Deaf Blind with Multiple Disabilities (DBMD)

Your Day Habilitation Service is changing, find out more (PDF).

What is DBMD?

The DBMD program provides home and community-based services to people who are deaf-blind with multiple disabilities as a cost-effective alternative to institutional placement. The program focuses on increasing opportunities for consumers to communicate and interact with their environment.

Provider Communications

Read 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

  • Provider/policy information: 512-438-2622
  • Contracting information: 512-438-3550
  • DBMD Interest List information: 1-877-438-5658
  • Eligibility, enrollment, ID/RC, transfer, suspension, termination, renewal, and revision information: 512-438-4896
  • MDCP/DBMD Escalation Helpline:  844-999-9543

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 2023-22 Employment First Uniform Assessment Tool
IL 2023-21 IL 2023-21 Preparing for the Upcoming Fiscal Year 2023 Fee-for-Service Claims Billing Closeout
IL 2023-18 IL 2023-18 (Replaces 2022-52) ARPA and HCBS Provider Retention Payments Attestation and Reporting Requirements

Note: Replaces IL 2022-52

IL 2023-19 Critical Incident Management Reporting System (CIMS) Incident Report Status
IL 2023-17 2022 Cost Surveys due for FMSA Providers
IL 2023-16 Termination of Waiver Services Due to Denial of Medicaid Eligibility
IL 2023-11 COVID-19 Public Health Emergency (PHE) Ending May 11, 2023
IL 2023-07 Implementation of Individualized Skills and Socialization
IL 2023-04 Individual Plan of Care (IPC) Updates to Add Individualized Skills and Socialization
IL 2023-01 Payment Rates for Individualized Skills and Socialization Services in the DBMD, HCS, and TxHmL waiver programs Effective January 1, 2023

Note: Replaces IL 2022-56