Intellectual & Developmental Disability System Redesign Advisory Committee

The Intellectual and Developmental Disability (IDD) System Redesign Advisory Committee, created by Government Code, Chapter 534 advise HHSC on the implementation of the acute care services and long-term services and supports (LTSS) system redesign for people with intellectual and developmental disabilities. Chapter 534 requires HHSC to design and implement an acute care services and LTSS system for people with IDD that supports the following goals:

  • Provide Medicaid services to more people in a cost-efficient manner by providing the type and amount of services most appropriate to the person’s needs.
  • Improve access to services and supports by ensuring that people receive information about all available programs and services, including employment and least restrictive housing assistance, and how to apply for programs and services.
  • Improve the assessment of each person’s needs and available supports, including the assessment of functional needs.
  • Promote person-centered planning, self-direction, self-determination, community inclusion, and customized, integrated, competitive employment.
  • Promote individualized budgeting based on an assessment of each person’s needs and person-centered planning.
  • Promote integrated service coordination of acute care services and LTSS.
  • Improve acute care and LTSS, including reducing unnecessary institutionalization and potentially preventable events.
  • Promote high-quality care.
  • Provide fair hearing and appeals processes in accordance with applicable federal law.
  • Ensure the availability of a local safety net provider and local safety net services.
  • Promote independent service coordination and independent ombudsmen services.
  • Ensure that people with the most significant needs are appropriately served in the community and that processes are in place to prevent inappropriate institutionalization.


Carole Smith, Chair
LTSS provider, managed care
Austin, TX

Mickey Atkins
Representative of private Intermediate Care Facility for Individuals with Intellectual Disability (ICF-IID) providers
Austin, TX

Kelly Barr
Specialty Health Care Provider, non-managed care
Killeen, TX

Jodie Braden
Representative of private ICF-IID providers
San Angelo, TX

Lynne Brooks
Long Term Services and Supports (LTSS) provider, non-managed care
San Antonio, TX

Susan Burek
Advocate for individuals with IDD receiving services
Austin, TX

Jennifer Caruso
Representative of home and community-based service (HCBS) providers
Cibolo, TX

Emily Clark
Advocate for individuals with IDD receiving services
Desoto, TX

Susan Garnett, Co-chair
Representative, Community Mental Health and Intellectual Disability Centers
Fort Worth, TX

Gilda Gil-Lopez
Advocate for individuals with IDD receiving services
El Paso, TX

Brooke Hohfeld
Advocate for individuals with IDD receiving services
Austin, TX

Linda Levine
Advocate for individuals with IDD receiving services
Bee Cave, TX

Amy Litzinger
Recipient of IDD-related services
Austin, TX

Susan Murphree
Advocate for individuals with IDD receiving services
Austin, TX

Leah Rummel
MCO Representative
Austin, TX

Sheri Talbot
Representative of Medicaid LTSS provider
Katy, TX

Caren Zysk
MCO Representative
Austin, TX

Meeting Dates

  • January 27, 2022
  • April 28, 2022
  • July 28, 2022
  • October 27, 2022


Annual Report on Implementation of Acute and Long-term Services and Supports System Redesign for Individuals with Intellectual and Developmental Disabilities, November 2015 (PDF)


More Information

Please contact Michelle Thomas at