Home-Delivered Meals (HDM)

What is Home Delivered Meals (HDM)?

HDM provides nutritious noontime meals delivered to people in their homes on a scheduled basis. Meals may also be delivered to a location other than an individual's home, provided the location is within the provider's service area and is approved by the case worker. Those eligible for HDM are aged 18 years or older. An interest list is maintained for people interested in applying for this program.

Information on becoming an Area Agencies on Aging (AAA) HDM provider can be found online.

Information on becoming an HDM in managed care can be found on the Medicaid Provider Enrollment webpage.

Home-Delivered Meals Waiver Request

The document listed below is to be used by Title XX HDM providers to request a waiver for federal fiscal years 2022 and 2023:

Provider Communications

Click here for news, information letters (ILs) & provider letters (PLs).

Don't Miss Out on Emails from HHS

The Texas Health and Human Services Commission contracts with a company called Granicus to provide email updates, called GovDelivery. In accordance with your contract, and contracting rules at 40 Texas Administrative Code §49.302(g), you must subscribe to receive HHSC email updates, using this GovDelivery signup, and select Information Letters, Provider Alerts and the contract program type(s).

When you sign up for email updates, you are giving your information to both HHSC and to Granicus. When HHSC has your information, it is subject to the HHSC privacy policy. When Granicus has your information, it is subject to the Granicus GovDelivery privacy policy.

Contact Program Staff

For questions about:

How to Become a Provider

Contracting to Provide Services

To be eligible to provide services and receive reimbursement for these services, a provider agency must meet certain eligibility criteria. Rules regarding program and contracting requirements can be found in Title 40 of the Texas Administrative Code (TAC) as follows:

For more information about HHSC provider contracting process and requirements, please click here.

An individual or provider agency must complete an application to provide services in the fee for services Community Services programs. Once you have met the minimum eligibility criteria, you may review the required application documents on:

The required application documents may be downloaded for completion. Please contact your local Contact Information for Eligibility Operations Provider Contract Management (PDF) to obtain the mailing address to submit completed documents.

If you prefer HHSC mail you the required application documents, please contact your local Contact Information for Eligibility Operations Provider Contract Management (PDF) to request an application packet and obtain the mailing address to submit completed documents.

Statutes & Rules



Other Rules and Statutes


Information & Provider Letters

Case-sensitive. Use commas to separate multiple entries.
Note: These files are in PDF format unless otherwise noted.
Number Title/Notes Date Published
IL 2020-35 Fiscal Year 2020 Cutoff Date for Year-end Closeout Processing
IL 2020-24 Preparing for the Upcoming Fiscal year 2020 Fee-for-Service Claims Billing Closeout
IL 2020-20 Requirement to Complete DIR-Certified Cybersecurity Training Program -- Due April 30, 2020
IL 2015-37 Preparing for the Upcoming Fiscal Year 2015 Fee-for-Service Claims Billing Closeout
IL 2014-77 STAR+PLUS Managed Care Resource Information for Transitioned Community Based Alternatives, Primary Home Care and Day Activity Health Services Providers
IL 2014-74 Contract and Fiscal Compliance Monitoring Updated Negative Billing Procedures

Note: Replaces IL 13-28

IL 2014-69 Home Delivered Meals Requirements Regarding Nutritional Risk Assessments and Information Provided to Individuals
IL 2014-49 Billing Process for Long-Term Services and Supports Providers Transitioning to STAR+PLUS
IL 2014-23 Expansion of the STAR+PLUS Medicaid Managed Care Program to the Medicaid Rural Service Areas
IL 2014-22 Preparing for the Upcoming Fiscal Year 2014 Claims Billing Closeout