Submitting Contract Applications and Contract Information for LTC Programs and Services

Due to COVID-19 precautions, HHSC is taking protective measures for the public and HHSC staff. HHSC encourages contract applicants and current contractors for Long-term Care programs and services to submit contract applications and other contract information by email or fax as described below.

For Waiver and Community-based Programs enrolled by Medicaid and CHIP Services – Contract Administration and Provider Monitoring, submit contract applications and other contract information by email or fax to 512-206-3916.

Click on the hyperlinks for each program or service type below to review the list of required forms that must be submitted for each contract application:

Important Note: People who sign the contract application or any other contract documents must be referenced on either the Form 2031, Designation of Authorized Individual(s) - Business Entity, or Form 2031-G, Designation of Authorized Individual(s) – Governmental Entity.