Interest List Reduction

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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.

September 2021

September 2021 Summary of Interest List Releases
Item CLASS DBMD HCS1 MDCP STAR+ TxHmL1 Totals
Previous Biennium Counts As of August 31, 2021 76,578 1,157 109,300 8,708 24,069 95,758 315,570
Released/Removed from Interest List 2 Enrolled 4 106 0 145 3 123 7 384
Denied/Declined/Withdrawn 4 288 4 111 0 445 10 858
Pipeline 2,277 59 459 50 2,035 113 4,993
Total Releases This Biennium3 Since September 1, 2021 2,773 63 201 53 3,525 100 6,715
Added This Biennium New Requests 416 18 397 159 1,692 358 3,040
Current Interest List Counts As of September 30, 2021 76,968 1,171 109,540 8,835 25,673 96,166 318,353
  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: 174,894.

September 2021 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 4,631 6.0% 252 21.5% 6,265 5.7% 1,982 22.4% 19,068 74.3% 6,172 6.4%
1–2 4,647 6.0% 293 25.0% 7,079 6.5% 2,623 29.7% 6,575 25.6% 7,113 7.4%
2–3 6,135 8.0% 213 18.2% 8,428 7.7% 3,208 36.3% 18 0.1% 8,526 8.9%
3–4 6,051 7.9% 160 13.7% 8,454 7.7% 1,017 11.5% 4 0.0% 8,585 8.9%
4–5 6,150 8.0% 137 11.7% 8,485 7.7% 2 0.0% - - 8,636 9.0%
5–6 5,670 7.4% 116 9.9% 8,458 7.7% 2 0.0% 8 0.0% 8,575 8.9%
6–7 4,812 6.3% - - 7,493 6.8% 1 0.0% - - 7,129 7.4%
7–8 4,665 6.1% - - 6,757 6.2% - - - - 6,873 7.1%
8–9 4,907 6.4% - - 7,217 6.6% 1 0.0% - - 7,321 7.6%
9–10 5,261 6.8% - - 7,854 7.2% - - - - 7,817 8.1%
10–11 6,444 8.4% - - 7,848 7.2% - - - - 7,701 8.0%
11–12 6,564 8.5% - - 8,134 7.4% - - - - 7,774 8.1%
12–13 5,823 7.6% - - 7,005 6.4% - - - - 3,946 4.1%
13–14 5,145 6.7% - - 5,501 5.0% - - - - - -
14–15 51 0.1% - - 4,544 4.1% - - - - - -
15–16 16 0.0% - - 13 0.0% - - - - - -
16–17 1 0.0% - - 5 0.0% - - - - - -
Totals 76,973 100% 1,171 100% 109,540 100% 8,836 100% 25,673 100% 96,168 100%

 

September 2021 Individuals on DADS Interest List Receiving Other Services
Program Individuals on Interest List Receiving DADS Services % Receiving DADS Services Receiving SSI Receiving SSI or DADS Service
CLASS 76,968 11,601 15.1% 36,699 39,622
DBMD 1,171 141 12.0% 539 598
HCS 109,540 19,625 17.9% 48,000 53,471
MDCP 8,835 327 3.7% 3,608 3,746
STAR+ 25,673 10,115 39.4% 218 10,283
TXHML 96,166 13,948 14.5% 40,477 44,878

 

September 2021 Interest List Closures
Categories CLASS DBMD HCS MDCP STAR+ TxHmL
Closures* Percent Closures* Percent Closures* Percent Closures* Percent Closures* Percent Closures* Percent
Enrolled 107 27.1% 0   145 56.4% 3 100.0% 131 22.6% 7 41.2%
Deceased 6 1.5% 0 - 6 2.3% 0 - 31 5.4% 0 0.0%
Declined 74 18.7% 0 - 20 7.8% 0 - 23 4.0% 10 58.8%
Denied 5 1.3% 0 - 58 22.6% 0 - 230 39.7% 0 0.0%
No Response 166 42.0% 4 100.0% 0 - 0 - 103 17.8% 0 0.0%
Unable to Locate 16 4.1% 0 - 27 10.5% 0 - 8 1.4% 0 0.0%
Withdrawn 21 5.3% 0 - 0 - 0 - 30 5.2% 0 0.0%
Other 0 - 0 - 1 0.4% 0 - 23 4.0% 0 0.0%
Totals 395 100% 4 100% 257 100% 3 100% 579 100% 17 100%

* 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.