Host Home Companion Care, with the paperwork that actually fits the model.

The Host Home / Companion Care model under HCBS doesn’t look like a group home, and the software shouldn’t either. Sereniq supports Host Home providers and the Form 4122 documentation flow today, built with HHCC operators, not adapted from a different program.

Quick answerUpdated · Sereniq team

What software supports HCBS Host Home / Companion Care and Form 4122?

Sereniq supports Texas Host Home / Companion Care as its own service type, with the weekly Form 4122 Service Delivery Log printed to the HHSC layout. Host home providers are first-class users with their own role, there is no shift schedule or clock-in, and the mobile app is sized for a single household rather than a staffed group home.

Overview

In a Host Home arrangement, a companion provider lives with the individual served. The documentation is different. There is no shift schedule and no clock-in. Software built for HCBS Supervised Living group homes doesn’t translate cleanly.

Sereniq treats Host Home as its own service type rather than as a checkbox bolted onto a residential workflow, inside the same Texas IDD software that runs group homes. Companion providers are first-class users. The HHSC Form 4122 host home service delivery log prints to the HHSC layout, like every HHSC form Sereniq prints. The mobile experience is sized for the way HHCC actually happens: a single household, not a 24-hour staffed home.

HHSC forms on this page. Sereniq prints each one from the individual's record. Open a form to see how it works.

Host Home is live on Sereniq today. If you run a Host Home program, book a demo and we’ll walk through Form 4122, the host-home provider role, and how the weekly log fits a single household.

What you get

  • HCBS Host Home as a first-class service type
  • Form 4122 printable layout
  • Companion-provider user role
  • No shift or clock-in requirement for host-home providers
  • Same audit trail and look-back exports as HCBS SL
Provider questions

What agencies ask before switching.

What is HHSC Form 4122?

Form 4122 is the HHSC service delivery log for HCBS Host Home / Companion Care. The companion provider records the services delivered to the individual living in their home on a weekly log, and the agency keeps it as the documentation evidence for that service. In Sereniq the host-home provider completes it from the app and it prints to the HHSC layout by week or by calendar month.

Does Sereniq support HCBS Host Home Companion Care?

Yes. Sereniq supports HCBS Host Home / Companion Care today, including Host Home as its own service type, a host-home provider role, weekly Form 4122 documentation, and an optional Form 3092 MAR. There is no shift schedule and no clock-in for host-home providers.

How is Host Home different from HCBS Supervised Living in Sereniq?

Host Home does not behave like a staffed group-home workflow. Sereniq separates the service type, documentation pattern, user role, and Form 4122 print path, with no shift or clock-in requirement, instead of forcing HHCC into the SL model.

Can Host Home records be included in look-back exports?

Yes. Host Home records share Sereniq’s audit trail and export model, so notes, forms, approvals, and related evidence can be reviewed alongside the rest of the agency record.

See a host home week, from daily note to Form 4122.

Host home providers get their own role and a phone app sized for one household. We reply within one business day.

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