and net income after allowable deductions.

Workforce Solutions Alamo (WSA) and Texas Workforce Solutions Vocational Rehabilitation program (TWS-VRS) are working together to provide a variety of services that assist eligible people with disabilities prepare for, obtain, retain or advance in employment.

Services include (as needed):

• vocational counseling and guidance
• referrals for hearing, visual and other examinations
• assistance with medical appointments and treatment
• rehabilitation deceives, including hearing aids, wheelchairs, artificial limbs, and braces
• therapy to address a disability, including occupational or speech therapy and applied behavioral analysis
• physical restoration services
• medical, psychological, and vocational assessments
• assistance with college education or trade certification
• on-the-job training
• training in workplace and employer expectations
• vocational adjustment training
• rehabilitation teachers services to help you learn Braille, orientation and mobility, and home and health management skills if you are blind or have a visual impairment
• supported employment

Job Matching & Placement Services

• transportation assistance to and from your job, including travel vouchers and vehicle modifications
• follow-up and supported employment services to help you maintain employment
• referral to Business Enterprises of Texas program, Criss Cole Rehabilitation Center, and other state, federal, and community agencies and organizations

Services may also include:

• referral to community support systems, such as peer support and advocacy organizations.
• vocational counseling and guidance, including exploring employment options and postsecondary education programs with high school students who have disabilities
• required assessments to determine eligibility and VR needs
• interpreter services for people who are deaf and hard of hearing
• needs assessment of assistive technology
• assistive devices such as hearing aids, prosthetics, braces, and wheelchairs to improve functioning on the job
• assistive technology and training, including training to use hearing aids, Braille, low-vision aids, and other types of technology to improve communication, access to information, and performance of job functions
• orientation and mobility training for participants who are blind.
• speech, physical, and occupational therapies
• outpatient psychiatric and psychological services
• Personal assistance services
• medical treatment to reduce or remove barriers to employment
• work-based learning experiences for high school students with disabilities, such as job shadowing, volunteer work, internships, and summer employment
• training in behaviors that are expected by employers in a work environment
• job coaches and support for customized employment, self-employment, and supported employment
• college, technical, and on-the-job training
• return-to-work, job retention, job development, and job placement assistance
• instruction in self-advocacy

You may be eligible for vocational rehabilitation services if you:

• have a disability that results in substantial barriers to employment.
• require services to prepare for, obtain, retain or advance in employment.
• are able to obtain, retain, or advance in employment as a result of services.

Disabilities Served through Vocational Rehabilitation include:

• blindness or significant visual impairments
• deaf-blindness
• deafness, or other hearing impairments
• neurodevelopmental disabilities, including autism, ADHD, intellectual, learning, Tourette’s, and other developmental disabilities
• physical disabilities, including traumatic brain and spinal cord injury, cerebral palsy, paralysis, or any impairment in movement
• other physical or mental conditions
• behavioral and mental health conditions
• alcoholism or drug addiction

Call or email to get started, or click here to get started online.

Hill Country MHDD Centers is a Local Intellectual and Developmental Disability Authority (LIDDA). LIDDA services include determining a person’s eligibility for services, enrolling a person into programs, and coordinating and monitoring ongoing services for a person by assigning them a Service Coordinator. Other important responsibilities include placing individuals on the Home and Community-Based Services (HCS) and Texas Home Living Interest Lists, helping students transition from school services to community-based services, and aiding families who are seeking residential services for children and adults.

Our Service Coordinators are trained in Person Centered Thinking and Person-Centered Plan Facilitation - which means they have learned skills to better support individuals to achieve their goals at home, school, work, and in the community. The Service Coordination team coordinates and manages the vast array of services for people diagnosed with intellectual and developmental disabilities.

Provider Services support individuals with intellectual and developmental disabilities to achieve an interdependent life and live to their fullest potential by providing individualized specialized services. These services may include in-home, community, and work supports; transportation; behavioral supports, respite, and day habilitation.

Hill Country is a contracted provider of Home and Community-Based Services (HCS) and Texas Home Living (TxHmL) Medicaid waiver programs; however, we also serve as the Local Intellectual and Developmental Authority (LIDDA), which means we cannot and do not endorse any particular provider. If you or someone you help support receives services through HCS or TxHmL, our Service Coordinators will present all available provider options, including Hill Country, in order to make an informed choice about the program that will best meet the needs and goals of the person served.

If interested in IDD Services, please call our IDD Centralized Intake Line at 830-387-5970.

PermiaCare offers intellectual and developmental disability services for adults and children. It also provides home based early childhood intervention services for infants birth to three with developmental disabilities or delays and their families.

Call for a brief phone screening to see what services are available for you. PermiaCare provides services under contracts with the Texas Department of State Health Services (DSHS) and The Texas Department of Aging and Disability Services (DADS) to individuals with a mental illness and/or intellectual development disability identified as a priority population.

Service costs are determined using a sliding fee scale, allowing in many cases for little to no cost to the client. Clients are not denied services based on an inability to pay. Insurance, Medicaid, and Medicare are accepted.

PermiaCare offers intellectual and developmental disability services for adults and children.

Call for a brief phone screening to see what services are available for you. PermiaCare provides services under contracts with the Texas Department of State Health Services (DSHS) and The Texas Department of Aging and Disability Services (DADS) to individuals with a mental illness and/or intellectual development disability identified as a priority population.

Service costs are determined using a sliding fee scale, allowing in many cases for little to no cost to the client. Clients are not denied services based on an inability to pay. Insurance, Medicaid, and Medicare are accepted.