HHSC and Texas Medicaid & Healthcare Partnership (TMHP) conducting On-Site Assessment of 3-Person Residences, 4-Person Residences and Host Home/Companion Care (HH/CC) Settings

HHSC reminds HCS program providers that HHSC, with the assistance of TMHP, is conducting on-site assessments of 3-person residences, 4-person residences, and HH/CC settings to ensure compliance with the federal HCBS Settings Rule.

HCS program providers should be prepared for 3-person residences and 4-person residences assessments. HCS program providers should notify HH/CC service providers of the ongoing assessment process. HHSC and TMHP staff may reach out directly to schedule an on-site visit or alert you of required follow-up action to achieve full compliance.

The assessments are required by CMS to ensure all residents have the following by March 17, 2023:

• A lease or residential agreement that offers protections against eviction;
• Privacy in their sleeping or living unit, including lockable doors; and
• Access to food at any time.

For additional information regarding the assessments, please refer to Information Letter 2022-49, published Sept. 23, 2022.

If you have any questions about the assessments, please contact: Medicaid_HCBS@hhs.texas.gov.