Employment Readiness Provider Self-Assessment Tool: HCBS Settings Rule Compliance

On Jan. 1, 2025, HHSC implemented the employment readiness benefit for individuals enrolled in Home and Community-based Services (HCS), Texas Home Living (TxHmL), or Deaf Blind with Multiple Disabilities (DBMD) waiver programs for individuals with intellectual or developmental disabilities.

All settings not previously assessed for compliance with the federal Home and Community-Based Services (HCBS) Settings Rule requirements at 42 C.F.R. §441.301(c)(4) must conduct a self-assessment using the Employment Readiness Self-Assessment tool (PDF) and submit it to Medicaid_HCBS@hhs.texas.gov for review and approval before providing employment readiness.

See Information Letters 2025-01 (PDF) and 2025-05 (PDF) for more details.