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.

November 2021

November 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 4 278 0 332 12 237 26 885
Denied/Declined/Withdrawn 4 609 6   104 949 22 1,690
Pipeline 2,246 58 932 490 5,815 293 9,834
Total Releases This Biennium3 Since September 1, 2021 3,275 64   609 8,666 341 12,955
Added This Biennium New Requests 1,312 61 1,476 521 4,875 1,389 9,634
Current Interest List Counts As of November 30, 2021 77,251 1,207 110,009 8,605 23,545 96,903 317,520
  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: 173,339.

November 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 4,850 6.3% 239 19.8% 6,210 5.6% 2,025 23.5% 19,432 82.5% 6,116 6.3%
1–2 4,263 5.5% 291 24.1% 6,731 6.1% 2,340 27.2% 4,092 17.4% 6,761 7.0%
2–3 6,184 8.0% 245 20.3% 8,455 7.7% 3,317 38.5% 12 0.1% 8,532 8.8%
3–4 5,962 7.7% 163 13.5% 8,354 7.6% 924 10.7% 1 0.0% 8,483 8.8%
4–5 6,262 8.1% 122 10.1% 8,501 7.7% - - - - 8,658 8.9%
5–6 5,635 7.3% 147 12.2% 8,670 7.9% - - 8 0.0% 8,798 9.1%
6–7 5,037 6.5% - - 7,575 6.9% - - - - 7,257 7.5%
7–8 4,610 6.0% - - 6,778 6.2% - - - - 6,848 7.1%
8–9 4,819 6.2% - - 6,968 6.3% - - - - 7,084 7.3%
9–10 5,238 6.8% - - 7,874 7.2% - - - - 7,872 8.1%
10–11 6,141 7.9% - - 7,832 7.1% - - - - 7,699 7.9%
11–12 6,731 8.7% - - 8,136 7.4% - - - - 7,831 8.1%
12–13 5,863 7.6% - - 7,237 6.6% - - - - 4,966 5.1%
13–14 5,325 6.9% - - 5,675 5.2% - - - - - -
14–15 334 0.4% - - 4,742 4.3% - - - - - -
15–16 2 0.0% - - 264 0.2% - - - - - -
16–17 - - - - 7 0.0% - - - - - -
Totals 77,256 100% 1,207 100% 110,009 100% 8,606 100% 23,545 100% 96,905 100%

 

November 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 77,251 11,496 14.9% 36,800 39,704
DBMD 1,207 143 11.8% 547 610
HCS 110,009 19,500 17.7% 48,102 53,569
MDCP 8,605 322 3.7% 3,489 3,620
STAR+ 23,545 9,149 38.9% 213 9,309
TXHML 96,903 14,031 14.5% 40,759 45,212

 

November 2021 Interest List Closures
Categories CLASS DBMD HCS MDCP STAR+ TxHmL
Closures* Percent Closures* Percent Closures* Percent Closures* Percent Closures* Percent Closures* Percent
Enrolled 193 27.7% 0   238 59.9% 4 7.0% 219 23.2% 16 34.0%
Deceased 6 0.9% 0 - 7 1.8% 6 10.5% 48 5.1% 0 0.0%
Declined 112 16.1% 0 - 46 11.6% 21 36.8% 45 4.8% 26 55.3%
Denied 6 0.9% 0 - 62 15.6% 8 14.0% 364 38.5% 4 8.5%
No Response 332 47.6% 4 100.0% 0 0.0% 0 - 135 14.3% 0 0.0%
Unable to Locate 15 2.2% 0 - 43 10.8% 0 - 10 1.1% 1 2.1%
Withdrawn 33 4.7% 0 - 0 0.0% 18 31.6% 44 4.7% 0 0.0%
Other 0 - 0 - 1 0.3% 0 - 80 8.5% 0 0.0%
Totals 697 100% 4 100% 397 100% 57 100% 945 100% 47 100%

* 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.