Proposed Temporary Rate Add-ons for American Rescue Plan Act (ARPA) Home and Community-Based Services (HCBS) Provider Retention Payments

April 11, 2022 - 9:00 am

United States

Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a virtual public hearing on April 11, 2022, from 9:00 a.m. to 10:30 a.m.

Section 9817 of the ARPA temporarily increases the Federal Medical Assistance Percentage by 10 percentage points, up to 95 percent, for certain allowable HCBS medical assistance expenditures under the Medicaid program beginning April 1, 2021 and ending March 31, 2022. HHSC submitted an initial spending plan and narrative to the Centers for Medicare and Medicaid Services on July 12, 2021 and received partial approval on August 19, 2021.

HHSC is providing time-limited reimbursement increases to agency providers and consumer-directed services employers to support recruitment and retention efforts for direct care staff delivering HCBS personal attendant and nursing services. Temporary rate increases will be made on eligible HCBS service claims with dates of service between March 1, 2022, and August 31, 2022.This hearing will be available online. To join the hearing from your computer, tablet, or smartphone, register for the hearing in advance using the following link:, webinar ID: 675-569-211. After registering, you will receive a confirmation email containing information about joining the hearing. You can also dial in using your phone at (415) 930-5321, access code: 696-048-941.

If you are new to GoToWebinar, please download the GoToMeeting app at before the hearing starts.

The hearing will be held in compliance with Texas Human Resources Code Section 32.0282, which requires public notice of hearings on proposed Medicaid reimbursements. HHSC will archive the public hearing; the archive can be accessed on-demand after the hearing ends at

Proposal. HHSC proposes to increase payment rates for HCBS personal attendant and nursing services delivered between March 1, 2022 and August 31, 2022, to support provider retention payments.

Methodology and Justification. The increased temporary payment rate add-ons for HCBS ARPA provider retention payments are specified under proposed Title 1 of the Texas Administrative Code (1 TAC) Section 355.207, concerning American Rescue Plan Act Home and Community-Based Services Provider Retention Payment.

Written Comments. Written comments regarding the payment rates may be submitted instead of, or in addition to, oral testimony until 5:00 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, fax, or email.

U.S. Mail
Health and Human Services Commission
Provider Finance Department, Mail Code H-400
P.O. Box 149030
Austin, Texas  78714-9030

Overnight mail or special delivery mail
Health and Human Services Commission
Provider Finance Department, Mail Code H-400
North Austin Complex
4601 W Guadalupe St.
Austin, Texas  78751

Phone number for package delivery: (512) 730-7401

Attention: Provider Finance at (512) 730-7475


Preferred Communication.  During the current state of disaster due to COVID-19, physical forms of communication are checked with less frequency than during normal business operations.  For quickest response, and to help curb the possible transmission of infection, please use e-mail or phone if possible, for communication with HHSC related to this rate hearing.

Persons with disabilities who wish to participate in the hearing and require auxiliary aids or services should call Provider Finance at (512) 730-7401 at least 72 hours before the hearing so appropriate arrangements can be made.