Interest List Reduction

Because the demand for community-based services and supports often outweighs available resources, applicant's names may be placed on an interest list until services are available. However, some needs may be met through other programs until an applicant's name comes to the top of the list. People can receive Medicaid or other community services while they are on the interest list, if they are eligible. Receiving other services does not impact a person's place on an interest list. For information about how to apply for services, please visit: https://apps.hhs.texas.gov/contact/search.cfm.

Applicants are placed on interest lists on a first-come, first-served basis. Allocations are based on available funding. People who have been on the interest lists the longest are enrolled first.  When a person's name comes to the top of the list, he or she will be contacted by an state office or Local Intellectual or Developmental Disability Authority representative.

HHSC received approval from the 87th Texas Legislature (2021, Regular Session) to serve additional persons from the Medicaid interest lists. Senate Bill 1 provides authority for HHSC to spend an additional $76.9 million in general revenue funds to address the interest lists.

The following programs have interest lists:

For information about how to apply for services, visit the Services website.

For information about how to be added to the interest list, please contact your Local Intellectual or Development Disability Authority (for HCS and TxHmL) or by calling 1-877-438-5658 for other waiver programs.

Enrollment for the 2022-23 Biennium

HHSC began releasing people from the interest list in September 2021 to be assessed for eligibility and enrollment in waiver program. HHSC was approved to fill 1,549 new slots for the following programs during the biennium.

Program Legislative Allocation for 2022-2023
Community Living Assistance and Support Services (CLASS) 381
Deaf-Blind with Multiple Disabilities (DBMD 6
Home and Community-based Services (HCS) 542
Texas Home Living (TxHmL) 471
Medically Dependent Children Program (MDCP) 42
STAR+PLUS Home and Community Based Services (STAR+PLUS HCBS) 42
Total of allocations 1,549

HHSC will provide biannual updates about progress filling these new slots.

In addition to releasing the HCS interest list reduction slots described above, HHSC will also continue to use attrition slots in HCS to meet the needs of people with intellectual or developmental disabilities in crisis situations and transitioning from institutions including nursing facilities and state supported living centers. Attrition slots are created when previously funded HCS slots are permanently discharged by a person after their enrollment.

HHSC will provide biannual updates about the progress of enrollments for both allocated and attrition slots.

2022-23 Interest List Reporting

Senate Bill 1, 87th Legislature, Regular Session, 2021 (Article II, Health and Human Services Commission, Rider 19) requires HHSC to post the following information for waiver programs with interest lists:

  • interest list releases;
  • interest list counts, by years on list;
  • average number of individuals on the interest list per month;
  • average number of individuals on the interest list receiving other services per month; and
  • percent declined services or found to be ineligible for services at the end of the fiscal year.

HHSC provides monthly counts of this information. At the end of the fiscal year, HHSC will post the monthly averages of individuals on the interest list, the monthly average of the number of individuals on an interest list receiving other services, and the percent of individuals who declined services or were found to be ineligible.

April 2022

April 2022 Summary of Interest List Releases
Item CLASS DBMD HCS1 MDCP STAR+ TxHmL1 Totals
Previous Biennium Counts As of August 31, 2021 76,527 1,152 107,201 8,704 24,056 94,533 312,173
Released/Removed from Interest List 2 Enrolled 4 557 1 696 311 626 116 2,307
Denied/Declined/Withdrawn 4 1,353 14 710 1,429 8,733 328 12,567
Pipeline 1,766 103 946 1,146 8,420 368 12,749
Total Releases This Biennium3 Since September 1, 2021 3,819 118 1,407 2,888 19,462 700 28,394
Added This Biennium New Requests 3,445 189 2,888 1,715 12,135 2,720 23,092
Current Interest List Counts As of April 30, 2022 78,619 1,266 108,773 7,420 19,075 96,859 312,012
  1. HCS and TxHmL counts for Released/Removed and Total Releases are derived from CARE data source, and provided by Local Authority staff.
  2. Released/Removed counts include individuals already in the pipeline as of August 31, 2021, excluding MFP.
  3. An individual may be counted more than once in the Enrolled and Denied/Declined/Withdrawn categories, but only once in Total Releases. Therefore, Release/Removal counts may be higher than the total count of released individuals.
  4. These totals count unique individuals with close codes in this category, who also had a release date (except HCS and TxHmL, see note 1).

The total of Current Interest List Counts in the above table is a duplicated count. The unduplicated count across all six Interest Lists is: 168,721.

April 2022 Interest List Counts, by Years on List
Years on List CLASS DBMD HCS MDCP STAR+ TxHmL
Individuals Percent Individuals Percent Individuals Percent Individuals Percent Individuals Percent Individuals Percent
0–1 5,124 6.5% 265 20.9% 4,881 4.5% 2,414 32.5% 18,927 99.2% 4,806 5.0%
1–2 4,007 5.1% 271 21.4% 6,279 5.8% 1,883 25.4% 127 0.7% 6,270 6.5%
2–3 5,670 7.2% 272 21.5% 7,984 7.3% 3,122 42.1% 2 0.0% 8,071 8.3%
3–4 5,850 7.4% 179 14.1% 8,282 7.6% - - 11 0.1% 8,387 8.7%
4–5 6,354 8.1% 137 10.8% 8,459 7.8% 2 0.0% - - 8,608 8.9%
5–6 5,796 7.4% 142 11.2% 8,555 7.9% - - 4 0.0% 8,713 9.0%
6–7 5,436 6.9% - - 7,969 7.3% - - 4 0.0% 7,988 8.2%
7–8 4,626 5.9% - - 6,934 6.4% - - - - 6,726 6.9%
8–9 4,734 6.0% - - 6,639 6.1% - - - - 6,771 7.0%
9–10 4,986 6.3% - - 7,662 7.0% - - - - 7,737 8.0%
10–11 5,650 7.2% - - 7,529 6.9% - - - - 7,454 7.7%
11–12 6,786 8.6% - - 7,796 7.2% - - - - 7,616 7.9%
12–13 6,147 7.8% - - 7,470 6.9% - - - - 7,101 7.3%
13–14 5,587 7.1% - - 5,878 5.4% - - - - 613 0.6%
14–15 1,872 2.4% - - 4,920 4.5% - - - - - -
15–16 - - - - 1,525 1.4% - - - - - -
16–17 - - - - 9 0.0% - - - - - -
17-18 - - - - 2 0.0% - - - - - -
Totals 78,625 100% 1,266 100% 108,773 100% 7,421 100% 19,075 100% 96,861 100%

 

April 2022 Individuals on Community Services Interest Lists Receiving Other Services
Program Individuals on Interest List Receiving LTSS Services % Receiving LTSS Services Receiving SSI Receiving SSI or LTSS Services
CLASS 78,619 11,585 14.7% 36,996 40,148
DBMD 1,266 152 12.0% 565 637
HCS 108,774 18,237 16.8% 46,726 52,362
MDCP 7,420 251 3.4% 2,844 2,960
STAR+ 19,075 7,519 39.4% 176 7,654
TXHML 96,859 13,645 14.1% 40,610 45,151

 

April 2022 Interest List Closures
Categories CLASS DBMD HCS MDCP STAR+ TxHmL
Closures* Percent Closures* Percent Closures* Percent Closures* Percent Closures* Percent Closures* Percent
Enrolled 559 29.1% 1 6.3% 696 49.5% 312 17.9% 665 7.0% 116 26.1%
Deceased 14 0.7% 1 6.3% 30 2.1% 36 2.1% 915 9.7% 10 2.3%
Declined 191 10.0% 0 - 283 20.1% 235 13.5% 613 6.5% 199 44.8%
Denied 18 0.9% 0 - 253 18.0% 274 15.7% 1,301 13.8% 44 9.9%
No Response 1,014 52.8% 7 43.8% 0 0.0% 581 33.3% 4,376 46.3% 0 -
Unable to Locate 38 2.0% 0 - 133 9.5% 0 - 55 0.6% 56 12.6%
Withdrawn 84 4.4% 7 43.8% 1 0.1% 302 17.3% 1,104 11.7% 0 -
Other 1 0.1% 0 - 10 0.7% 3 0.2% 427 4.5% 19 4.3%
Totals 1,919 100% 16 100% 1,406 100% 1,743 100% 9,456 100% 444 100%

* An individual may have more than one closure; counts represent total closures.
HCS and TxHmL closure counts provided by Local Authority staff, data source: CARE.

Previous Interest List Reporting

Note: To see past reports, please click here.